que se leu este artigo
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Importância de incidências ecocardiográficas alternativas" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1388 "Ancho" => 3258 "Tamanyo" => 430523 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Daniel Tébar, Alfonso Jurado-Román, Lucía Fernández-Gassó, Guillermo Galeote, Santiago Jiménez-Valero, Raúl Moreno, Esteban López de Sá" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Daniel" "apellidos" => "Tébar" ] 1 => array:2 [ "nombre" => "Alfonso" "apellidos" => "Jurado-Román" ] 2 => array:2 [ "nombre" => "Lucía" "apellidos" => "Fernández-Gassó" ] 3 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Galeote" ] 4 => array:2 [ "nombre" => "Santiago" "apellidos" => "Jiménez-Valero" ] 5 => array:2 [ "nombre" => "Raúl" "apellidos" => "Moreno" ] 6 => array:2 [ "nombre" => "Esteban" "apellidos" => "López de Sá" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255123001683?idApp=UINPBA00004E" "url" => "/08702551/0000004200000006/v1_202306021106/S0870255123001683/v1_202306021106/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "<span class="elsevierStyleItalic">Trichosporon inkin</span> and recurrent infection of Bentall graft: A unique infection" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "581" "paginaFinal" => "582" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ravi Vazirani Ballesteros, Juan Carlos Gómez Polo, Luis David Vivas Balcones, Isidre Vilacosta" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ravi Vazirani" "apellidos" => "Ballesteros" "email" => array:1 [ 0 => "ravi_94@hotmail.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Juan Carlos Gómez" "apellidos" => "Polo" ] 2 => array:2 [ "nombre" => "Luis David Vivas" "apellidos" => "Balcones" ] 3 => array:2 [ "nombre" => "Isidre" "apellidos" => "Vilacosta" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Trichosporon inkin</span> e infecção recorrente de Bentall-Bono: uma infecção única" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3169 "Ancho" => 2833 "Tamanyo" => 702480 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) <span class="elsevierStyleItalic">Trichosporon inkin</span>: Sabouraud glucose agar, 30<span class="elsevierStyleHsp" style=""></span>°C, 7 days; (B) <span class="elsevierStyleItalic">T. inkin</span> arthroconidia and blastoconidia (lactophenol cotton blue 40×); (C) transesophageal echocardiogram showing a hypermobile mass causing severe obstruction (D and E) at the aortic valve; (E) positron emission tomography fused with computed tomography with a maximum standardized uptake value of 13 showing a vegetation located in the left anterolateral aortic wall.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 71-year-old man underwent a Bentall procedure a year ago; his medical history was negative for any immunosuppressive conditions. Eight months later, he was admitted with a history of high fever (38.6<span class="elsevierStyleHsp" style=""></span>°C). Blood cultures were drawn on arrival, which identified <span class="elsevierStyleItalic">Trichosporon inkin</span>, treated with intravenous amphotericin B. A subsequent transesophageal echocardiogram revealed a hypermobile vegetation attached to the valve causing severe flow obstruction (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). Urgent surgery was performed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Five months later, positron emission tomography fused with computed tomography (PET/CT), performed due to persistent fever, confirmed a peritubular relapse of the <span class="elsevierStyleItalic">T. inkin</span> infection, requiring urgent surgery and redo of the Bentall procedure, without further complications. This time, the vegetation was attached to the Dacron tube.</p><p id="par0015" class="elsevierStylePara elsevierViewall">An immunological study was performed, with no remarkable findings. The patient was discharged on 200 mg fluconazole daily guided by antifungal susceptibility testing, without relapse since then.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2022-08-14" "fechaAceptado" => "2022-10-05" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3169 "Ancho" => 2833 "Tamanyo" => 702480 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) <span class="elsevierStyleItalic">Trichosporon inkin</span>: Sabouraud glucose agar, 30<span class="elsevierStyleHsp" style=""></span>°C, 7 days; (B) <span class="elsevierStyleItalic">T. inkin</span> arthroconidia and blastoconidia (lactophenol cotton blue 40×); (C) transesophageal echocardiogram showing a hypermobile mass causing severe obstruction (D and E) at the aortic valve; (E) positron emission tomography fused with computed tomography with a maximum standardized uptake value of 13 showing a vegetation located in the left anterolateral aortic wall.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000004200000006/v1_202306021106/S0870255123001610/v1_202306021106/en/main.assets" "Apartado" => array:4 [ "identificador" => "95133" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Image in Cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000004200000006/v1_202306021106/S0870255123001610/v1_202306021106/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255123001610?idApp=UINPBA00004E" ]
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