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(A) Tumefaction with multiple discharging sinuses over right foot. (B) Histopathology showed lymphohistiocytic infiltrate and polymormps with characteristic basophilic grain surrounded by eosinophillic material (haematoxylin and eosin stain, magnification ×100).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "S. Mushtaq" "autores" => array:1 [ 0 => array:2 [ "nombre" => "S." 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Mushtaq" "autores" => array:1 [ 0 => array:3 [ "nombre" => "S." "apellidos" => "Mushtaq" "email" => array:1 [ 0 => "smqazi.gmc@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Dermatología, Facultad de Medicina del Gobierno, Jammu y Cachemira, India" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "A Decade Old Case of Actinomycetoma Evading «Diagnosis»" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 526 "Ancho" => 1674 "Tamanyo" => 206004 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Actinomicetoma del pie. (A) Tumefacción con abundantes senos de secreción en el pie derecho. (B) La histopatología mostró infiltrado linfohistiocitario polimorfo con grano basófilo característico, rodeado de material eosinófilo (tinción hematoxilina-eosina x100).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Una mujer, granjera de 45 años, acudió a consulta con hinchazón en el pie derecho y abundantes secreciones que se producían desde hacía 15 años. La paciente había desarrollado un nódulo que se abrió, dando lugar, en los siguientes años, a la formación de senos de secreción en la cara plantar y medial del pie derecho. La secreción era purulenta sin paso de granos. Los distintos tratamientos indicados por los médicos generales no fueron curativos. El examen de la piel reveló tumefacción del pie derecho con varios senos de secreción (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>A). Se estableció un diagnóstico provisional de micetoma. La tinción de Gram de la secreción mostró bacterias grampositivas filamentosas. La biopsia puso de manifiesto la presencia de los típicos granos basófilos, que confirmaron el diagnóstico de actinomicetoma (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>B). La paciente alcanzó la recuperación completa con el régimen de Welsh, no presentando recurrencia al año de seguimiento. El tratamiento médico del eumicetoma es, a menudo, decepcionante, sin embargo, el actinomicetoma muestra buena respuesta a muchos agentes quimioterápicos. La paciente nunca había acudido a una consulta dermatológica en 15 años. El diagnóstico y el tratamiento temprano de estos casos podrían salvar a la paciente de una indebida morbilidad prolongada, así como del empleo de tratamientos incorrectos e ineficaces.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 526 "Ancho" => 1674 "Tamanyo" => 206004 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Actinomicetoma del pie. (A) Tumefacción con abundantes senos de secreción en el pie derecho. (B) La histopatología mostró infiltrado linfohistiocitario polimorfo con grano basófilo característico, rodeado de material eosinófilo (tinción hematoxilina-eosina x100).</p>" ] ] ] ] "idiomaDefecto" => "es" "url" => "/00017310/0000011200000006/v1_202106081644/S0001731020305470/v1_202106081644/es/main.assets" "Apartado" => array:4 [ "identificador" => "41021" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en Dermatología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011200000006/v1_202106081644/S0001731020305470/v1_202106081644/es/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020305470?idApp=UINPBA000044" ]
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