was read the article
array:20 [ "pii" => "X2013251410050845" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2010.Jul.10429" "estado" => "S300" "fechaPublicacion" => "2010-11-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2010;30:704" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 5096 "formatos" => array:3 [ "EPUB" => 290 "HTML" => 4403 "PDF" => 403 ] ] "Traduccion" => array:1 [ "es" => array:17 [ "pii" => "X0211699510050848" "issn" => "02116995" "doi" => "10.3265/Nefrologia.pre2010.Jul.10429" "estado" => "S300" "fechaPublicacion" => "2010-11-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia. 2010;30:704" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 17371 "formatos" => array:3 [ "EPUB" => 340 "HTML" => 16277 "PDF" => 754 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Infección por parvovirus B19: diagnóstico y tratamiento en un paciente sometido a trasplante renal" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "704" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Paravirus B19 infection: diagnosing and treating a kidney transplant patient" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L.R. León, D. Curcio, D. Casadei" "autores" => array:4 [ 0 => null 1 => array:2 [ "Iniciales" => "L.R." "apellidos" => "León" ] 2 => array:2 [ "Iniciales" => "D." "apellidos" => "Curcio" ] 3 => array:2 [ "Iniciales" => "D." "apellidos" => "Casadei" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X2013251410050845" "doi" => "10.3265/Nefrologia.pre2010.Jul.10429" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410050845?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510050848?idApp=UINPBA000064" "url" => "/02116995/0000003000000006/v0_201502091423/X0211699510050848/v0_201502091424/es/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "X2013251410050837" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2010.Aug.10617" "estado" => "S300" "fechaPublicacion" => "2010-11-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2010;30:704-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 5234 "formatos" => array:3 [ "EPUB" => 315 "HTML" => 4446 "PDF" => 473 ] ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "Disseminated tuberculosis with splenic abscessesduring haemodialysis" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "704" "paginaFinal" => "706" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tuberculosis diseminada con abscesos esplénicos en hemodiálisis" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "10617_108_11436_en_10617_f1_en.jpg" "Alto" => 511 "Ancho" => 513 "Tamanyo" => 32538 ] ] "descripcion" => array:1 [ "en" => "CT scan with contrast at the level of the spleen with multiple lesions" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "B. Moragrega, R. Dolz, I. López Alejandre, A. Núñez Sánchez" "autores" => array:4 [ 0 => array:2 [ "Iniciales" => "B." "apellidos" => "Moragrega" ] 1 => array:2 [ "Iniciales" => "R." "apellidos" => "Dolz" ] 2 => array:2 [ "Iniciales" => "I." "apellidos" => "López Alejandre" ] 3 => array:2 [ "Iniciales" => "A." "apellidos" => "Núñez Sánchez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X021169951005083X" "doi" => "10.3265/Nefrologia.pre2010.Aug.10617" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X021169951005083X?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410050837?idApp=UINPBA000064" "url" => "/20132514/0000003000000006/v0_201502091649/X2013251410050837/v0_201502091649/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "X2013251410050853" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2010.Jul.10544" "estado" => "S300" "fechaPublicacion" => "2010-11-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2010;30:702-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4424 "formatos" => array:3 [ "EPUB" => 295 "HTML" => 3702 "PDF" => 427 ] ] "en" => array:7 [ "idiomaDefecto" => true "titulo" => "Acute phosphate nephropathy after bowel cleansing: still a menace" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "702" "paginaFinal" => "704" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "10544_108_6841_en_10544_f1.jpg" "Alto" => 235 "Ancho" => 333 "Tamanyo" => 13060 ] ] "descripcion" => array:1 [ "en" => "Kidney biopsy. Von Kossa coloration (40x)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P. Santos, A. Branco, S. Silva, A. Paiva, J. Baldaia, J. Maximino, A. Loureiro, R. Henrique" "autores" => array:8 [ 0 => array:2 [ "Iniciales" => "P." "apellidos" => "Santos" ] 1 => array:2 [ "Iniciales" => "A." "apellidos" => "Branco" ] 2 => array:2 [ "Iniciales" => "S." "apellidos" => "Silva" ] 3 => array:2 [ "Iniciales" => "A." "apellidos" => "Paiva" ] 4 => array:2 [ "Iniciales" => "J." "apellidos" => "Baldaia" ] 5 => array:2 [ "Iniciales" => "J." "apellidos" => "Maximino" ] 6 => array:2 [ "Iniciales" => "A." "apellidos" => "Loureiro" ] 7 => array:2 [ "Iniciales" => "R." "apellidos" => "Henrique" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X0211699510050856" "doi" => "10.3265/Nefrologia.pre2010.Jul.10544" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510050856?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410050853?idApp=UINPBA000064" "url" => "/20132514/0000003000000006/v0_201502091649/X2013251410050853/v0_201502091649/en/main.assets" ] "en" => array:9 [ "idiomaDefecto" => true "titulo" => "Paravirus B19 infection: diagnosing and treating a kidney transplant patient" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "704" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "L.R. León, D. Curcio, D. Casadei" "autores" => array:4 [ 0 => null 1 => array:4 [ "Iniciales" => "L.R." "apellidos" => "León" "email" => array:1 [ 0 => "lleon@intramed.net" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 2 => array:3 [ "Iniciales" => "D." "apellidos" => "Curcio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 3 => array:3 [ "Iniciales" => "D." "apellidos" => "Casadei" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Nefrología y Trasplante Renal, Nephrology S.A., Caba, Buenos Aires, Argentina, " "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infección por parvovirus B19: diagnóstico y tratamiento en un paciente sometido a trasplante renal" ] ] "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor, </span></p><p class="elsevierStylePara">Parvovirus B<span class="elsevierStyleInf">19</span> infection has an incidence of 2% after solid organ transplants. Parvovirus B<span class="elsevierStyleInf">19</span> is an erythrovirus belonging to the Parvoviridae family, which usually replicates in human erythrocyte precursor cells. Clinical symptoms include fever, joint pains, and a rash in 25%, 7%, and 6% of cases, respectively. Anaemia is the most common expression of the virus (99%). Diagnosis of the infection by serology (IgM and IgG) is not reliable due to the delayed and inadequate antibody-mediated immune response in immunocompromised patients. Using polymerase chain reaction (PCR) improved the detection of parvovirus B<span class="elsevierStyleInf">19</span> infection, and the precision rate for positive PCR in immunocompromised hosts is higher when associated with red cell aplasia. If serology and PCR tests are negative, a bone marrow study with <span class="elsevierStyleItalic">in situ</span> hybridization and immunohistochemical techniques may also clarify the diagnosis. At present, no treatment with anti-viral drugs has been described. However, high doses of immunoglobins (IVIg therapy) were shown to have a beneficial effect on the infection in patients receiving kidney transplants. The optimal dose and duration of treatment have not been established as some patients require additional courses of drugs. Furthermore, reducing immunosuppression is a priority.</p><p class="elsevierStylePara">We present the case of a 36-year-old male diagnosed with chronic kidney failure of unknown aetiology. He was admitted for haemodialysis in 2008 and then in January 2010 he received a kidney transplant from a 9-year-old cadaveric donor with a history of cranio-encephalic trauma (CET). He was given thymoglobulin induction therapy, corticosteroids and mycophenolate sodium. Tacrolimus, deltisone and mycophenolate sodium were given as maintenance treatment. He received ganciclovir prophylaxis for cytomegalovirus (CMV), and trimethoprim-sulfamethoxazole (TMP-SMX) for PCP. The patient had urinary fistula on the third day after the transplantation, which was corrected with surgery. Two weeks later, he suffered diarrhoea associated with mycophenolate sodium, and severe normocytic anaemia (Hct 19%), normochromic anaemia with reticulocytopenia, without changes in the series of white blood cells, and negative Coombs’ test on platelets. He needed multiple transfusions due to symptomatic anaemia. In February 2010, he had a fever syndrome and a urinary infection due to Acinetobacter sp., and was given treatment with amikacin. The patient continued with anaemia with the same characteristics described above, associated with joint and muscle pain. A ferrokinetic study was requested, showing normal parameters. The maximum dose of erythropoietin was increased with no response. A study of blood in stools and  serial parasitological examinations of faecal samples were negative. We performed an upper and lower endoscopy with no signs of haemorrhages; a video capsule endoscopy: s/p, blood smear analysis with PAMO: erythroid hypoplasia, with normal white blood cell and platelet counts. Parvovirus B<span class="elsevierStyleInf">19</span> IgG and IgM antibodies tests were positive, and PCR test for parvovirus B<span class="elsevierStyleInf">19 </span>was positive. Treatment with IVIg at 400 mg/kg/day (30 g/day) was prescribed for 5 days. Mycophenolate sodium treatment was stopped. Kidney function remained stable (average creatinine 1.4 mg/dl); Hct levels increased 10 (35%) and 14 (38%) days after treatment, as did the number of reticulocytes. The follow-up parvovirus PCR (8 weeks after treatment) was negative. Immunosuppression treatment with tacrolimus and deltisone was continued. DNA PCR testing will continue on a regular basis.</p>" "tienePdf" => false "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Eid A, et al. Parvovirus B19 in Solid Organ Transplant Recipients. Am J Transplant 2009;9(Suppl 4):S147-S150. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20070674" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Manaresi E, et al. Diagnosis and quantitative evaluation of parvovirus B19 infections by real-time PCR in the clinical lab. J Med Virol 2002;67:275-81. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11992590" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000003000000006/v0_201502091649/X2013251410050845/v0_201502091649/en/main.assets" "Apartado" => array:4 [ "identificador" => "35437" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor - Brief Case Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410050845?idApp=UINPBA000064" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 13 | 0 | 13 |
2024 October | 92 | 0 | 92 |
2024 September | 97 | 0 | 97 |
2024 August | 108 | 0 | 108 |
2024 July | 103 | 0 | 103 |
2024 June | 158 | 0 | 158 |
2024 May | 159 | 0 | 159 |
2024 April | 140 | 0 | 140 |
2024 March | 104 | 4 | 108 |
2024 February | 92 | 11 | 103 |
2024 January | 76 | 12 | 88 |
2023 December | 57 | 10 | 67 |
2023 November | 70 | 9 | 79 |
2023 October | 92 | 11 | 103 |
2023 September | 80 | 12 | 92 |
2023 August | 75 | 3 | 78 |
2023 July | 111 | 10 | 121 |
2023 June | 81 | 8 | 89 |
2023 May | 128 | 12 | 140 |
2023 April | 76 | 1 | 77 |
2023 March | 61 | 3 | 64 |
2023 February | 36 | 0 | 36 |
2023 January | 64 | 1 | 65 |
2022 December | 74 | 5 | 79 |
2022 November | 82 | 1 | 83 |
2022 October | 65 | 5 | 70 |
2022 September | 71 | 1 | 72 |
2022 August | 68 | 2 | 70 |
2022 July | 60 | 3 | 63 |
2022 June | 50 | 2 | 52 |
2022 May | 71 | 6 | 77 |
2022 April | 53 | 4 | 57 |
2022 March | 66 | 6 | 72 |
2022 February | 58 | 5 | 63 |
2022 January | 98 | 4 | 102 |
2021 December | 73 | 3 | 76 |
2021 November | 130 | 4 | 134 |
2021 October | 155 | 3 | 158 |
2021 September | 95 | 12 | 107 |
2021 August | 99 | 2 | 101 |
2021 July | 102 | 4 | 106 |
2021 June | 70 | 4 | 74 |
2021 May | 77 | 4 | 81 |
2021 April | 171 | 1 | 172 |
2021 March | 93 | 13 | 106 |
2021 February | 93 | 11 | 104 |
2021 January | 54 | 5 | 59 |
2020 December | 65 | 2 | 67 |
2020 November | 61 | 0 | 61 |
2020 October | 49 | 6 | 55 |
2020 September | 60 | 3 | 63 |
2020 August | 72 | 2 | 74 |
2020 July | 64 | 6 | 70 |
2020 June | 74 | 5 | 79 |
2020 May | 88 | 5 | 93 |
2020 April | 110 | 8 | 118 |
2020 March | 122 | 7 | 129 |
2020 February | 63 | 8 | 71 |
2020 January | 81 | 8 | 89 |
2019 December | 70 | 10 | 80 |
2019 November | 77 | 1 | 78 |
2019 October | 65 | 4 | 69 |
2019 September | 75 | 10 | 85 |
2019 August | 64 | 12 | 76 |
2019 July | 59 | 10 | 69 |
2019 June | 73 | 5 | 78 |
2019 May | 70 | 8 | 78 |
2019 April | 103 | 16 | 119 |
2019 March | 60 | 5 | 65 |
2019 February | 44 | 7 | 51 |
2019 January | 54 | 8 | 62 |
2018 December | 97 | 19 | 116 |
2018 November | 102 | 9 | 111 |
2018 October | 122 | 25 | 147 |
2018 September | 76 | 13 | 89 |
2018 August | 56 | 10 | 66 |
2018 July | 60 | 12 | 72 |
2018 June | 54 | 12 | 66 |
2018 May | 66 | 13 | 79 |
2018 April | 65 | 7 | 72 |
2018 March | 57 | 11 | 68 |
2018 February | 54 | 6 | 60 |
2018 January | 49 | 9 | 58 |
2017 December | 45 | 7 | 52 |
2017 November | 54 | 6 | 60 |
2017 October | 52 | 12 | 64 |
2017 September | 47 | 14 | 61 |
2017 August | 39 | 6 | 45 |
2017 July | 41 | 9 | 50 |
2017 June | 44 | 5 | 49 |
2017 May | 59 | 12 | 71 |
2017 April | 47 | 6 | 53 |
2017 March | 28 | 3 | 31 |
2017 February | 31 | 10 | 41 |
2017 January | 28 | 8 | 36 |
2016 December | 58 | 8 | 66 |
2016 November | 67 | 22 | 89 |
2016 October | 92 | 16 | 108 |
2016 September | 113 | 4 | 117 |
2016 August | 184 | 0 | 184 |
2016 July | 178 | 0 | 178 |
2016 June | 140 | 0 | 140 |
2016 May | 155 | 0 | 155 |
2016 April | 95 | 0 | 95 |
2016 March | 92 | 0 | 92 |
2016 February | 107 | 0 | 107 |
2016 January | 100 | 0 | 100 |
2015 December | 128 | 0 | 128 |
2015 November | 77 | 0 | 77 |
2015 October | 86 | 0 | 86 |
2015 September | 80 | 0 | 80 |
2015 August | 95 | 0 | 95 |
2015 July | 108 | 0 | 108 |
2015 June | 53 | 0 | 53 |
2015 May | 79 | 0 | 79 |
2015 April | 14 | 0 | 14 |