Mushroom poisoning: Orellanus syndrome
Intoxicación por setas: síndrome orellánico
Read
10667
Timeswas read the article
2582
Total PDF
8085
Total HTML
Share statistics
array:21 [ "pii" => "X2013251411052134" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2011.Apr.10824" "estado" => "S300" "fechaPublicacion" => "2011-07-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2011;31:495-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4616 "formatos" => array:3 [ "EPUB" => 338 "HTML" => 3634 "PDF" => 644 ] ] "Traduccion" => array:1 [ "es" => array:17 [ "pii" => "X0211699511052137" "issn" => "02116995" "doi" => "10.3265/Nefrologia.pre2011.Apr.10824" "estado" => "S300" "fechaPublicacion" => "2011-07-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia. 2011;31:495-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 8041 "formatos" => array:3 [ "EPUB" => 288 "HTML" => 7171 "PDF" => 582 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Intoxicación por setas: síndrome orellánico" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "495" "paginaFinal" => "496" ] ] "contieneResumen" => array:1 [ "es" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "S. Álvarez Tundidor, A. González López, A. Nava Rebollo, B. Andrés Martín, J.V. Diego Martín, H. Santana Zapatero, C. Escaja Muga, H. Díiaz Molina, J. Grande Viloria" "autores" => array:9 [ 0 => array:2 [ "Iniciales" => "S." "apellidos" => "Álvarez Tundidor" ] 1 => array:2 [ "Iniciales" => "A." "apellidos" => "González López" ] 2 => array:2 [ "Iniciales" => "A." "apellidos" => "Nava Rebollo" ] 3 => array:2 [ "Iniciales" => "B." "apellidos" => "Andrés Martín" ] 4 => array:2 [ "Iniciales" => "J.V." "apellidos" => "Diego Martín" ] 5 => array:2 [ "Iniciales" => "H." "apellidos" => "Santana Zapatero" ] 6 => array:2 [ "Iniciales" => "C." "apellidos" => "Escaja Muga" ] 7 => array:2 [ "Iniciales" => "H." "apellidos" => "Díiaz Molina" ] 8 => array:2 [ "Iniciales" => "J." "apellidos" => "Grande Viloria" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X2013251411052134" "doi" => "10.3265/Nefrologia.pre2011.Apr.10824" "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/X2013251411052134?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699511052137?idApp=UINPBA000064" "url" => "/02116995/0000003100000004/v0_201502091411/X0211699511052137/v0_201502091412/es/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "X2013251411052126" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2011.May.10917" "estado" => "S300" "fechaPublicacion" => "2011-07-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2011;31:496-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 5594 "formatos" => array:3 [ "EPUB" => 292 "HTML" => 4575 "PDF" => 727 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Hepatotoxicity following cyclophosphamide treatment in a patient with MPO-ANCA vasculitis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "496" "paginaFinal" => "498" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hepatotoxicidad tras tratamiento con ciclofosfamida en un paciente con vasculitis MPO-ANCA" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => 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" => "10917_108_19860_en_10917_f1.jpg" "Alto" => 282 "Ancho" => 600 "Tamanyo" => 80309 ] ] "descripcion" => array:1 [ "en" => "Evolution of GOT, GPT and GGT during cyclophosphamide treatment" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Martínez-Gabarrón, R. Enríquez, A.E. Sirvent, M. García-Sepulcre, I. Millán, F. Amorós" "autores" => array:6 [ 0 => array:2 [ "Iniciales" => "M." "apellidos" => "Martínez-Gabarrón" ] 1 => array:2 [ "Iniciales" => "R." "apellidos" => "Enríquez" ] 2 => array:2 [ "Iniciales" => "A.E." "apellidos" => "Sirvent" ] 3 => array:2 [ "Iniciales" => "M." "apellidos" => "García-Sepulcre" ] 4 => array:2 [ "Iniciales" => "I." "apellidos" => "Millán" ] 5 => array:2 [ "Iniciales" => "F." "apellidos" => "Amorós" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699511052129" "doi" => "10.3265/Nefrologia.pre2011.May.10917" "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/X0211699511052129?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251411052126?idApp=UINPBA000064" "url" => "/20132514/0000003100000004/v0_201502091636/X2013251411052126/v0_201502091637/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "X2013251411052142" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2011.Apr.10841" "estado" => "S300" "fechaPublicacion" => "2011-07-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2011;31:494-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4778 "formatos" => array:3 [ "EPUB" => 297 "HTML" => 3875 "PDF" => 606 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Chronic pulmonary bleeding as the first sign of microscopic polyangiitis associated with autoimmune thyroiditis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "494" "paginaFinal" => "495" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hemorragia pulmonar crónica como primera manifestación de una poliangeítis microscópica asociada a tiroiditis autoinmune" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => 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" => "10841_108_19857_en_10841_f1.jpg" "Alto" => 427 "Ancho" => 600 "Tamanyo" => 255973 ] ] "descripcion" => array:1 [ "en" => "Optical microscope. Glomerule with fibrinoid necrosis. HE stain, x20." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Martínez-Gabarrón, R. Enríquez, A.E. Sirvent, E. Andrada, I. Millán, F. Amorós" "autores" => array:6 [ 0 => array:2 [ "Iniciales" => "M." "apellidos" => "Martínez-Gabarrón" ] 1 => array:2 [ "Iniciales" => "R." "apellidos" => "Enríquez" ] 2 => array:2 [ "Iniciales" => "A.E." "apellidos" => "Sirvent" ] 3 => array:2 [ "Iniciales" => "E." "apellidos" => "Andrada" ] 4 => array:2 [ "Iniciales" => "I." "apellidos" => "Millán" ] 5 => array:2 [ "Iniciales" => "F." "apellidos" => "Amorós" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699511052145" "doi" => "10.3265/Nefrologia.pre2011.Apr.10841" "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/X0211699511052145?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251411052142?idApp=UINPBA000064" "url" => "/20132514/0000003100000004/v0_201502091636/X2013251411052142/v0_201502091637/en/main.assets" ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Mushroom poisoning: Orellanus syndrome" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "495" "paginaFinal" => "496" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "S. Álvarez Tundidor, A. González López, A. Nava Rebollo, B. Andrés Martín, J.V. Diego Martín, H. Santana Zapatero, C. Escaja Muga, H. Díiaz Molina, J. Grande Viloria" "autores" => array:9 [ 0 => array:4 [ "Iniciales" => "S." "apellidos" => "Álvarez Tundidor" "email" => array:1 [ 0 => "salvtund@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 1 => array:3 [ "Iniciales" => "A." "apellidos" => "González López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 2 => array:3 [ "Iniciales" => "A." "apellidos" => "Nava Rebollo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 3 => array:3 [ "Iniciales" => "B." "apellidos" => "Andrés Martín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 4 => array:3 [ "Iniciales" => "J.V." "apellidos" => "Diego Martín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 5 => array:3 [ "Iniciales" => "H." "apellidos" => "Santana Zapatero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 6 => array:3 [ "Iniciales" => "C." "apellidos" => "Escaja Muga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 7 => array:3 [ "Iniciales" => "H." "apellidos" => "Díiaz Molina" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 8 => array:3 [ "Iniciales" => "J." "apellidos" => "Grande Viloria" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Sección de Nefrología, Hospital Virgen de la Concha, Zamora, " "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Intoxicación por setas: síndrome orellánico" ] ] "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor, </span></p><p class="elsevierStylePara">Around 42 million kilograms of wild mushrooms are eaten in Spain each year. Mushroom poisoning is an increasingly common medical emergency. Annually, 400 people are hospitalised with this diagnosis. Depending on the latent period (around six hours), clinical symptoms can be classified as short- or long-incubation syndrome. The latter are the most severe, and include gyromitra, orellanus and phalloides syndrome.<span class="elsevierStyleSup">1</span></p><p class="elsevierStylePara">The orellanus syndrome is produced by several species from the genus <span class="elsevierStyleItalic">Cortinarius</span> that contains toxins, orellanines, with a marked renal tropism. After a long period without any symptoms (3-17 days), the patient presents with polyuria and severe renal failure, which is often irreversible.<span class="elsevierStyleSup">2-4</span> We present a case of mushroom poisoning with signs of orrellanus syndrome.</p><p class="elsevierStylePara">We present the case of an 83-year-old male patient with history of arterial hypertension (AHT), dyslipidaemia and a haemorrhagic stroke in 2006. He underwent surgery for rectal neoplasia in 2000, and received chemotherapy and adjuvant radiotherapy. The patient came to the emergency department due to vomiting and liquid bowel movements, with no other symptoms. The only event that the patient referred was having eaten wild mushrooms that he had picked 4 days before. The biochemistry found: glucose: 130 mg/dl; urea: 240 mg/dl; creatinine: 4.62 mg/dl; glutamate-pyruvate transaminase (GPT): 3903IU/l; glutamate-oxaloacetate transaminase (GOT): 868IU/l; bilirubin: 0.80mg/dl; amylase: 86IU/l, CK: 86IU/l; sodium: 134mEq/l; potassium: 5.1mEq/l; ionic calcium: 1.12mmol/l; and lactate: 1.3mmol/l. The blood gases showed a pH of 7392 and HCO<span class="elsevierStyleInf">3</span> of 15.1mEq/l. The haemogram showed thrombocytopenia with 69x10<span class="elsevierStyleSup">3</span>/µl of platelets; the rest of the haemogram and coagulation were normal. The abdominal ultrasound did not show any changes. Given that it was suspected that the patient had mushroom poisoning, he was admitted to the intensive care unit (ICU). Intensive fluid therapy was started, with sibilin and penicillin G. The patient was haemodynamically stable throughout his hospital stay, with good diuresis forced with mannitol during the first few hours, and then spontaneously. After 48 hours in the ICU he was transferred to the medical ward, where his hepatic function continued to improve, but he had polyuria and gradual deterioration of kidney function (reaching creatinine levels of 10.6mg/dl 13 days after admission). He was therefore indicated renal replacement therapy. Kidney biopsy was not performed given that he was considered a high-risk patient. Complementary examinations were also performed, with the following results: negative antinuclear antibodies (ANA), anti-neutrophil cytoplasmic antibodies (ANCA), anti-DNA and anti-glomerular basement membrane antibodies. The serology tests for hepatitis B virus (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV) were negative. The C3 and C4 proteinogram and Ig assessment were within normal limits. Basic urine test: normal. Microalbuminuria: 36µg/min. Negative Bence-Jones proteinuria.</p><p class="elsevierStylePara">Although the orellanus toxin is not common in our area,<span class="elsevierStyleSup">5</span> the clinical symptoms described for delayed polyuric renal failure after wild mushroom consumption, with interstitial failure data, match with orellanus syndrome.<span class="elsevierStyleSup">2,4</span> The patient was indicated continuous treatment with regular haemodialysis every 48 hours. No improvement in renal function was observed in the long term.</p><p class="elsevierStylePara">In summary, when a patient presents with clinical symptoms of liver and kidney involvement, mushroom poisoning must be considered, including orellanus syndrome, especially in regional areas with a tradition of wild mushroom picking.<span class="elsevierStyleSup">3</span></p>" "pdfFichero" => "P1-E523-S3023-A10824-EN.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Humayor Yáñez J, Rementería Radigales J. Intoxicación por setas. En: Manual de intoxicaciones en pediatría. Madrid: Ediciones Ergón, 2003;21:209-23." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "2.\u{A0}Wörnle M, Matthias WA, Angstwurm MD,\u{A0}Sitter T. Treatment of intoxication with Cortinarius speciosissimus using an antioxidant therapy. Am J Kidney Dis 2004;43(4):E3-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15042564" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Martínez J, Losada P, Morey A, Alarcón A, Munar MA, Marco J. Fracaso renal agudo secundario a intoxicación por setas. Nefrologia 1999;19(6):560-3." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Saviuc P, Garon D, Danel V, Richard JM. Cortinarius poisoning. Analysis of cases in the literature. Nephrologie 2001;22:167-73. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11488171" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Soto Bermejo E, Piqueras Carrasco J, Elizalde Fernández J. Fracaso renal agudo tras ingestión de setas: síndrome orellánico. Nefrologia 2009;29(3):273. <a href="http://www.ncbi.nlm.nih.gov/pubmed/19554066" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "\u{A0}" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "\u{A0}" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "\u{A0}" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "\u{A0}" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000003100000004/v0_201502091636/X2013251411052134/v0_201502091637/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" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003100000004/v0_201502091636/X2013251411052134/v0_201502091637/en/P1-E523-S3023-A10824-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251411052134?idApp=UINPBA000064" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 16 | 7 | 23 |
| 2024 October | 119 | 42 | 161 |
| 2024 September | 106 | 27 | 133 |
| 2024 August | 103 | 69 | 172 |
| 2024 July | 67 | 37 | 104 |
| 2024 June | 92 | 42 | 134 |
| 2024 May | 70 | 37 | 107 |
| 2024 April | 57 | 33 | 90 |
| 2024 March | 54 | 18 | 72 |
| 2024 February | 50 | 40 | 90 |
| 2024 January | 93 | 33 | 126 |
| 2023 December | 62 | 27 | 89 |
| 2023 November | 112 | 40 | 152 |
| 2023 October | 111 | 28 | 139 |
| 2023 September | 111 | 42 | 153 |
| 2023 August | 80 | 21 | 101 |
| 2023 July | 71 | 24 | 95 |
| 2023 June | 59 | 16 | 75 |
| 2023 May | 65 | 21 | 86 |
| 2023 April | 49 | 17 | 66 |
| 2023 March | 57 | 19 | 76 |
| 2023 February | 55 | 22 | 77 |
| 2023 January | 68 | 28 | 96 |
| 2022 December | 69 | 39 | 108 |
| 2022 November | 114 | 40 | 154 |
| 2022 October | 144 | 45 | 189 |
| 2022 September | 81 | 49 | 130 |
| 2022 August | 94 | 58 | 152 |
| 2022 July | 64 | 47 | 111 |
| 2022 June | 61 | 47 | 108 |
| 2022 May | 91 | 28 | 119 |
| 2022 April | 72 | 71 | 143 |
| 2022 March | 72 | 54 | 126 |
| 2022 February | 105 | 57 | 162 |
| 2022 January | 122 | 32 | 154 |
| 2021 December | 67 | 40 | 107 |
| 2021 November | 106 | 34 | 140 |
| 2021 October | 147 | 47 | 194 |
| 2021 September | 105 | 40 | 145 |
| 2021 August | 68 | 50 | 118 |
| 2021 July | 64 | 28 | 92 |
| 2021 June | 51 | 45 | 96 |
| 2021 May | 61 | 43 | 104 |
| 2021 April | 131 | 63 | 194 |
| 2021 March | 86 | 46 | 132 |
| 2021 February | 74 | 36 | 110 |
| 2021 January | 59 | 23 | 82 |
| 2020 December | 72 | 24 | 96 |
| 2020 November | 75 | 15 | 90 |
| 2020 October | 75 | 28 | 103 |
| 2020 September | 80 | 12 | 92 |
| 2020 August | 55 | 11 | 66 |
| 2020 July | 52 | 11 | 63 |
| 2020 June | 44 | 19 | 63 |
| 2020 May | 56 | 15 | 71 |
| 2020 April | 50 | 25 | 75 |
| 2020 March | 40 | 15 | 55 |
| 2020 February | 50 | 27 | 77 |
| 2020 January | 42 | 20 | 62 |
| 2019 December | 50 | 29 | 79 |
| 2019 November | 52 | 24 | 76 |
| 2019 October | 49 | 20 | 69 |
| 2019 September | 53 | 19 | 72 |
| 2019 August | 28 | 15 | 43 |
| 2019 July | 32 | 25 | 57 |
| 2019 June | 37 | 7 | 44 |
| 2019 May | 23 | 18 | 41 |
| 2019 April | 70 | 51 | 121 |
| 2019 March | 30 | 23 | 53 |
| 2019 February | 27 | 21 | 48 |
| 2019 January | 55 | 25 | 80 |
| 2018 December | 105 | 38 | 143 |
| 2018 November | 123 | 17 | 140 |
| 2018 October | 122 | 11 | 133 |
| 2018 September | 96 | 21 | 117 |
| 2018 August | 57 | 16 | 73 |
| 2018 July | 55 | 14 | 69 |
| 2018 June | 67 | 12 | 79 |
| 2018 May | 56 | 17 | 73 |
| 2018 April | 46 | 12 | 58 |
| 2018 March | 62 | 9 | 71 |
| 2018 February | 56 | 8 | 64 |
| 2018 January | 36 | 6 | 42 |
| 2017 December | 48 | 9 | 57 |
| 2017 November | 44 | 6 | 50 |
| 2017 October | 45 | 10 | 55 |
| 2017 September | 54 | 11 | 65 |
| 2017 August | 50 | 11 | 61 |
| 2017 July | 36 | 8 | 44 |
| 2017 June | 50 | 5 | 55 |
| 2017 May | 47 | 14 | 61 |
| 2017 April | 42 | 7 | 49 |
| 2017 March | 29 | 6 | 35 |
| 2017 February | 28 | 9 | 37 |
| 2017 January | 25 | 7 | 32 |
| 2016 December | 40 | 3 | 43 |
| 2016 November | 54 | 7 | 61 |
| 2016 October | 90 | 15 | 105 |
| 2016 September | 109 | 7 | 116 |
| 2016 August | 131 | 8 | 139 |
| 2016 July | 103 | 7 | 110 |
| 2016 June | 96 | 0 | 96 |
| 2016 May | 119 | 0 | 119 |
| 2016 April | 79 | 0 | 79 |
| 2016 March | 87 | 0 | 87 |
| 2016 February | 88 | 0 | 88 |
| 2016 January | 102 | 0 | 102 |
| 2015 December | 111 | 0 | 111 |
| 2015 November | 73 | 0 | 73 |
| 2015 October | 76 | 0 | 76 |
| 2015 September | 70 | 0 | 70 |
| 2015 August | 85 | 0 | 85 |
| 2015 July | 77 | 0 | 77 |
| 2015 June | 29 | 0 | 29 |
| 2015 May | 44 | 0 | 44 |
| 2015 April | 11 | 0 | 11 |
Show all
