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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Medicina Clínicaarrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Medicina Clínica
Article . 2009 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Baja mortalidad en un brote de enfermedad del legionario: correlación con el estudio de citopatogenicidad

Authors: Joaquín Gómez; Josep Mòdol; Marian García-Núñez; Víctor Baños; Manuel Lorenzo; María Luisa Pedro-Botet; Tomás Hernández; +3 Authors

Baja mortalidad en un brote de enfermedad del legionario: correlación con el estudio de citopatogenicidad

Abstract

Fundamento y objetivo En el ano 2001 tuvo lugar en Murcia un brote de enfermedad del legionario (EL) con una de las tasas de mortalidad mas bajas conocidas. Los objetivos de este estudio fueron describir la presentacion clinica y los resultados de los estudios molecular y de virulencia de los aislamientos clinicos de Legionella para correlacionar la baja mortalidad de la serie con la virulencia de la cepa. Pacientes y metodo Estudio prospectivo y descriptivo de un brote de EL en un subgrupo de 86 pacientes. Se analizan datos demograficos, factores de riesgo y evolucion clinica. Se ha practicado subtipificacion molecular mediante electroforesis en campo pulsatil y estudio de citopatogenicidad de los aislamientos clinicos y se han comparado con los de aislamientos procedentes de otros brotes. Resultados La edad media fue de 58,2 anos, con predominio del sexo masculino (77,9%). El tabaquismo fue el factor de riesgo mas frecuente (71,7%). El 70,2% de los pacientes presentaba enfermedades de base. Las manifestaciones clinicas, los datos de laboratorio y la radiologia fueron compatibles con un cuadro de neumonia atipica. La mortalidad fue del 3,2%. Todos los aislamientos clinicos de Legionella pneumophila mostraron el mismo subtipo molecular. En el estudio de citopatogenicidad, las cepas de Legionella procedentes del brote se incluyeron dentro del grupo de menor virulencia. Conclusiones En este subgrupo de pacientes predominaron el sexo masculino, el tabaquismo, la presentacion clinica compatible con neumonia atipica y la baja mortalidad. La baja virulencia de este genotipo molecular de L. pneumophila podria ser causante, en parte, de la baja mortalidad observada en el brote de Murcia.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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