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Nódulos pulmonares cavitados periféricos (flechas) en el lóbulo superior derecho e izquierdo y neumotórax derecho.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Horacio Matías Castro, Clara Lucia Torres Cabreros, Esteban Javier Wainstein" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Horacio Matías" "apellidos" => "Castro" ] 1 => array:2 [ "nombre" => "Clara Lucia" "apellidos" => "Torres Cabreros" ] 2 => array:2 [ "nombre" => "Esteban Javier" "apellidos" => "Wainstein" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212920300999" "doi" => "10.1016/j.arbr.2019.06.025" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920300999?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619302923?idApp=UINPBA00003Z" "url" => "/03002896/0000005600000007/v2_202007230732/S0300289619302923/v2_202007230732/es/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S1579212920301002" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.06.026" "estado" => "S300" "fechaPublicacion" => "2020-07-01" "aid" => "2220" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2020;56:458" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Two Cases of Pleomorphic Carcinoma of the Lung Presenting as a Subsolid Mass due to Extensive Peritumoral Hemorrhage" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "458" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Carcinoma pleomorfo pulmonar con presentación como masa subsólida por extensa hemorragia peritumoral: a propósito de 2 casos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 740 "Ancho" => 1040 "Tamanyo" => 124841 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Chest CT with IV contrast: lung window. Mass with central solid cavitary component (arrow) and extensive surrounding ground glass opacities. (C) Macroscopic specimen of lobectomy from case A, showing the central cavitary nodular lesion (star) surrounded by extensive perilesional hemorrhage (arrows) corresponding to the ground glass area on CT.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Helena Gómez Herrero, Irene Amat Villegas" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Helena" "apellidos" => "Gómez Herrero" ] 1 => array:2 [ "nombre" => "Irene" "apellidos" => "Amat Villegas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619303023" "doi" => "10.1016/j.arbres.2019.06.022" "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/S0300289619303023?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920301002?idApp=UINPBA00003Z" "url" => "/15792129/0000005600000007/v1_202007070735/S1579212920301002/v1_202007070735/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212920300987" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.06.024" "estado" => "S300" "fechaPublicacion" => "2020-07-01" "aid" => "2210" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2020;56:456" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Pneumomediastinum and Massive Subcutaneous Emphysema Due to Lung Neoplasm" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "456" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumomediastino y enfisema subcutáneo masivo secundarios a neoplasia pulmonar" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 446 "Ancho" => 1500 "Tamanyo" => 86200 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Plain chest X-ray in PA and lateral projections. Voluminous mass in right upper lobe, and minor cervical subcutaneous emphysema. (C) Chest CT (axial slice, mediastinum window). Resorption of posterior costal arches at the site of the mass, pneumomediastinum and massive subcutaneous emphysema.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Antonio Jesús Láinez-Ramos-Bossini, María del Carmen Pérez-García, María Trinidad Rueda-Cáceres" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Antonio Jesús" "apellidos" => "Láinez-Ramos-Bossini" ] 1 => array:2 [ "nombre" => "María del Carmen" "apellidos" => "Pérez-García" ] 2 => array:2 [ "nombre" => "María Trinidad" "apellidos" => "Rueda-Cáceres" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619302881" "doi" => "10.1016/j.arbres.2019.06.013" "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/S0300289619302881?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920300987?idApp=UINPBA00003Z" "url" => "/15792129/0000005600000007/v1_202007070735/S1579212920300987/v1_202007070735/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Spontaneous Pneumothorax due to Septic Pulmonary Embolism Caused by Methicillin-resistant <span class="elsevierStyleItalic">Staphylococcus aureus</span>" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "457" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Horacio Matías Castro, Clara Lucia Torres Cabreros, Esteban Javier Wainstein" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Horacio Matías" "apellidos" => "Castro" "email" => array:1 [ 0 => "matiascas85@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Clara Lucia" "apellidos" => "Torres Cabreros" ] 2 => array:2 [ "nombre" => "Esteban Javier" "apellidos" => "Wainstein" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Neumonología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumotórax espontáneo secundario a embolias sépticas pulmonares por <span class="elsevierStyleItalic">Staphylococcus aureus</span> resistente a meticilina" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 410 "Ancho" => 1500 "Tamanyo" => 60819 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography: (A) coronal slice; (B and C) transversal slice. Peripheral cavitary pulmonary nodules (arrows) in the right and left upper lobe and right pneumothorax.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 41-year-old woman with a history of kidney transplantation with chronic graft dysfunction, who was undergoing hemodialysis 3-times-weekly via temporary jugular catheter. The patient was admitted with a diagnosis of catheter sepsis with positive blood cultures for methicillin-resistant <span class="elsevierStyleItalic">Staphylococcus aureus</span>. She developed sudden dyspnea and chest pain 72<span class="elsevierStyleHsp" style=""></span>h after admission. A chest computed tomography was performed that showed right pneumothorax associated with cavitary pulmonary nodules (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), some of which were peripheral. A diagnosis of spontaneous pneumothorax following rupture of septic cavitary emboli in the pleural space was established. The pneumothorax was treated with pleural drainage for 4 days. A 4-week course of antibiotic therapy with vancomycin was indicated, with good clinical progress.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Catheter-associated infection is a frequent cause of septic pulmonary embolism.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> The causative microorganism is usually <span class="elsevierStyleItalic">Staphylococcus aureus</span>. Lesions are cavitary in 56% of cases<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> and, when they occur in a peripheral site, they can open to the pleural space, triggering secondary spontaneous pneumothorax.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> This complication is rare and usually occurs between 5 and 15 days after starting antibiotic treatment.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Castro HM, Torres Cabreros CL, Wainstein EJ. Neumotórax espontáneo secundario a embolias sépticas pulmonares por <span class="elsevierStyleItalic">Staphylococcus aureus</span> resistente a meticilina. Arch Bronconeumol. 2020;56:457.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 410 "Ancho" => 1500 "Tamanyo" => 60819 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography: (A) coronal slice; (B and C) transversal slice. Peripheral cavitary pulmonary nodules (arrows) in the right and left upper lobe and right pneumothorax.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical characteristics of septic pulmonary embolism in adults: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R. Ye" 1 => "L. Zhao" 2 => "C. Wang" 3 => "X. Wu" 4 => "H. Yan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rmed.2013.10.012" "Revista" => array:6 [ "tituloSerie" => "Respir Med" "fecha" => "2014" "volumen" => "108" "paginaInicial" => "1" "paginaFinal" => "8" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24183289" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pneumothorax secondary to septic pulmonary emboli in a long-term hemodialysis patient with psoas abscess" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Okabe" 1 => "K. Kasai" 2 => "T. Yokoo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2169/internalmedicine.9050-17" "Revista" => array:6 [ "tituloSerie" => "Intern Med" "fecha" => "2017" "volumen" => "56" "paginaInicial" => "3243" "paginaFinal" => "3247" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29021472" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005600000007/v1_202007070735/S1579212920300999/v1_202007070735/en/main.assets" "Apartado" => array:4 [ "identificador" => "60604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005600000007/v1_202007070735/S1579212920300999/v1_202007070735/en/main.pdf?idApp=UINPBA00003Z&text.app=https://www.archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920300999?idApp=UINPBA00003Z" ]
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