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El valor diagnóstico de la imagen endoscópica" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 975 "Ancho" => 1300 "Tamanyo" => 150582 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Chest X-ray: parenchymal infiltrates in left upper lobe and left lower lobe. B) Chest CT: infiltrates in both upper lobes, predominantly in LUL. C) Endoscopy: <span class="elsevierStyleItalic">Aspergillus</span> pseudomembranous tracheobronchitis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Isabel Pina-Maiquez, Ricardo García-Lujan, Fernando Revuelta-Salgado, Juan Margallo-Iribarnegaray, Eduardo De Miguel-Poch" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Isabel" "apellidos" => "Pina-Maiquez" ] 1 => array:2 [ "nombre" => "Ricardo" "apellidos" => "García-Lujan" ] 2 => array:2 [ "nombre" => "Fernando" "apellidos" => "Revuelta-Salgado" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "Margallo-Iribarnegaray" ] 4 => array:2 [ "nombre" => "Eduardo De" "apellidos" => "Miguel-Poch" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619305952" "doi" => "10.1016/j.arbres.2019.11.020" "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/S0300289619305952?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000021?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000003/v1_202103110801/S1579212921000021/v1_202103110801/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S030028961930599X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.11.024" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "2349" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:227" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 25 "formatos" => array:2 [ "HTML" => 13 "PDF" => 12 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Amiloidosis nodular pulmonar, una causa infrecuente de nódulos pulmonares múltiples" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "227" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pulmonary Nodular Amyloidosis. A Rare Cause of Multiple Pulmonary Nodules" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "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" => 844 "Ancho" => 1500 "Tamanyo" => 148474 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Amiloidosis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Inés Ruiz-Álvarez, Ana M. Gutiérrez Palacios, Beatriz Rodríguez Díaz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Inés" "apellidos" => "Ruiz-Álvarez" ] 1 => array:2 [ "nombre" => "Ana M." "apellidos" => "Gutiérrez Palacios" ] 2 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Rodríguez Díaz" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212921000033" "doi" => "10.1016/j.arbr.2019.11.027" "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/S1579212921000033?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961930599X?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000003/v2_202106060540/S030028961930599X/v2_202106060540/es/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S0300289619305915" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.11.016" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "2341" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:225" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "A Moving Pleural Mass" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "225" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Una masa pleural móvil" ] ] "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" => 431 "Ancho" => 600 "Tamanyo" => 44980 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) CTPA revealing a right sided, well circumscribed, pleural based, soft tissue mass. (b) CT in prone position after CT guided FNB was completed, showing mass with lateral paravertebral displacement. (c) Patient in the prone position, the needle inserted during CT guided FNB (the arrow shows the insertion point). (d) The same level as (c), right after removal of the needle when CT guided FNB was completed (the arrow shows the point where the needle was previously inserted). Apart from lateral displacement shown in (b), craniocaudal displacement of the mass is evident too.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Maria Kipourou, Ioannis Tsanaktsidis, Georgios Zibilidis" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Maria" "apellidos" => "Kipourou" ] 1 => array:2 [ "nombre" => "Ioannis" "apellidos" => "Tsanaktsidis" ] 2 => array:2 [ "nombre" => "Georgios" "apellidos" => "Zibilidis" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619305915?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000003/v2_202106060540/S0300289619305915/v2_202106060540/en/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Traqueobronquitis aspergilar. El valor diagnóstico de la imagen endoscópica" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "226" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Isabel Pina-Maiquez, Ricardo García-Lujan, Fernando Revuelta-Salgado, Juan Margallo-Iribarnegaray, Eduardo de Miguel-Poch" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Isabel" "apellidos" => "Pina-Maiquez" "email" => array:1 [ 0 => "isabel.pina.maiquez@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ricardo" "apellidos" => "García-Lujan" ] 2 => array:2 [ "nombre" => "Fernando" "apellidos" => "Revuelta-Salgado" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "Margallo-Iribarnegaray" ] 4 => array:2 [ "nombre" => "Eduardo" "apellidos" => "de Miguel-Poch" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Endoscopia Respiratoria, Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Aspergillus</span> Tracheobronchitis. The Diagnostic Value of Endoscopic Imaging" ] ] "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" => 975 "Ancho" => 1300 "Tamanyo" => 150245 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Rx de tórax: infiltrados parenquimatosos en lóbulo superior izquierdo y lóbulo inferior izquierdo. B) TC de tórax: infiltrados en ambos lóbulos superiores, de predominio en LSI. C) Endoscopia: traqueobronquitis aspergilar pseudomembranosa.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mujer de 67 años, no fumadora, diagnosticada en junio de 2018 de leucemia mieloide aguda, tratada con quimioterapia y trasplante de progenitores hematopoyéticos (TPH) haploidéntico.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Previo al trasplante, la paciente presentó bacteriemia asociada a catéter venoso central por <span class="elsevierStyleItalic">Klebsiella</span>, resuelta con ceftriaxona y retirada del catéter. En el estudio microbiológico se objetivó galactomanano sérico positivo, realizándose despistaje de aspergilosis pulmonar con TC torácica normal y posteriores galactomananos séricos negativos.</p><p id="par0015" class="elsevierStylePara elsevierViewall">En febrero de 2019 fue trasplantada. Su tratamiento inmunosupresor incluía ciclofosfamida, ciclosporina y micofenolato, y recibía profilaxis infecciosa con trimetropim-sulfametoxazol, aciclovir y voriconazol, que fue sustituido por isavuconazol por toxicidad hepática (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">El micofenolato fue suspendido al mes del TPH por persistencia de enfermedad residual. El descenso de la inmunosupresión supuso la aparición de enfermedad de injerto contra huésped, que precisó tratamiento con metilprednisolona a dosis altas (2<span class="elsevierStyleHsp" style=""></span>mg/kg/día). Durante el descenso de dosis, presenta cuadro de infección respiratoria con infiltrado radiológico en el lóbulo superior izquierdo (LSI). Se solicita broncoscopia, siendo la imagen endobronquial altamente sugestiva de traqueobronquitis aspergilar pseudomembranosa (fig. 1). Este caso se trata de una infección de brecha, seguramente favorecida por la corticoterapia<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>. La paciente recibió tratamiento con anfotericina B intravenosa y voriconazol, pero con mala evolución, falleciendo pocos días después<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>.</p></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" => 975 "Ancho" => 1300 "Tamanyo" => 150245 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Rx de tórax: infiltrados parenquimatosos en lóbulo superior izquierdo y lóbulo inferior izquierdo. B) TC de tórax: infiltrados en ambos lóbulos superiores, de predominio en LSI. C) Endoscopia: traqueobronquitis aspergilar pseudomembranosa.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "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" => "Aspergillus Tracheobronchitis: Report of 8 Cases and Review of the Literature" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Fernández-Ruiz" 1 => "J.T. Silva" 2 => "R. San-Juan" 3 => "B. de Dios" 4 => "R. García-Luján" 5 => "F. López-Medrano" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Medicine" "fecha" => "2012" "volumen" => "91" "paginaInicial" => "261" "paginaFinal" => "273" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fulminant Laryngeal-tracheobronchial-pulmonary Aspergillosis: A Rare and Fatal Complication in Allogeneic Hematopoietic Stem Cell Transplantation Recipients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "T. Tao" 1 => "Y.H. Zhang" 2 => "S.L. Xue" 3 => "D.P. Wu" 4 => "F. Chen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2169/internalmedicine.56.7201" "Revista" => array:6 [ "tituloSerie" => "Intern Med" "fecha" => "2017" "volumen" => "56" "paginaInicial" => "347" "paginaFinal" => "351" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28154281" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005700000003/v2_202106060540/S0300289619305952/v2_202106060540/es/main.assets" "Apartado" => array:4 [ "identificador" => "21422" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images / Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005700000003/v2_202106060540/S0300289619305952/v2_202106060540/es/main.pdf?idApp=UINPBA00003Z&text.app=https://www.archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619305952?idApp=UINPBA00003Z" ]
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