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class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Recurrent Neuralgic Amyotrophy With Bilateral Diaphragm Paralysis: A Case Report" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "595" "paginaFinal" => "596" ] ] "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" => 2060 "Ancho" => 1074 "Tamanyo" => 162090 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray (Oct 2018) revealing ascension of both hemi diaphragms with retracted lungs associated with bilateral basal atelectasis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Pierre Tankere, Marjolaine Georges, Philippe Bonniaud, Claudio Rabec" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Pierre" "apellidos" => "Tankere" ] 1 => array:2 [ "nombre" => "Marjolaine" "apellidos" => "Georges" ] 2 => array:2 [ "nombre" => "Philippe" "apellidos" => "Bonniaud" ] 3 => array:2 [ "nombre" => "Claudio" "apellidos" => "Rabec" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623002119?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000009/v2_202311210635/S0300289623002119/v2_202311210635/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289623001849" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.05.019" "estado" => "S300" "fechaPublicacion" => "2023-09-01" "aid" => "3337" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:591-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Severe COVID-19 Pneumonia and Delayed Bilateral Vocal Cord Paralysis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "591" "paginaFinal" => "592" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Anna Torrente-Nieto, Manel Haro-Estarriol, Eric Rojas-Calvera" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Anna" "apellidos" => "Torrente-Nieto" ] 1 => array:2 [ "nombre" => "Manel" "apellidos" => "Haro-Estarriol" ] 2 => array:2 [ "nombre" => "Eric" "apellidos" => "Rojas-Calvera" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001849?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000009/v2_202311210635/S0300289623001849/v2_202311210635/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Necrotizing Pneumonia Due to Dialister Pneumosintes" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "593" "paginaFinal" => "594" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Javier Romero López, Juan José Maya González, Roberto del Pozo Rivas" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Javier Romero" "apellidos" => "López" "email" => array:1 [ 0 => "javiromlop7@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Juan José Maya" "apellidos" => "González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Roberto del Pozo" "apellidos" => "Rivas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Pneumology Service at Juan Ramón Jiménez Hospital, Huelva, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Radiodiagnosis at Juan Ramón Jiménez Hospital, Huelva, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "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" => 1308 "Ancho" => 1740 "Tamanyo" => 301576 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT pulmonary angiogram. Extensive consolidation that occupies the entire left lower lobe with two cavitations inside with air-fluid level, the largest of 7<span class="elsevierStyleHsp" style=""></span>cm, suggesting necrotizing pneumonia with lung abscesses (A and B). Complete resolution of the pneumonic process visualizing in its place an area with fibro-atelectatic changes as a residual finding (C and D).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report a 23-year-old female, occasional smoker with no personal medical history of interest, who presented with fatigue, fever, and wet and productive cough, associated to left pleuritic chest pain in the previous 7 days. Her physical examination revealed tachypnea, tachycardia, and high temperature (39<span class="elsevierStyleHsp" style=""></span>°C). Blood pressure and oxygen saturation with no supplementary oxygen were normal. At auscultation of the respiratory system, left basal vesicular breath was absent with amphoric breath sound.</p><p id="par0010" class="elsevierStylePara elsevierViewall">As she arrived, blood tests were done, finding leucocytosis and elevation of D-dimer and C-reactive protein. Renal and hepatic function and ions were normal. X-rays were performed and showed a left basal condensation cavitated. Chest ultrasounds were done, dismissing pleural effusion.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Since blood tests and X-rays were altered, a computed tomography (CT) pulmonary angiogram was performed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) to rule out pulmonary thromboembolism. Instead, an extensive consolidation that occupies the entire left lower lobe with two cavitations inside with air-fluid level was found, the largest one of 7<span class="elsevierStyleHsp" style=""></span>cm. These findings suggested necrotizing pneumonia with lung abscesses (A and B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Microbiological examination for blood was positive for <span class="elsevierStyleItalic">Dialister pneumosintes</span>, even though she had neither personal history of oral infection nor dental manipulation. Sputum culture taken at her admission, viral serologies (HIV, HBV, etc.) and atypical bacterias study were negative. She received high dose of intravenous amoxicillin–clavulanate (2<span class="elsevierStyleHsp" style=""></span>g every 8<span class="elsevierStyleHsp" style=""></span>h for two weeks) and then changed to oral (maintaining same dose), completing 6 weeks of treatment. She also received respiratory physiotherapy during admission and at home.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The patient had a favorable clinical and radiological evolution and blood test became normal. Because of the excellent response to conservative treatment, we decided not to do bronchoscopy, balancing risk–benefits.</p><p id="par0030" class="elsevierStylePara elsevierViewall">New thoracic computed tomography scan was done 4 months later, which showed consolidation and cavities resolution and residual fibrosis-atelectasis. Lung function tests were normal.</p><p id="par0035" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">D. pneumosintes</span> is an anaerobic, gram-negative, non-lactose-fermenting rod, belonging to normal bacterial flora of the oral cavity, pharynx, intestine, and vagina.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> It usually provokes soft tissue abscess or maxillofacial and periodontal infections.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1,2</span></a> Nevertheless, its pulmonary infection is extremely rare, although there are some cases reported of mechanic-ventilated patients.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> There are no necrotizing pneumonia in an immunocompetent patient due to <span class="elsevierStyleItalic">D. pneumosintes</span> reported.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Necrotizing pneumonia is a severe and rare lung infection, which typical radiologic manifestation is as a gas-filled space within pulmonary consolidation, a mass, or a nodule.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Usually, it has a subacute presentation, with wet and smelly cough, fever, and dyspnea.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Its initial treatment is empiric antimicrobial therapy for oropharyngeal flora, being amoxicillin–clavulanate at high doses the elected antibiotic, to get into the cavitations. There is no agreement in the length of the treatment; however, at least should last from 4 to 8 weeks (the first 10–15 days parenterally), as we treated our patient. When conservative treatment does not work, it may be necessary CT-guided percutaneous drainage, and in rare occasions surgery is needed.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 1308 "Ancho" => 1740 "Tamanyo" => 301576 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT pulmonary angiogram. Extensive consolidation that occupies the entire left lower lobe with two cavitations inside with air-fluid level, the largest of 7<span class="elsevierStyleHsp" style=""></span>cm, suggesting necrotizing pneumonia with lung abscesses (A and B). Complete resolution of the pneumonic process visualizing in its place an area with fibro-atelectatic changes as a residual finding (C and D).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Neumonía por <span class="elsevierStyleItalic">Dialister pneumosintes</span> en un paciente con EPOC" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.J. Castellanos" 1 => "E. Prieto" 2 => "R. Carranza" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2010" "volumen" => "46" "paginaInicial" => "660" "paginaFinal" => "666" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Novel pathogens in periodontal microbiology" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K.V. Hiranmayi" 1 => "K. Sirisha" 2 => "M.V. Ramoji Rao" 3 => "P. Sudhakar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Pharm Bioallied Sci" "fecha" => "2017" "volumen" => "9" "paginaInicial" => "155" "paginaFinal" => "163" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Molecular analysis of oral and respiratory bacterial species associated with ventilator-associated pneumonia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F.K. Bahrani-Mougeot" 1 => "B.J. Paster" 2 => "S. Coleman" 3 => "S. Barbuto" 4 => "M.T. Brennan" 5 => "J. Noll" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Clin Microbiol" "fecha" => "2007" "volumen" => "45" "paginaInicial" => "1588" "paginaFinal" => "1593" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Gaillard F, Weerakkody Y, Bell D, et al. Pulmonary cavities. Reference article, Radiopaedia.org. [accessed 19.4.23]." ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Absceso pulmonar y neumonía necrotizante" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "B. Jara" 1 => "A. Abad" 2 => "J.L. García" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "paginaInicial" => "133" "paginaFinal" => "144" "serieVolumen" => "vol. IX" "serieTitulo" => "Neumonías" "serieFecha" => "2005" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000009/v2_202311210635/S0300289623001862/v2_202311210635/en/main.assets" "Apartado" => array:4 [ "identificador" => "93562" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Case Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005900000009/v2_202311210635/S0300289623001862/v2_202311210635/en/main.pdf?idApp=UINPBA00003Z&text.app=https://www.archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001862?idApp=UINPBA00003Z" ]
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