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Chest CT 3 months after treatment with doxycycline (F and G)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Xiaoting Zhou, Chuanjun Huang, Jianfeng Zhang" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Xiaoting" "apellidos" => "Zhou" ] 1 => array:2 [ "nombre" => "Chuanjun" "apellidos" => "Huang" ] 2 => array:2 [ "nombre" => "Jianfeng" "apellidos" => "Zhang" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962400276X?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000011/v1_202411050534/S030028962400276X/v1_202411050534/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Clinical Image" "titulo" => "Acute Fibrinous and Organizing Pneumonia Associated With Mycobacterium tuberculosis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "731" "paginaFinal" => "732" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "David Luengo Gómez, Dámaris Romeral-Navarro, Ester Fátima Sánchez Álvarez" "autores" => array:3 [ 0 => array:3 [ "nombre" => "David" "apellidos" => "Luengo Gómez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 1 => array:4 [ "nombre" => "Dámaris" "apellidos" => "Romeral-Navarro" "email" => array:1 [ 0 => "damaris.romeral@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "Ester Fátima" "apellidos" => "Sánchez Álvarez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Radiology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Pneumology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "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" => 2151 "Ancho" => 4100 "Tamanyo" => 1720299 ] ] "descripcion" => array:1 [ "en" => "Chest computed tomography at admission (A) and a few days later (B) with coronal reconstruction with maximum intensity projection (C), demonstrating volume loss of the right upper lobe and atelectasis, patchy centrilobular nodules of irregular morphology and peribronchovascular distribution (more evident in C). Detail of “fibrin ball” occupying alveolar space (hematoxylin and eosin, ×10) (D). CD68+ staining in epithelioid histiocytes (E). Masson's trichrome staining shows fibrin clusters (F)." ] ] ] "textoCompleto" => "A 75-year-old woman presented with dyspnea and acute respiratory failure (oxygen saturation 89%). A computed tomography (CT) scan was performed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A–C), and the differential diagnosis included tuberculosis reactivation and atypical pneumonia. The patient was initiated on empiric treatment with meropenem and systemic corticosteroids. The interferon-gamma release assay for Mycobacterium tuberculosis was positive, and the acid-fast bacilli (AFB) smear microscopy was negative. Despite the addition of linezolid and weight-adjusted antituberculosis therapy, the patient's condition continued to deteriorate, necessitating the postponement of a planned bronchoscopy with bronchoalveolar lavage. The patient ultimately succumbed 15 days after admission. A postmortem CT-guided biopsy revealed acute fibrinous and organizing pneumonia (AFOP) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D–F). The microbiological results demonstrated a positive polymerase chain reaction (PCR) for the M. tuberculosis complex.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>AFOP is a rare interstitial pneumonia characterized by the presence of fibrin “balls” within alveolar spaces, with a mortality rate of 50%. In contrast to diffuse alveolar damage, AFOP is characterized by the absence of hyaline membranes and a more irregular and less extensive distribution of fibrin. The clinical presentation is non-specific, typically acute or subacute, and the known causes include drugs, hypersensitivity pneumonitis, collagen disease, infections, and idiopathic cases.<a class="elsevierStyleCrossRefs" href="#bib0020">1,2</a>M. tuberculosis is a rare cause of this condition.<a class="elsevierStyleCrossRefs" href="#bib0025">2,3</a> This case shares key aspects with that of Zhao X et al.,<a class="elsevierStyleCrossRef" href="#bib0030">3</a> including rapid deterioration with progression of pulmonary lesions and the need for biopsy for definitive diagnosis. It emphasizes the importance of postmortem examinations, including histopathologic and microbiologic analyses, in clarifying ambiguous clinical conditions.FundingThis research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.Conflicts of interestThe authors declare not to have any conflicts of interest that may be considered to influence directly or indirectly the content of the manuscript.Artificial intelligence involvementThe authors declare that no artificial intelligence was used in the preparation of this manuscript." "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Artificial intelligence involvement" ] 3 => 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" => 2151 "Ancho" => 4100 "Tamanyo" => 1720299 ] ] "descripcion" => array:1 [ "en" => "Chest computed tomography at admission (A) and a few days later (B) with coronal reconstruction with maximum intensity projection (C), demonstrating volume loss of the right upper lobe and atelectasis, patchy centrilobular nodules of irregular morphology and peribronchovascular distribution (more evident in C). Detail of “fibrin ball” occupying alveolar space (hematoxylin and eosin, ×10) (D). CD68+ staining in epithelioid histiocytes (E). Masson's trichrome staining shows fibrin clusters (F)." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute fibrinous and organizing pneumonia: a histological pattern of lung injury and possible variant of diffuse alveolar damage" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.B. Beasley" 1 => "T.J. Franks" 2 => "J.R. Galvin" 3 => "B. Gochuico" 4 => "W.D. Travis" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5858/2002-126-1064-AFAOP" "Revista" => array:7 [ "tituloSerie" => "Arch Pathol Lab Med" "fecha" => "2002" "volumen" => "126" "numero" => "9" "paginaInicial" => "1064" "paginaFinal" => "1070" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12204055" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnostic problems related to acute fibrinous and organizing pneumonia: misdiagnosis in 2 cases of lung consolidation and occupying lesions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A.N. Feng" 1 => "H.R. Cai" 2 => "Q. Zhou" 3 => "Y.F. Zhang" 4 => "F.Q. Meng" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Clin Exp Pathol" "fecha" => "2014" "volumen" => "7" "numero" => "7" "paginaInicial" => "4493" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25120840" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary tuberculosis associated acute fibrinous and organizing pneumonia: a case report and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "X. Zhao" 1 => "Y. Cheng" 2 => "Y. Xiong" 3 => "G. Wang" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/CRJ.13626" "Revista" => array:6 [ "tituloSerie" => "Clin Respir J" "fecha" => "2023" "volumen" => "17" "numero" => "6" "paginaInicial" => "499" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/37156734" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000006000000011/v1_202411050534/S0300289624002862/v1_202411050534/en/main.assets" "Apartado" => array:4 [ "identificador" => "98298" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Cllinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000011/v1_202411050534/S0300289624002862/v1_202411050534/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624002862?idApp=UINPBA00003Z"]

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

It is a monthly journal in which all manuscripts are sent to peer-review and handled by the editor or an associate editor from the team and the final decision is made on the basis of the comments from the expert reviewers and the editors. The journal is published solely in English. All the published data is composed of novel manuscripts not previously published in any other journal and not being in consideration for publication in any other journal..

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8.7

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3.5

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0.464

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