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(B) Doppler ultrasound of the left thoracic wall shows a normal doppler waveform of the intercostal arteries (low peak systolic velocity [27 cm/s] and high resistance index [0.84]). (C) Coronal thoracic maximum intensity projection (MIP) CT image shows hypertrophy of the right superior intercostal arteries (arrows) compared to the left hemithorax. (D) Coronal thoracic MIP CT image shows an unexpected early and prominent contrast enhancement of the right upper lobe vessels (asterisks) due to retrograde filling through the hypertrophied intercostal arteries. (E) Volumetric reconstruction CT image shows the hypertrophy of the posterior right intercostal arteries. (F) Digital subtraction angiogram shows the right intercostal arteries embolization procedure using polyvinyl alcohol particles (300–500 μm in size)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luis Gorospe, Miguel Ángel Gómez-Bermejo, Ana Palomera-Rico" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe" ] 1 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Gómez-Bermejo" ] 2 => array:2 [ "nombre" => "Ana" "apellidos" => "Palomera-Rico" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623003575?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000001/v3_202406051404/S0300289623003575/v3_202406051404/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "Clinical Image" "titulo" => "Cryptococcal Lymphadenitis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "54" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jia He, Xian-Zheng Tan, Peng Liu" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Jia" "apellidos" => "He" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "1" "identificador" => "fn0005" ] ] ] 1 => array:3 [ "nombre" => "Xian-Zheng" "apellidos" => "Tan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "1" "identificador" => "fn0005" ] ] ] 2 => array:4 [ "nombre" => "Peng" "apellidos" => "Liu" "email" => array:1 [ 0 => "lpradiology@163.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Radiology, The First Affiliate Hospital of Hunan Normal University (Hunan Provincial People's Hospital), Changsha, Hunan Province, China" "identificador" => "aff0005" ] ] "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" => 768 "Ancho" => 1533 "Tamanyo" => 200745 ] ] "descripcion" => array:1 [ "en" => "Volume-rendered CT (A) and axial unenhanced images (B) showed multiple swollen and partially fused lymph nodes in the hilar (white arrows) and mediastinal (red arrowheads) areas, with the largest one measuring 5cm×3cm, causing the compression of right and left main bronchus (blue arrows). Axial CT contrast-enhanced image (C) demonstrated slight enhancement of the swollen lymph nodes. At six-month follow-up, chest CT (D and E) showed the shrinkage of lymph nodes and the relief of main bronchus compression. H&E staining (F) demonstrated numerous spherical yeast cells of variable size surrounded by a clear halo (400×), suggesting the diagnosis of cryptococcosis." ] ] ] "textoCompleto" => "A 2-year-old previously healthy boy presented with a 6-day history of intermittent fever documented up to 39°C without shivering and dry cough. Physical examination disclosed multiple swollen lymph nodes in the neck and axilla were mobile, non-stony and tender. Apart from cryptococcal antigen, serological tests were negative for viral, bacterial, mycoplasma, chlamydial infections, and normal for immunological evaluations. Computed tomography (CT) revealed multiple swollen lymph nodes (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A–C). Subsequent cervical lymph nodes histopathology confirmed cryptococcal infection (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>F). On further questioning, his parents confirmed his recent exposure to pigeon droppings. Then cryptococcal lymphadenitis was diagnosed. He was treated with liposomal amphotericin B, flucytosine and fluconazole. After 6 months, a repeated thoracic CT revealed lymph nodes reduction to non-pathological range (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D and E).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Cryptococcosis is usually involved lung or brain, typically in immunocompromised hosts.<a class="elsevierStyleCrossRef" href="#bib0015">1</a> Despite its rarity, cryptococcosis may affect immunocompetent individuals, just like this case. The correct diagnosis of cryptococcal lymphadenitis is challengeable as its clinical symptoms and imaging findings are nonspecific. A history of exposure to pigeon droppings and a positive cryptococcal antigen test may assist in diagnosis, but the definite diagnosis was made by histopathology.<a class="elsevierStyleCrossRef" href="#bib0020">2</a> In conclusion, cryptococcal lymphadenitis should be suspected in children with generalized lymphadenopathy.FundingNo funding was received for this study.Conflict of InterestThe authors report no competing interests." "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of Interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "1" "nota" => "These authors contributed equally to this work." "identificador" => "fn0005" ] ] "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" => 768 "Ancho" => 1533 "Tamanyo" => 200745 ] ] "descripcion" => array:1 [ "en" => "Volume-rendered CT (A) and axial unenhanced images (B) showed multiple swollen and partially fused lymph nodes in the hilar (white arrows) and mediastinal (red arrowheads) areas, with the largest one measuring 5cm×3cm, causing the compression of right and left main bronchus (blue arrows). Axial CT contrast-enhanced image (C) demonstrated slight enhancement of the swollen lymph nodes. At six-month follow-up, chest CT (D and E) showed the shrinkage of lymph nodes and the relief of main bronchus compression. H&E staining (F) demonstrated numerous spherical yeast cells of variable size surrounded by a clear halo (400×), suggesting the diagnosis of cryptococcosis." ] ] ] "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" => "Cryptococcosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "E.K. Maziarz" 1 => "J.R. Perfect" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.idc.2015.10.006" "Revista" => array:6 [ "tituloSerie" => "Infect Dis Clin North Am" "fecha" => "2016" "volumen" => "30" "paginaInicial" => "179" "paginaFinal" => "206" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26897067" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Disseminated cryptococcosis with multiple and mediastinal lymph node enlargement and lung involvement in an immunocompetent child" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Chen" 1 => "M.J. Zhang" 2 => "X.H. Ge" 3 => "Y.H. Liu" 4 => "T. Jiang" 5 => "J. Li" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Physiol Pathophysiol Pharmacol" "fecha" => "2019" "volumen" => "11" "paginaInicial" => "293" "paginaFinal" => "296" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31993105" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000006000000001/v3_202406051404/S0300289623003629/v3_202406051404/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000001/v3_202406051404/S0300289623003629/v3_202406051404/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623003629?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..

The journal is indexed at Science Citation Index Expanded, Medline/Pubmed, Embase and SCOPUS. Access to any published article is possible through the journal's web page as well as from Pubmed, ScienceDirect, and other international databases. Furthermore, the journal is also present in X, Facebook and Linkedin. Manuscripts can be submitted electronically using the following web site: https://www.editorialmanager.com/ARBR/.

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© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

8.7

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3.5

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SJR 2023

0.464

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0.482

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