Valoración endoscópica de la tuberculosis endobronquial infantil
Endoscopic assessment of endobronchial tuberculosis in children
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"apellidos" => "Dorca" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615307857?idApp=UINPBA00003Z" "url" => "/03002896/0000003200000004/v1_201506230047/S0300289615307857/v1_201506230047/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289615307833" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)30783-3" "estado" => "S300" "fechaPublicacion" => "1996-04-01" "aid" => "70853" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1996;32:176-82" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1541 "formatos" => array:3 [ "EPUB" => 65 "HTML" => 853 "PDF" => 623 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Exactitud y validez del umbral láctico frente a otros métodos no invasivos de medición del umbral anaerobio en pacientes con miopatías metabólicas" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "176" "paginaFinal" => "182" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Accuracy and validity of the lactic acidosis threshold in comparison with other non invasive methods of measuring the anaerobic threshold in patients with metabolic myopathies" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "J. Fernández Guerra, T. Montemayor Rubio, F. Ortega Ruiz, J. Castillo Gómez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Fernández Guerra" ] 1 => array:2 [ "nombre" => "T." "apellidos" => "Montemayor Rubio" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Ortega Ruiz" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Castillo Gómez" ] ] ] 1 => array:2 [ "autoresLista" => "J. Bautista Lorite, R. Márquez, L. Jiménez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Bautista Lorite" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Márquez" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Jiménez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615307833?idApp=UINPBA00003Z" "url" => "/03002896/0000003200000004/v1_201506230047/S0300289615307833/v1_201506230047/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Valoración endoscópica de la tuberculosis endobronquial infantil" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "183" "paginaFinal" => "186" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "J.M. Ledesma Albarrán, E. Pérez Ruiz, V. Fernández, J. Pérez Frías, A. Martínez Valverde" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Ledesma Albarrán" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Pérez Ruiz" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Fernández" ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Pérez Frías" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Martínez Valverde" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Neumología Infantil. Cátedra y Departamento de Pediatría. Facultad de Medicina. Hospital Materno Infantil. Málaga" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Sección de Neumología Infantil. Departamento de Pediatría. Hospital Materno Infantil. Avda. Arroyo de Los Ángeles, s/n. 29011 Málaga." ] ] ] 1 => array:3 [ "autoresLista" => "B. González Martínez" "autores" => array:1 [ 0 => array:3 [ "nombre" => "B." "apellidos" => "González Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Departamento de Anatomía Patológica. Cátedra y Departamento de Pediatría. Facultad de Medicina. Hospital Materno Infantil. Málaga" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Endoscopic assessment of endobronchial tuberculosis in children" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-07-21" "fechaAceptado" => "1995-11-14" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546137" "palabras" => array:3 [ 0 => "Fibrobroncoscopia" 1 => "Niños" 2 => "Tuberculosis endobronquial" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546136" "palabras" => array:3 [ 0 => "Fiberoptic bronchoscopy" 1 => "Children" 2 => "Endobronchial tuberculosis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo del estudio es determinar el papel de la fibrobroncoscopia (FB) en la tuberculosis pulmonar infantil. Evaluamos los hallazgos broncoscópicos de 36 procedimientos realizados en 30 niños, que presentaban alguna de las siguientes anormalidades en la radiografía de tórax: atelectasia lobar o segmentaria (17), adenopatías parahiliares o paratraqueales (14), consolidación parenquimatosa (9) e hiperinsuflación localizada (5). La premedicación para la FB incluía atropina, y diazepam más ketamina por vía i.v. como sedación, así como la administración de lidocaína al 2 y 5% aerosolizada como anestésico tópico. El análisis de los hallazgos broncoscópicos reveló que 29 pacientes presentaban afectación endobronquial. En 18 pacientes con datos radiológicos sugestivos de tuberculosis endobronquial (TEB), el diagnóstico fue confirmado por FB. Significativamente, la tuvieron 11 pacientes (36,6%) que no presentaban evidencia clínica o radiológica de afectación endobronquial; fue temprana en 3 pacientes (10%) y avanzada en ocho (26,6%). Se aisló <span class="elsevierStyleItalic">M. tuberculosis</span> en 9 de los 30 pacientes (30%), tres se cultivaron en el fluido obtenido por lavado broncoalveolar, cuatro tras lavado gástrico y dos mediante biopsia endobronquial. Concluimos que la FB es importante en el manejo de niños con tuberculosis pulmonar como herramienta útil y segura en la confirmación de alteración endobronquial. Así mismo guía la indicación del inicio del tratamiento con esteroides, especialmente en niños sin datos radiográficos sugestivos de TEB.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine the role of fiberoptic bronchoscopy (FB) in pulmonary tuberculosis in children. We assessed bronchoscopic fíndings of 36 procedures perfomed in 30 children who presented the following abnormalities on chest films: lobular or segmentary atelectasia (17), paratracheal or parahiliar adenopathies (14), parenchymatous consolidation (9) and localized hyperinflation (5). Premedication for FB included intravenous atropine and diazepam plus ketamine for sedation, as well as lidocaine 2 and 5% in aerosol form for topical anesthesia. FB results showed that involvement was endobronchial in 29 patients. In the 18 patients with <span class="elsevierStyleSmallCaps">X</span>-rays suggestive of endobronchial tuberculosis (EBT), the diagnosis was confirmed by FB. Significantly, EBT was found by FB in 11 (36.6%) patients with no clinical or radiological signs of such involvement. EBT was in the early stages in 3 (10%) patients and was advanced in 8 (26.6%). <span class="elsevierStyleItalic">M. tuberculosis</span> was isolated in 9 (30%) of the 30 patients. Culture was of bronchoalveolar lavage in three, of gastric lavage in four and of endobronchial biopsy in two. We conclude that FB is a safe, important tool for the confirmation of EBT in the management of pulmonary tuberculosis in children. It serves as a guide for the start of steroid treatment, especially in children with no radiological suggestion of EBT.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:25 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resurgence of tuberculosis in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.R. Starke" 1 => "R.F. Jacobs" 2 => "J. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 4 | 8 |
| 2024 October | 28 | 16 | 44 |
| 2024 September | 40 | 19 | 59 |
| 2024 August | 39 | 28 | 67 |
| 2024 July | 39 | 25 | 64 |
| 2024 June | 55 | 22 | 77 |
| 2024 May | 57 | 30 | 87 |
| 2024 April | 37 | 19 | 56 |
| 2024 March | 47 | 31 | 78 |
| 2024 February | 47 | 33 | 80 |
| 2024 January | 0 | 4 | 4 |
| 2023 December | 0 | 5 | 5 |
| 2023 November | 0 | 4 | 4 |
| 2023 October | 0 | 3 | 3 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 4 | 4 |
| 2023 June | 0 | 3 | 3 |
| 2023 March | 13 | 6 | 19 |
| 2023 February | 51 | 28 | 79 |
| 2023 January | 29 | 26 | 55 |
| 2022 December | 37 | 39 | 76 |
| 2022 November | 41 | 31 | 72 |
| 2022 October | 26 | 28 | 54 |
| 2022 September | 30 | 17 | 47 |
| 2022 August | 27 | 41 | 68 |
| 2022 July | 22 | 40 | 62 |
| 2022 June | 26 | 23 | 49 |
| 2022 May | 36 | 27 | 63 |
| 2022 April | 26 | 27 | 53 |
| 2022 March | 33 | 30 | 63 |
| 2022 February | 26 | 30 | 56 |
| 2022 January | 32 | 29 | 61 |
| 2021 December | 19 | 36 | 55 |
| 2021 November | 22 | 28 | 50 |
| 2021 October | 25 | 47 | 72 |
| 2021 September | 22 | 36 | 58 |
| 2021 August | 17 | 25 | 42 |
| 2021 July | 27 | 33 | 60 |
| 2021 June | 21 | 33 | 54 |
| 2021 May | 20 | 31 | 51 |
| 2021 April | 19 | 76 | 95 |
| 2021 March | 30 | 22 | 52 |
| 2021 February | 29 | 20 | 49 |
| 2021 January | 17 | 23 | 40 |
| 2020 December | 27 | 15 | 42 |
| 2020 November | 25 | 18 | 43 |
| 2020 October | 19 | 5 | 24 |
| 2020 September | 17 | 7 | 24 |
| 2020 August | 36 | 20 | 56 |
| 2020 July | 14 | 20 | 34 |
| 2020 June | 10 | 6 | 16 |
| 2020 May | 10 | 12 | 22 |
| 2020 April | 37 | 20 | 57 |
| 2020 March | 18 | 21 | 39 |
| 2020 February | 25 | 17 | 42 |
| 2020 January | 43 | 23 | 66 |
| 2019 December | 27 | 21 | 48 |
| 2019 November | 12 | 7 | 19 |
| 2019 October | 22 | 14 | 36 |
| 2019 September | 17 | 13 | 30 |
| 2019 August | 18 | 7 | 25 |
| 2019 July | 23 | 17 | 40 |
| 2019 June | 14 | 10 | 24 |
| 2019 May | 28 | 24 | 52 |
| 2019 April | 38 | 24 | 62 |
| 2019 March | 14 | 18 | 32 |
| 2019 February | 13 | 11 | 24 |
| 2019 January | 14 | 11 | 25 |
| 2018 December | 14 | 29 | 43 |
| 2018 November | 18 | 20 | 38 |
| 2018 October | 23 | 13 | 36 |
| 2018 September | 14 | 11 | 25 |
| 2018 May | 5 | 1 | 6 |
| 2018 April | 4 | 5 | 9 |
| 2018 March | 6 | 6 | 12 |
| 2018 February | 8 | 7 | 15 |
| 2018 January | 4 | 3 | 7 |
| 2017 December | 13 | 17 | 30 |
| 2017 November | 4 | 3 | 7 |
| 2017 October | 10 | 11 | 21 |
| 2017 September | 6 | 7 | 13 |
| 2017 August | 9 | 16 | 25 |
| 2017 July | 4 | 5 | 9 |
| 2017 June | 11 | 11 | 22 |
| 2017 May | 12 | 11 | 23 |
| 2017 April | 8 | 19 | 27 |
| 2017 March | 3 | 4 | 7 |
| 2017 February | 4 | 6 | 10 |
| 2017 January | 3 | 7 | 10 |
| 2016 December | 6 | 5 | 11 |
| 2016 November | 14 | 14 | 28 |
| 2016 October | 16 | 19 | 35 |
| 2016 September | 16 | 14 | 30 |
| 2016 August | 19 | 6 | 25 |
| 2016 July | 18 | 5 | 23 |
| 2016 June | 28 | 13 | 41 |
| 2016 May | 12 | 2 | 14 |
| 2016 April | 9 | 0 | 9 |
| 2016 March | 10 | 0 | 10 |
| 2016 February | 9 | 2 | 11 |
| 2016 January | 24 | 14 | 38 |
| 2015 December | 25 | 16 | 41 |
| 2015 November | 39 | 16 | 55 |
| 2015 October | 11 | 2 | 13 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 4 | 0 | 4 |
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