Alternativa terapéutica para los aspergilomas pulmonares complicados no quirúrgicos
Therapeutic alternatives for non-operable, complicated pulmonary aspergilloma
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Presentación de un caso con cultivo positivo para <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> y revisión de la literatura" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "80" "paginaFinal" => "82" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tuberculous pseudo chylothorax. A case with a positivo <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> culture and a review of the literature" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Ribas Sola, J. Ruiz Manzano, M. Gallego Díaz, F. Muñoz Rino, J. Morera Prat" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Ribas Sola" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Ruiz Manzano" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Gallego Díaz" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Muñoz Rino" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Morera Prat" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615309686?idApp=UINPBA00003Z" "url" => "/03002896/0000003100000002/v1_201506240117/S0300289615309686/v1_201506240117/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Alternativa terapéutica para los aspergilomas pulmonares complicados no quirúrgicos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "83" "paginaFinal" => "85" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "J. Ortiz de Saracho, E. Pérez-Rodríguez, P. Navío, J. Flores" "autores" => array:4 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Ortiz de Saracho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Pérez-Rodríguez" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Navío" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Flores" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicios de Neumología, Hospital Ramón y Cajal. Madrid" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Servicio de Neumología. Hospital Ramón y Cajal. Ctra. Colmenar Viejo, km 9.100. 28034 Madrid." ] ] ] 1 => array:3 [ "autoresLista" => "J. Zapatero, J. Sánchez" "autores" => array:2 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Zapatero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicios de Cirugía Torácica, Hospital Ramón y Cajal. Madrid" "etiqueta" => "*" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Servicios de Radiodiagnóstico. Hospital Ramón y Cajal. Madrid" "etiqueta" => "**" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Therapeutic alternatives for non-operable, complicated pulmonary aspergilloma" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1994-04-12" "fechaAceptado" => "1994-07-26" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546503" "palabras" => array:3 [ 0 => "Aspergiloma pulmonar" 1 => "Tratamiento percutáneo" 2 => "Anfotericina B" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546504" "palabras" => array:3 [ 0 => "Pulmonary aspergilloma" 1 => "Percutaneous treatment" 2 => "Amphotericin B" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 2 casos de aspergiloma pulmonar (AP) complicado por hemoptisis masiva y criterios de inoperabilidad, en los que, tras fracasar la embolización arterial, se realizó un protocolo terapéutico con anfotericina B a través de un catéter intracavitario. A pesar del tamaño de los micetomas la respuesta terapéutica fue excelente con regresión completa del aspergiloma a las 3-4 semanas de tratamiento, negativizándose las precipitinas frente <span class="elsevierStyleItalic">Aspergillus fumigatus</span> y la presencia del hongo en las muestras del aspirado transcatéter. La hemoptisis masiva fue controlada con ácido épsilon-aminocaproico instilado a través del catéter. No hubo complicaciones, el tratamiento fue bien tolerado y no se observaron recidivas en el seguimiento a lo largo de 24 y 18 meses, respectivamente. Este tratamiento local es la mejor alternativa terapéutica para los AP complicados no operables.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present 2 patients with pulmonar) aspergilloma complicated by massive hemoptysis who were not good candidates for surgery and were treated with intracavitary amphotericin B after arterial embolization failed. In spite of the size of the mycetomas, response to treatment was excellent with full regression of the aspergilloma after 3 to 4 weeks; precipitins to <span class="elsevierStyleItalic">Aspergillus fumigatus</span> became negative and the fungus disappeared from transcatheter aspirate samples. Massive hemoptysis was controlled with epsilon-amino-caproic acid instilled by catheter. No complications were observed, the treatment was well tolerated and no recurrence occurred over a follow-up period of 24 and 18 months, respectively. This local treatment is the best therapeutic alternative for patients with pulmonary aspergilloma who are not candidates for surgery.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary aspergilloma: diagnostic and therapeutic considerations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.A. Glimp" 1 => "A.S. 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Relationship Between Duration of the Disease and Efficacy of Therapy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "H. Yamada" 1 => "S. Kohno" 2 => "H. Koga" 3 => "S. Maesaki" 4 => "M. Kaku" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1993" "volumen" => "103" "paginaInicial" => "1.421" "paginaFinal" => "1.425" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8404136" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intracavitary Aspergilloma: Transthoracic Percutaneous Injection of Amphotericin Gelatin Solution" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P.L. Munk" 1 => "A.D. Vellet" 2 => "R.N. Rankin" 3 => "N.L. Müller" 4 => "D. Ahmad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.188.3.8351355" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1993" "volumen" => "188" "paginaInicial" => "821" "paginaFinal" => "823" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8351355" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Inoperable Pulmonary Aspergilloma: Percutaneous CT-guided Injection with Glycerin and Amphotericin B Paste in 15 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.M. Giron" 1 => "C.G. Poey" 2 => "P.P. Fajadet" 3 => "G.B. Balagner" 4 => "J.P. Assoun" 5 => "G.R. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 2 | 9 |
| 2024 October | 35 | 14 | 49 |
| 2024 September | 35 | 23 | 58 |
| 2024 August | 54 | 35 | 89 |
| 2024 July | 38 | 23 | 61 |
| 2024 June | 57 | 24 | 81 |
| 2024 May | 50 | 29 | 79 |
| 2024 April | 30 | 35 | 65 |
| 2024 March | 34 | 29 | 63 |
| 2024 February | 35 | 40 | 75 |
| 2024 January | 0 | 4 | 4 |
| 2023 December | 0 | 1 | 1 |
| 2023 November | 0 | 3 | 3 |
| 2023 October | 0 | 2 | 2 |
| 2023 August | 0 | 4 | 4 |
| 2023 July | 0 | 3 | 3 |
| 2023 June | 0 | 2 | 2 |
| 2023 May | 0 | 1 | 1 |
| 2023 March | 8 | 5 | 13 |
| 2023 February | 29 | 24 | 53 |
| 2023 January | 23 | 29 | 52 |
| 2022 December | 47 | 21 | 68 |
| 2022 November | 42 | 20 | 62 |
| 2022 October | 22 | 33 | 55 |
| 2022 September | 36 | 20 | 56 |
| 2022 August | 37 | 43 | 80 |
| 2022 July | 20 | 42 | 62 |
| 2022 June | 26 | 31 | 57 |
| 2022 May | 36 | 37 | 73 |
| 2022 April | 47 | 29 | 76 |
| 2022 March | 40 | 36 | 76 |
| 2022 February | 32 | 32 | 64 |
| 2022 January | 33 | 32 | 65 |
| 2021 December | 17 | 49 | 66 |
| 2021 November | 25 | 36 | 61 |
| 2021 October | 17 | 36 | 53 |
| 2021 September | 27 | 53 | 80 |
| 2021 August | 27 | 30 | 57 |
| 2021 July | 17 | 38 | 55 |
| 2021 June | 33 | 34 | 67 |
| 2021 May | 25 | 35 | 60 |
| 2021 April | 59 | 46 | 105 |
| 2021 March | 51 | 16 | 67 |
| 2021 February | 45 | 30 | 75 |
| 2021 January | 30 | 23 | 53 |
| 2020 December | 34 | 23 | 57 |
| 2020 November | 10 | 24 | 34 |
| 2020 October | 13 | 10 | 23 |
| 2020 September | 33 | 13 | 46 |
| 2020 August | 37 | 17 | 54 |
| 2020 July | 20 | 15 | 35 |
| 2020 June | 24 | 13 | 37 |
| 2020 May | 22 | 18 | 40 |
| 2020 April | 37 | 9 | 46 |
| 2020 March | 29 | 21 | 50 |
| 2020 February | 36 | 19 | 55 |
| 2020 January | 47 | 24 | 71 |
| 2019 December | 37 | 25 | 62 |
| 2019 November | 13 | 9 | 22 |
| 2019 October | 24 | 14 | 38 |
| 2019 September | 31 | 27 | 58 |
| 2019 August | 30 | 4 | 34 |
| 2019 July | 15 | 24 | 39 |
| 2019 June | 19 | 18 | 37 |
| 2019 May | 17 | 28 | 45 |
| 2019 April | 15 | 31 | 46 |
| 2019 March | 13 | 12 | 25 |
| 2019 February | 19 | 6 | 25 |
| 2019 January | 19 | 9 | 28 |
| 2018 December | 17 | 14 | 31 |
| 2018 November | 34 | 23 | 57 |
| 2018 October | 67 | 16 | 83 |
| 2018 September | 19 | 7 | 26 |
| 2018 May | 11 | 2 | 13 |
| 2018 April | 7 | 6 | 13 |
| 2018 March | 9 | 8 | 17 |
| 2018 February | 15 | 11 | 26 |
| 2018 January | 5 | 7 | 12 |
| 2017 December | 13 | 14 | 27 |
| 2017 November | 13 | 11 | 24 |
| 2017 October | 11 | 7 | 18 |
| 2017 September | 14 | 16 | 30 |
| 2017 August | 18 | 11 | 29 |
| 2017 July | 10 | 7 | 17 |
| 2017 June | 19 | 17 | 36 |
| 2017 May | 26 | 10 | 36 |
| 2017 April | 19 | 11 | 30 |
| 2017 March | 10 | 32 | 42 |
| 2017 February | 7 | 5 | 12 |
| 2017 January | 14 | 9 | 23 |
| 2016 December | 16 | 8 | 24 |
| 2016 November | 51 | 26 | 77 |
| 2016 October | 41 | 27 | 68 |
| 2016 September | 22 | 13 | 35 |
| 2016 August | 20 | 9 | 29 |
| 2016 July | 24 | 6 | 30 |
| 2016 June | 30 | 15 | 45 |
| 2016 May | 25 | 7 | 32 |
| 2016 April | 13 | 0 | 13 |
| 2016 March | 11 | 1 | 12 |
| 2016 February | 8 | 0 | 8 |
| 2016 January | 19 | 9 | 28 |
| 2015 December | 21 | 10 | 31 |
| 2015 November | 26 | 8 | 34 |
| 2015 October | 6 | 1 | 7 |
| 2015 September | 2 | 0 | 2 |
| 2015 June | 1 | 0 | 1 |
Show all
