Statistics

 array:24 [
  "pii" => "S0300289617304180"
  "issn" => "03002896"
  "doi" => "10.1016/j.arbres.2017.10.022"
  "estado" => "S300"
  "fechaPublicacion" => "2018-08-01"
  "aid" => "1771"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2017"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Arch Bronconeumol. 2018;54:433-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 872
    "formatos" => array:3 [
      "EPUB" => 102
      "HTML" => 566
      "PDF" => 204
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S1579212918302416"
      "issn" => "15792129"
      "doi" => "10.1016/j.arbr.2017.10.032"
      "estado" => "S300"
      "fechaPublicacion" => "2018-08-01"
      "aid" => "1771"
      "copyright" => "SEPAR"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Arch Bronconeumol. 2018;54:433-4"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 853
        "formatos" => array:3 [
          "EPUB" => 137
          "HTML" => 522
          "PDF" => 194
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>"
        "titulo" => "Ground-glass Opacity Associated With Endobronchial Leech"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "433"
            "paginaFinal" => "434"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Opacidad de vidrio esmerilado asociada a una sanguijuela endobronquial"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figure 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 2001
                "Ancho" => 2000
                "Tamanyo" => 313735
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography showed a ground-glass opacity in the medial basal segment of the right lower lobe &#40;A&#41;&#46; Bronchoscopy revealed a brown worm-like moving foreign body almost completely obstructing the lumen of the medial basal segmental bronchus of the right lower lobe &#40;B&#41;&#46; The foreign body was identified as a 4<span class="elsevierStyleHsp" style=""></span>cm long living leech &#40;C&#41;&#46; Chest computed tomography after 1 week showed the ground-glass opacity in the right lower lobe was almost completely absorbed &#40;D&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Zhong-Chuan Yang, Jiao Yang, Xu-Wei Wu, Xi-Qian Xing"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Zhong-Chuan"
                "apellidos" => "Yang"
              ]
              1 => array:2 [
                "nombre" => "Jiao"
                "apellidos" => "Yang"
              ]
              2 => array:2 [
                "nombre" => "Xu-Wei"
                "apellidos" => "Wu"
              ]
              3 => array:2 [
                "nombre" => "Xi-Qian"
                "apellidos" => "Xing"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0300289617304180"
          "doi" => "10.1016/j.arbres.2017.10.022"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617304180?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918302416?idApp=UINPBA00003Z"
      "url" => "/15792129/0000005400000008/v1_201808020514/S1579212918302416/v1_201808020514/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0300289617304052"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2017.10.014"
    "estado" => "S300"
    "fechaPublicacion" => "2018-08-01"
    "aid" => "1759"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2018;54:434-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1250
      "formatos" => array:3 [
        "EPUB" => 91
        "HTML" => 739
        "PDF" => 420
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fica</span>"
      "titulo" => "Quilot&#243;rax recidivante por obstrucci&#243;n de la vena cava secundaria superior"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "434"
          "paginaFinal" => "435"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Recurrent Chylothorax Due To Secondary Superior Vena Cava Obstruction"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1524
              "Ancho" => 3321
              "Tamanyo" => 348297
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#41; Tomograf&#237;a computarizada con contraste intravenoso en fase venosa&#46; Corte sagital&#46; Se identifica un defecto de repleci&#243;n de vena cava superior&#44; proximal a la desembocadura del cayado de la &#225;cigos&#44; hasta la entrada en la aur&#237;cula derecha&#46; Compatible con trombosis al menos parcial de dicha estructura&#46; Asocia importante derrame pleural&#46; B&#41; Corte sagital&#46; Extremo distal de reservorio subcut&#225;neo&#44; en relaci&#243;n con trombosis de vena cava superior&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Alicia Cerezo Lajas, Jes&#250;s Javier Mart&#237;n Pinacho, Ingrid Fr&#237;as Benzant, Javier de Miguel-D&#237;ez"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Alicia"
              "apellidos" => "Cerezo Lajas"
            ]
            1 => array:2 [
              "nombre" => "Jes&#250;s Javier"
              "apellidos" => "Mart&#237;n Pinacho"
            ]
            2 => array:2 [
              "nombre" => "Ingrid"
              "apellidos" => "Fr&#237;as Benzant"
            ]
            3 => array:2 [
              "nombre" => "Javier"
              "apellidos" => "de Miguel-D&#237;ez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S1579212918301782"
        "doi" => "10.1016/j.arbr.2018.06.004"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301782?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617304052?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005400000008/v1_201808020445/S0300289617304052/v1_201808020445/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0300289617303186"
    "issn" => "03002896"
    "doi" => "10.1016/j.arbres.2017.08.017"
    "estado" => "S300"
    "fechaPublicacion" => "2018-08-01"
    "aid" => "1736"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2018;54:431-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1171
      "formatos" => array:3 [
        "EPUB" => 116
        "HTML" => 744
        "PDF" => 311
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fica</span>"
      "titulo" => "N&#243;dulos pulmonares cavitados en paciente tratada con anti-TNF"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "431"
          "paginaFinal" => "432"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Cavitating Pulmonary Nodules in a Patient Receiving Anti-TNF"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1466
              "Ancho" => 3167
              "Tamanyo" => 809330
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">TAC de t&#243;rax que muestra una lesi&#243;n nodular cavitada en culmen &#40;A&#41; y otra en el segmento superior de la l&#237;ngula &#40;B&#41;&#46; C&#41; Tinci&#243;n de fibras el&#225;sticas para destacar la pared vascular arterial irregularmente destruida por el proceso inflamatorio&#46; Se aprecia necrosis en el &#225;ngulo superior derecho&#46; Orceina 200x&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Roberto Mart&#237;n-de Le&#243;n, Jorge Mois&#233;s, Pilar Peris, Carlos Agust&#237;, Ram&#243;n Mar&#237;a Marrades"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Roberto"
              "apellidos" => "Mart&#237;n-de Le&#243;n"
            ]
            1 => array:2 [
              "nombre" => "Jorge"
              "apellidos" => "Mois&#233;s"
            ]
            2 => array:2 [
              "nombre" => "Pilar"
              "apellidos" => "Peris"
            ]
            3 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Agust&#237;"
            ]
            4 => array:2 [
              "nombre" => "Ram&#243;n Mar&#237;a"
              "apellidos" => "Marrades"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S1579212918301769"
        "doi" => "10.1016/j.arbr.2018.06.002"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301769?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617303186?idApp=UINPBA00003Z"
    "url" => "/03002896/0000005400000008/v1_201808020445/S0300289617303186/v1_201808020445/es/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>"
    "titulo" => "Ground-glass Opacity Associated With Endobronchial Leech"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "433"
        "paginaFinal" => "434"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Zhong-Chuan Yang, Jiao Yang, Xu-Wei Wu, Xi-Qian Xing"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "Zhong-Chuan"
            "apellidos" => "Yang"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Jiao"
            "apellidos" => "Yang"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Xu-Wei"
            "apellidos" => "Wu"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:4 [
            "nombre" => "Xi-Qian"
            "apellidos" => "Xing"
            "email" => array:1 [
              0 => "xingxiqianmd&#64;yahoo&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Department of Respiratory Medicine&#44; The Sixtieth Central Hospital of Chinese People&#39;s Liberation Army&#44; Dali&#44; China"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "First Department of Respiratory Medicine&#44; First Affiliated Hospital of Kunming Medical University&#44; Kunming&#44; Yunnan&#44; China"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "First Department of Respiratory Medicine&#44; Yan&#8217;An Hospital Affiliated to Kunming Medical University&#44; China"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Opacidad de vidrio esmerilado asociada a una sanguijuela endobronquial"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2001
            "Ancho" => 2000
            "Tamanyo" => 313735
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography showed a ground-glass opacity in the medial basal segment of the right lower lobe &#40;A&#41;&#46; Bronchoscopy revealed a brown worm-like moving foreign body almost completely obstructing the lumen of the medial basal segmental bronchus of the right lower lobe &#40;B&#41;&#46; The foreign body was identified as a 4<span class="elsevierStyleHsp" style=""></span>cm long living leech &#40;C&#41;&#46; Chest computed tomography after 1 week showed the ground-glass opacity in the right lower lobe was almost completely absorbed &#40;D&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 49-year-old woman&#44; who presented with a 6-week history of cough&#44; rusty brown sputum with hemoptysis and hoarseness&#46; She was a farmer and had a history of drinking field unboiled water&#46; A computed tomographic scan of the chest showed a ground-glass opacity &#40;GGO&#41; in the medial basal segment of the right lower lobe&#44; measuring 22<span class="elsevierStyleHsp" style=""></span>mm in its largest diameter &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; Laboratory investigations demonstrated a white-cell count of 5280 per mm<span class="elsevierStyleSup">3</span> &#40;reference range&#44; 4000&#8211;10&#44;000&#41;&#44; an absolute eosinophil count of 600 per mm<span class="elsevierStyleSup">3</span> &#40;reference range&#44; 50&#8211;500&#41;&#44; hemoglobin level of 147&#46;00<span class="elsevierStyleHsp" style=""></span>g&#47;L &#40;reference range&#44; 110&#8211;160&#41;&#44; and C-reactive protein levels of 11&#46;30<span class="elsevierStyleHsp" style=""></span>ml&#47;L &#40;reference range&#44; 0 068&#8211;8&#46;2&#41;&#46; The blood coagulation tests were normal&#46; The differential diagnosis included lung cancer&#44; eosinophilic lung disease and focal pneumonia&#46; Bronchoscopy was performed&#44; and revealed a brown worm-like moving foreign body almost completely obstructing the lumen of the medial basal segmental bronchus of the right lower lobe &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; The foreign body was removed from the bronchus by cryoadhesion with a cryotherapy probe passed through the channel of a flexible bronchoscope with resolution of the obstruction and was identified as a 4<span class="elsevierStyleHsp" style=""></span>cm long living leech &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; After removal of the leech&#44; the patient was discharged from the hospital without any discomfort and complaint&#46; Follow-up computed tomographic of the chest at 1 week showed the ground-glass opacity in the right lower lobe was almost completely resorbed &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Leeches are parasites that live in quiet pools and streams&#46; Leeches are the very rare cause of airway foreign body around the world&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1&#8211;3</span></a> Leeches are hemophagic parasites&#44; living on occasional meals of blood obtained by attaching to fish&#44; amphibians&#44; and mammals&#46; They can enter the human body when people drink infested water from quiet streams&#44; pools and springs&#46; Although there are several case reports about leech in the airway&#44; these leeches locate in the larynx or trachea&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1&#8211;3</span></a> Interestingly&#44; the leech of our case was in the bronchus&#44; and the chest CT showed a GGO&#46; To the best of our knowledge&#44; this is the first report of endobronchial leech showing a GGO on CT scan&#46; The nature of this GGO induced by the parasite was unclear&#46; We speculated that the cause might relate to blood tracking back into the parenchyma or an inflammatory response to the leech or its secretions&#46; The differential diagnosis of GGO induced by endobronchial leech included lung cancer&#44; eosinophilic lung disease and focal pneumonia&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Although extremely rarely seen&#44; endobronchial leech infestation should be kept in mind especially in patients presenting with unexplained haemoptysis&#44; hoarseness and elevated eosinophils and a history of drinking infested water from streams&#44; pools and springs&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">This work was supported by the &#8220;Special and Joint Program&#8221; of Yunnan Provincial Science and Technology Department and Kunming Medical University &#40;No&#46; 2014FA018&#41;&#44; <span class="elsevierStyleGrantSponsor" id="gs1">Science and Technology Program for Public Wellbeing of Yunnan Province</span> &#40;No&#46; <span class="elsevierStyleGrantNumber" refid="gs1">2014RA020</span>&#41;&#44; and <span class="elsevierStyleGrantSponsor" id="gs2">Young academic and technical leaders of Yunnan Province</span> &#40;No&#46; <span class="elsevierStyleGrantNumber" refid="gs2">2017HB053</span>&#41;&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2001
            "Ancho" => 2000
            "Tamanyo" => 313735
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography showed a ground-glass opacity in the medial basal segment of the right lower lobe &#40;A&#41;&#46; Bronchoscopy revealed a brown worm-like moving foreign body almost completely obstructing the lumen of the medial basal segmental bronchus of the right lower lobe &#40;B&#41;&#46; The foreign body was identified as a 4<span class="elsevierStyleHsp" style=""></span>cm long living leech &#40;C&#41;&#46; Chest computed tomography after 1 week showed the ground-glass opacity in the right lower lobe was almost completely absorbed &#40;D&#41;&#46;</p>"
        ]
      ]
    ]
    "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" => "Upper airway obstruction and hemoptysis due to a leech infestation in a child"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46; Draiss"
                            1 => "K&#46; Razzouki"
                            2 => "Y&#46; Mouaffak"
                            3 => "M&#46; Bouskraoui"
                            4 => "S&#46; Younous"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.arcped.2015.10.015"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Pediatr"
                        "fecha" => "2016"
                        "volumen" => "23"
                        "paginaInicial" => "94"
                        "paginaFinal" => "96"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26655785"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673614605390"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A rare case report of tracheal leech infestation in a 40-year-old woman"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46; Zhang"
                            1 => "R&#46; Zhang"
                            2 => "J&#46; Zou"
                            3 => "T&#46; Zhu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Clin Exp Med"
                        "fecha" => "2014"
                        "volumen" => "7"
                        "paginaInicial" => "3599"
                        "paginaFinal" => "3601"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25419405"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Alive in the airways live endobronchial foreign bodies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;R&#46; Ali"
                            1 => "A&#46;C&#46; Mehta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.chest.2016.10.041"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2017"
                        "volumen" => "151"
                        "paginaInicial" => "481"
                        "paginaFinal" => "491"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27818330"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03002896/0000005400000008/v1_201808020445/S0300289617304180/v1_201808020445/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "49741"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Scientific Letters / Cartas cient&#237;ficas"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005400000008/v1_201808020445/S0300289617304180/v1_201808020445/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617304180?idApp=UINPBA00003Z"
]