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array:23 [ "pii" => "S0300289620300491" "issn" => "03002896" "doi" => "10.1016/j.arbres.2020.01.017" "estado" => "S300" "fechaPublicacion" => "2021-09-01" "aid" => "2410" "copyright" => "SEPAR" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:590" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S030028962100017X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2020.12.033" "estado" => "S300" "fechaPublicacion" => "2021-09-01" "aid" => "2720" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:591" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Chronic Pulmonary Aspergillosis and the Effect of Corticosteroids" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "591" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Aspergilosis pulmonar crónica y el efecto de los corticosteroides" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 2097 "Ancho" => 1583 "Tamanyo" => 415502 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a, b) X-ray evolution of the patient. The X-ray on the left (a) was performed before corticosteroids therapy and the one on the right (b) about seven months after the beginning of that therapy; (c, d) coronal and axial views of thoracic computed tomography performed after six months of Itraconazole, showing giant aspergilloma in left lung; (e, f) necrotic material of fungus ball observed during surgery.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cláudia S. Sousa, Pedro Mendes, António Brazão" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Cláudia S." "apellidos" => "Sousa" ] 1 => array:2 [ "nombre" => "Pedro" "apellidos" => "Mendes" ] 2 => array:2 [ "nombre" => "António" "apellidos" => "Brazão" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962100017X?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000009/v1_202109020750/S030028962100017X/v1_202109020750/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289620300399" "issn" => "03002896" "doi" => "10.1016/j.arbres.2020.01.013" "estado" => "S300" "fechaPublicacion" => "2021-09-01" "aid" => "2406" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:589" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Unusual Cause of Bronchial Obstruction: Tracheobronchial Amyloidosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "589" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Una causa poco frecuente de obstrucción bronquial: amiloidosis traqueobronquial" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 433 "Ancho" => 900 "Tamanyo" => 61992 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Three-dimensional volume-rendered air-specific coronal plan MDCT image (A) and virtual CT bronchoscopy (B) demonstrate obstruction (frame and arrow) of the left main bronchus.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Veysel Ayyildiz, Yener Aydin, Hayri Ogul" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Veysel" "apellidos" => "Ayyildiz" ] 1 => array:2 [ "nombre" => "Yener" "apellidos" => "Aydin" ] 2 => array:2 [ "nombre" => "Hayri" "apellidos" => "Ogul" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289620300399?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000009/v1_202109020750/S0300289620300399/v1_202109020750/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Paracoccidioidomycosis: Endobronchial Involvement in a Rare Disease in Europe" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "590" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Cláudia Sousa, José Alves, Michelle Cordeiro" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Cláudia" "apellidos" => "Sousa" "email" => array:1 [ 0 => "claudiasabinafsousa@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "José" "apellidos" => "Alves" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Michelle" "apellidos" => "Cordeiro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Pulmonology Department, Hospital Central do Funchal, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Clinical Pathology Department, Hospital Central do Funchal, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Anatomical Pathology Department, Hospital Central do Funchal, Portuga" "etiqueta" => "c" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Paracoccidioidomicosis: aspectos endobronquiales de una enfermedad rara en Europa" ] ] "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" => 719 "Ancho" => 950 "Tamanyo" => 189044 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomographic image of the patient thorax (a) and endobronchial aspects of disease at the distal third of patient's trachea (b); Histochemical detection of fungal forms in PAS coloration (c) and Grocott coloration (d).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 64 years old man, a former farmer in Venezuela, with heavy alcoholic and tobacco smoking habits with no immunosuppressive status.</p><p id="par0010" class="elsevierStylePara elsevierViewall">As he presented hemoptoic sputum, a computed tomographic study was performed, showing multiple calcifications, fibro-cicatricial lesions scattered in both lungs, along with emphysema and bronchiectasis. Bronchofibroscopy documented an exuberant inflammatory process, with nacreous plaques, hemorrhagic areas and ulceration of the lower third of tracheal mucosa and both bronchial trees. Histology of bronchial biopsies revealed a necrotizing granulomatous inflammatory process with polymorphonuclear cells and macrophages. Histochemical study revealed the presence of fungus in Grocott and PAS coloration stains (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). No mycobacteria or neoplastic cells were detected.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">A second bronchofibroscopy was executed to collect samples to mycological evaluation in a National Center, were PCR for detection of fungal DNA identified the fungus <span class="elsevierStyleItalic">Paracoccidioides brasiliensis</span>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Paracoccidioidomycosis is endemic in South America, mainly Brazil (80%), Argentina, Colombia and Venezuela<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a>. Although pulmonary involvement is frequent, endobronchial lesions solely rarely have been described<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> and in this case were initially misinterpreted as suggestive of neoplasm, what was excluded in histological studies. This patient presented clinical, imagiological and endoscopic improvement after treatment with itraconazole 200<span class="elsevierStyleHsp" style=""></span>mg for eighteen months.</p></span>" "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" => 719 "Ancho" => 950 "Tamanyo" => 189044 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomographic image of the patient thorax (a) and endobronchial aspects of disease at the distal third of patient's trachea (b); Histochemical detection of fungal forms in PAS coloration (c) and Grocott coloration (d).</p>" ] ] ] "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" => "Paracoccidioidomycosis: epidemiological, clinical, diagnostic and treatment up-dating" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S.A. Marques" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/abd1806-4841.20132463" "Revista" => array:6 [ "tituloSerie" => "An. Bras. Dermatol." "fecha" => "2013" "volumen" => "88" "paginaInicial" => "700" "paginaFinal" => "711" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24173174" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracic paracoccidioidomycosis: radiographic and CT findings" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M.M. Barreto" 1 => "E. Marchiori" 2 => "V.B. Amorim" 3 => "G. Zanetti" 4 => "T.C. Takayassu" 5 => "D.L. Escuissato" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/rg.321115052" "Revista" => array:6 [ "tituloSerie" => "Radiographics" "fecha" => "2012" "volumen" => "32" "paginaInicial" => "71" "paginaFinal" => "84" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22236894" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005700000009/v1_202109020750/S0300289620300491/v1_202109020750/en/main.assets" "Apartado" => array:4 [ "identificador" => "21422" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images / Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005700000009/v1_202109020750/S0300289620300491/v1_202109020750/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289620300491?idApp=UINPBA00003Z" ]
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