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array:23 [ "pii" => "S0300289622003234" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.03.024" "estado" => "S300" "fechaPublicacion" => "2022-11-01" "aid" => "3101" "copyright" => "SEPAR" "copyrightAnyo" => "2022" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:764-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289622003350" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.05.001" "estado" => "S300" "fechaPublicacion" => "2022-11-01" "aid" => "3111" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:766-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Magnetic-Guided Occult Lesion Localization (M-GOLL): An Innocuous and Efficient Technique for Assisting Surgical Resection of Pulmonary Nodules" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "766" "paginaFinal" => "767" ] ] "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" => 2219 "Ancho" => 3175 "Tamanyo" => 762259 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical cases: non-palpable and small pulmonary lesions.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Alejandro González García, Edisson Israel Rodríguez Alvarado, María Carolina Gutiérrez Ramírez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "José Alejandro" "apellidos" => "González García" ] 1 => array:2 [ "nombre" => "Edisson Israel" "apellidos" => "Rodríguez Alvarado" ] 2 => array:2 [ "nombre" => "María Carolina" "apellidos" => "Gutiérrez Ramírez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622003350?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000011/v2_202304171313/S0300289622003350/v2_202304171313/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289622004434" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.05.010" "estado" => "S300" "fechaPublicacion" => "2022-11-01" "aid" => "3128" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "rev" "cita" => "Arch Bronconeumol. 2022;58:754-63" "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">Review Article</span>" "titulo" => "Breathing Back Better! A State of the Art on the Benefits of Functional Evaluation and Rehabilitation of Post-Tuberculosis and Post-COVID Lungs" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "754" "paginaFinal" => "763" ] ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Emanuele Pontali, Denise Rossato Silva, Florian M. Marx, Jose Antonio Caminero, Rosella Centis, Lia D’Ambrosio, Jose Maria Garcia-Garcia, Jeremiah Chakaya Muhwa, Simon Tiberi, Giovanni Battista Migliori" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Emanuele" "apellidos" => "Pontali" ] 1 => array:2 [ "nombre" => "Denise Rossato" "apellidos" => "Silva" ] 2 => array:2 [ "nombre" => "Florian M." "apellidos" => "Marx" ] 3 => array:2 [ "nombre" => "Jose Antonio" "apellidos" => "Caminero" ] 4 => array:2 [ "nombre" => "Rosella" "apellidos" => "Centis" ] 5 => array:2 [ "nombre" => "Lia" "apellidos" => "D’Ambrosio" ] 6 => array:2 [ "nombre" => "Jose Maria" "apellidos" => "Garcia-Garcia" ] 7 => array:2 [ "nombre" => "Jeremiah Chakaya" "apellidos" => "Muhwa" ] 8 => array:2 [ "nombre" => "Simon" "apellidos" => "Tiberi" ] 9 => array:2 [ "nombre" => "Giovanni Battista" "apellidos" => "Migliori" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622004434?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000011/v2_202304171313/S0300289622004434/v2_202304171313/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Tuberculosis Reactivation After Severe SARS-COV-2 Pneumonia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "764" "paginaFinal" => "765" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jose Cardoso-Landivar, Maria-Angeles Jiménez-Fuentes, Maria-Luiza De Souza-Galvão" "autores" => array:3 [ 0 => array:3 [ "nombre" => "Jose" "apellidos" => "Cardoso-Landivar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 1 => array:3 [ "nombre" => "Maria-Angeles" "apellidos" => "Jiménez-Fuentes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0005" ] ] ] 2 => array:4 [ "nombre" => "Maria-Luiza" "apellidos" => "De Souza-Galvão" "email" => array:1 [ 0 => "msouza@vhebron.net" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Universidad Católica de Cuenca, Ecuador" "etiqueta" => "a" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Pneumology Department, Hospital Universitario Vall d’Hebron, Barcelona, Spain" "etiqueta" => "b" "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" => 1133 "Ancho" => 2007 "Tamanyo" => 289539 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evolution of radiological lesions in CT, before, during and after SARSCOVID 2 bilateral pneumonia.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">SARS-CoV-2 pneumonia exceeded tuberculosis (TB) mortality, contributing 1.8 million deaths in 2020.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> TB may remain undiagnosed due to confusion between the clinical features of the 2 diseases and the lack of a specific radiological lesion. Some evidences suggest that previous or current TB infection or disease is associated with poor COVID-19 outcomes as the same virus or immunomodulatory treatments could reactivate latent TB.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We describe a case of a 69 years old woman, non-smoker, Ecuadorian, with a healthy active lifestyle, with hypertension, type II diabetes and autoimmune type I pancreatitis (due to immunoglobulin G4 mediated disease). His baseline treatment consisted of angiotensin converting enzyme inhibitors, metformin and prednisone (5<span class="elsevierStyleHsp" style=""></span>mg daily). Patient also had an untreated latent TB infection (LTBI).</p><p id="par0015" class="elsevierStylePara elsevierViewall">In March 2020, before the widespread use of COVID vaccines, she developed severe COVID-19 pneumonia with requirements of mechanical ventilation for 10 days. She received dexamethasone, tocilizumab and broad spectrum antibiotic coverage. She was discharged 22 days after ICU admission, cured of all complications suffered (urinary tract infection, bilateral pneumothorax, deep vein thrombosis) One month after discharge, she complained of persistent dyspnea mMRC II. Her lung function tests showed decreased DLCO (49%) with normal spirometry values. Also, her CT scan demonstrated nodular sharply defined masses in the upper left lobe (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Patient received conservative treatment. Three months later a repeat CT demonstrated reduction of infiltrates with persistence of nodules. Finally, a CT guided biopsy was performed revealing extensive areas of necrosis and multiple epithelioid granulomas and a single positive Ziehl Neelsen bacillary structure. The diagnosis was confirmed with the growth of <span class="elsevierStyleItalic">M. tuberculosis</span> in 2 post-bronchoscopy sputums.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Tuberculosis and COVID-19 are airborne infectious diseases. They mainly affect the respiratory system and manifest a classic triad of symptoms: cough, fever and dyspnea. This initially makes differential diagnosis difficult, especially in countries with a high incidence of tuberculosis, which raises fears of an increase in diagnostic delay and treatment. There are a lot of concerns due to the possible interactions between SARS-COV-2 infection and <span class="elsevierStyleItalic">M. tuberculosis</span>.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The convergence of the two diseases seems to indicate a pessimistic scenario: can SARS-CoV-2 infection reactivate TB? Is LTBI or active TB a risk factor for infection and progression to severe COVID-19 pneumonia? What impact does the coincidence of both diseases have on mortality?<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Our patient had LTBI, but any previous lesion suggestive of TB on CT. It is quite likely that COVID-19 pneumonia or treatment with immunosuppressive drugs or both, have favored the evolution of LTBI towards active disease. Long term treatment with corticosteroids are a well-established predisposing factor of TB.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Nevertheless, there is not enough literature to determine if the use of tocilizumab in patients with COVID-19 pneumonia can increase the risk of TB.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">This raises the need to assess and treat LTBI in patients with lung injuries secondary to COVID-19 susceptible to treatment with corticosteroids. For all the above, TB should be carefully evaluated in patient with COVID-19 pneumonia and therapeutic strategies should be adjusted accordingly to prevent the rapid development of active TB. However, there is still not enough evidence to understand the possible consequences of LTBI and the interactions between these major respiratory infectious killers.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financiation</span><p id="par0040" class="elsevierStylePara elsevierViewall">None.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financiation" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "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" => 1133 "Ancho" => 2007 "Tamanyo" => 289539 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evolution of radiological lesions in CT, before, during and after SARSCOVID 2 bilateral pneumonia.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Global tuberculosis report 2021. Geneva: World Health Organization; 2021. <a target="_blank" href="https://www.who.int/publications/i/item/9789240037021">https://www.who.int/publications/i/item/9789240037021</a>." ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of COVID-19 on tuberculosis control" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Comella-Del-Barrio" 1 => "M.L. De Souza-Galvão" 2 => "C. Prat-Aymerich" 3 => "J. Domínguez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2020.11.016" "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2021" "volumen" => "57" "paginaInicial" => "5" "paginaFinal" => "6" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34629626" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Tadolini M, Codecasa LR, García-García JM, Blanc FX, Borisov S, Alffenaar JW, et al. Active tuberculosis, sequelae and COVID-19 co-infection: first cohort of 49 cases. Eur Respir J. 2020;56:2001398. <a target="_blank" href="doi:10.1183/13993003.01398-2020">doi:10.1183/13993003.01398-2020</a>. Print 2020 July." ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Risk of incident active tuberculosis and use of corticosteroids" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C.C. Lai" 1 => "M.T. Lee" 2 => "S.H. Lee" 3 => "S.H. Lee" 4 => "S.S. Chang" 5 => "C.C. Lee" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5588/ijtld.15.0031" "Revista" => array:6 [ "tituloSerie" => "Int J Tuberc Lung Dis" "fecha" => "2015" "volumen" => "19" "paginaInicial" => "936" "paginaFinal" => "942" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26162360" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Risk of reactivation of hepatitis B virus (HBV) and tuberculosis (TB) and complications of hepatitis C virus (HCV) following tocilizumab therapy: a systematic review to inform risk assessment in the COVID-19 era" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Campbell" 1 => "M.I. Andersson" 2 => "M.A. Ansari" 3 => "O. Moswela" 4 => "S.A. Misbah" 5 => "P. Klenerman" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3389/fmed.2021.706482" "Revista" => array:3 [ "tituloSerie" => "Front Med" "fecha" => "2021" "volumen" => "8" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000011/v2_202304171313/S0300289622003234/v2_202304171313/en/main.assets" "Apartado" => array:4 [ "identificador" => "93865" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case reports" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000011/v2_202304171313/S0300289622003234/v2_202304171313/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622003234?idApp=UINPBA00003Z" ]
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