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array:23 [ "pii" => "S0300289623001011" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.02.019" "estado" => "S300" "fechaPublicacion" => "2023-06-01" "aid" => "3282" "copyright" => "SEPAR" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:393" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289623001060" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.03.007" "estado" => "S300" "fechaPublicacion" => "2023-06-01" "aid" => "3287" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:394-5" "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">Clinical Image</span>" "titulo" => "Acute Hemorrhage into an Emphysematous Bulla" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "394" "paginaFinal" => "395" ] ] "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" => 1149 "Ancho" => 982 "Tamanyo" => 132719 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Multiplanar chest CT reconstructions with intravenous contrast in axial (A) and sagittal (B) planes where a bulla located in the medial basal segment of the LLL with hematic level is observed. 3D segmentation of the findings in axial (C) and sagittal (D) projection. In orange (C and D), the airway and bulla stand out, and bleeding is shown in red. Multiplanar CT reconstructions without intravenous contrast in axial (E) and sagittal (F) planes 5 months later. Persistence of the bulla located in the medial basal segment of LLL with smaller size and in the absence of the hematic level (E and F).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María Jesús Lobo-Rebollo, Carlota García-Barón, Felipe Villar-Álvarez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María Jesús" "apellidos" => "Lobo-Rebollo" ] 1 => array:2 [ "nombre" => "Carlota" "apellidos" => "García-Barón" ] 2 => array:2 [ "nombre" => "Felipe" "apellidos" => "Villar-Álvarez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001060?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000006/v2_202308080837/S0300289623001060/v2_202308080837/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289623001047" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.03.005" "estado" => "S300" "fechaPublicacion" => "2023-06-01" "aid" => "3285" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:391-2" "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" => "A Rare Combination: Left Isomerism and Calcific Fibrous Tumor of the Pleura" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "391" "paginaFinal" => "392" ] ] "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" => 2124 "Ancho" => 2758 "Tamanyo" => 502271 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Lung X-ray. A well-defined pleural-based calcified mass in the upper zone of the right lung. (b) Coronal CT section in mediastinal window. The mass is observed in soft tissue density with a calcified pleural base (red arrow). In addition, it is observed that the inferior vena cava continues in the thorax as the azygos vein (red asterisk). (c) Coronal MinIP image. Two hypoarterial main bronchi branching from the trachea are observed. (d) Polyplenism is observed in the left upper quadrant of the abdomen. (e) Opening of hepatic veins directly into the left atrium is observed. (f) Right atrial appendage is observed in left atrial appendage morphology (red asterisk).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Hüseyin Alper Kızıloğlu" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Hüseyin Alper" "apellidos" => "Kızıloğlu" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001047?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000006/v2_202308080837/S0300289623001047/v2_202308080837/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Bullous Lung Disease Post-COVID" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "393" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carlos Manzano Senra, Ricard Pifarré Teixidó, Marina Asunción Pardina Solano" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Carlos" "apellidos" => "Manzano Senra" "email" => array:1 [ 0 => "carlosmanzanosenra555@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" => "Ricard" "apellidos" => "Pifarré Teixidó" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Marina Asunción" "apellidos" => "Pardina Solano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario Arnau de Vilanova, Lleida, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario Arnau de Vilanova, Lleida, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "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" => 1766 "Ancho" => 2500 "Tamanyo" => 618367 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Thoracic CT images observing bilateral bullous injuries and their comparison at the same level in a CT control showing their resolution after 3 months.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 40 year old patient, non smoker with no history of pathology, required hospital admission for bilateral SARS-CoV2 pneumonia and basal oxygen saturation of 93%. Received treatment with oxygen therapy, dexamethasone and a single dose of tocilizumab with correct clinical evolution.</p><p id="par0010" class="elsevierStylePara elsevierViewall">After discharge, self-limited haemoptoic expectoration was presented. A thoracic computed tomography scan showed multiple bilateral cavitated pulmonary lesions, and was readmitted to hospital. Physical examination and primary blood analysis were normal. A bronchoscopy was performed showing hematic secretions in the left lower lobe. All microbiological samples were negative.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In absence of clinical manifestations and given the normality of the studies, the case was classified as post-COVID bullous disease, and an ambulatory thoracic CT scan was performed after 3 months, showing radiological resolution of lesions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and normal respiratory function test.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Bullous lung disease post-COVID is a rare disease that consists on the apparition of air bullae of 1<span class="elsevierStyleHsp" style=""></span>cm or larger inside of the lung parenchyma on immediate post-COVID. It has been reported some cases of gigant bulla that required surgical treatment post-COVID<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> and cases of bullous lung disease in context of severe pneumonitis<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> with favorable evolution without medical intervention, as it occurred in our case.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no funding was received for this article.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts 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" => 1766 "Ancho" => 2500 "Tamanyo" => 618367 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Thoracic CT images observing bilateral bullous injuries and their comparison at the same level in a CT control showing their resolution after 3 months.</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" => "Enfermedad bullosa como complicación pulmonar en la convalecencia de COVID-19" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.A. Rodríguez Blanco" 1 => "J.D. Rodríguez Blanco" 2 => "J.J. Rodríguez Blanco" 3 => "M.C. Martínez Ávila" 4 => "M.C. Acuña Caballero" 5 => "C.E. Remolina" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Colomb Neumol" "fecha" => "2021" "volumen" => "32" "paginaInicial" => "66" "paginaFinal" => "71" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Development of bullous lung disease in a patient with severe COVID-19 pneumonitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Berhane" 1 => "A. Tabor" 2 => "A. Sahu" 3 => "A. Singh" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "BMJ Case Rep" "fecha" => "2020" "volumen" => "13" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000006/v2_202308080837/S0300289623001011/v2_202308080837/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005900000006/v2_202308080837/S0300289623001011/v2_202308080837/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001011?idApp=UINPBA00003Z" ]
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