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array:23 [ "pii" => "S0300289623001692" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.05.011" "estado" => "S300" "fechaPublicacion" => "2023-07-01" "aid" => "3325" "copyright" => "SEPAR" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:451" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289623001667" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.05.008" "estado" => "S300" "fechaPublicacion" => "2023-07-01" "aid" => "3322" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:452" "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" => "An Unusual Case of Pulmonary Amyloidosis Causing Pleural Effusion Diagnosed With Medical Thoracoscopy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "452" ] ] "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" => 1248 "Ancho" => 1667 "Tamanyo" => 308940 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray showing moderate to large right sided pleural effusion. (B, C) Pleural biopsy, Congo red stain in light (left) and polarized (right) microscope showing apple green birefringence consistent with amyloidosis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Bharat S. Bhandari, Gunjan Rana, Pushan Jani" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Bharat S." "apellidos" => "Bhandari" ] 1 => array:2 [ "nombre" => "Gunjan" "apellidos" => "Rana" ] 2 => array:2 [ "nombre" => "Pushan" "apellidos" => "Jani" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001667?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000007/v3_202310232131/S0300289623001667/v3_202310232131/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289623001552" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.04.008" "estado" => "S300" "fechaPublicacion" => "2023-07-01" "aid" => "3314" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2023;59:449-50" "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" => "Invasive Aspergillosis and Pseudomembranous Tracheitis in Uncontrolled Diabetes" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "449" "paginaFinal" => "450" ] ] "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" => 823 "Ancho" => 1194 "Tamanyo" => 138988 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray showing bilateral alveolar opacities, more prominent in the right upper lobe. (B) CT Chest showing nodular ground glass opacities in the right upper lobe. (C) Bronchoscopic view from the mid trachea showing multiple white plaques on the posterior tracheal wall, extending up to the carina (seen distally in the picture). (D) Lung parenchyma with alveolar spaces infiltrated by septated hyphae branching at acute angles.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Moiz Salahuddin, Musaib Alavi, Saad Nasir" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Moiz" "apellidos" => "Salahuddin" ] 1 => array:2 [ "nombre" => "Musaib" "apellidos" => "Alavi" ] 2 => array:2 [ "nombre" => "Saad" "apellidos" => "Nasir" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001552?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000007/v3_202310232131/S0300289623001552/v3_202310232131/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Chest Wall Tuberculosis Mimicking Hydatid Cyst" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "451" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Daniel Otero, Montserrat Blanco, Eva García-Fontán" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Daniel" "apellidos" => "Otero" ] 1 => array:4 [ "nombre" => "Montserrat" "apellidos" => "Blanco" "email" => array:1 [ 0 => "montseblancoramos@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Eva" "apellidos" => "García-Fontán" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Thoracic Surgery Service, Hospital Álvaro Cunqueiro, Estrada de Clara Campoamor, 341, CP. 36213 Vigo, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1001 "Ancho" => 1333 "Tamanyo" => 149217 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Tumour in the right posteriolateral chest wall without evidence of inflammation. (b) Axial CT slice showing cystic-necrotic mass with extrapleural extension. (c) Coronal MRI image showing the same lesion with small septums inside.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 36-year-old woman, who was referred, for clinical rib pain of several weeks’ development, accompanied by a fixed and indurated tumour in the right posterolateral chest wall (<a class="elsevierStyleCrossRef" href="#fig1">Fig. 1</a>a). We conducted a computed tomography, which revealed a cystic-necrotic mass with involvement of the intermuscular plane and intrathoracic extension that presented an extrapleural soft tissue component and coarse calcifications (<a class="elsevierStyleCrossRef" href="#fig1">Fig. 1</a>b). To better characterise the lesion, we requested a magnetic resonance. This revealed a encapsulated lesion with alteration of the signal of the musculature that suggested rupture of the lesion. In T2 sequences, we identified hypointense membranes suggestive of vesicles. Rupture of a hydatid cyst was considered as a diagnostic possibility (<a class="elsevierStyleCrossRef" href="#fig1">Fig. 1</a>c).</p><elsevierMultimedia ident="fig1"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Bearing these results in mind, we decided to perform a diagnostic-therapeutic surgical intervention while taking the necessary preventive measures given the possible diagnosis of hydatid cyst rupture. We performed a block resection including muscular planes along with the 8th and 9th right costal arches repairing the wall defect with a Goretex mesh. The anatomopathological analysis revealed a 5<span class="elsevierStyleHsp" style=""></span>cm abscessed necrotising granulomatous inflammation, affecting the soft tissues, with the presence of acid-fast bacilli (AFB), and positive amplification for <span class="elsevierStyleItalic">Mycobacterium tuberculosis complex</span>.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors’ contribution</span><p id="par0015" class="elsevierStylePara elsevierViewall">All authors have contributed intellectually to the case, meet the conditions of authorship and have approved the final version of the case.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">There has been no funding or sponsorship for the publication of this article.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Authors’ contribution" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1001 "Ancho" => 1333 "Tamanyo" => 149217 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Tumour in the right posteriolateral chest wall without evidence of inflammation. (b) Axial CT slice showing cystic-necrotic mass with extrapleural extension. (c) Coronal MRI image showing the same lesion with small septums inside.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000007/v3_202310232131/S0300289623001692/v3_202310232131/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/03002896/0000005900000007/v3_202310232131/S0300289623001692/v3_202310232131/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001692?idApp=UINPBA00003Z" ]
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