Correspondence: Dr. M. Haro Estarriol. Sección de Neumología (Planta 4.a B). Hospital Universitario de Girona Doctor Josep Trueta. Avda. de Francia, s/n. 17007 Girona. España
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"titulo" => "Bilateral Hemothorax Secondary to Combined Antiplatelet Therapy With Clopidogrel and Acetylsalicylic Acid" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "307" "paginaFinal" => "309" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Manuel Haro Estarriol, Luis Alberto Álvarez Castillo, Xavier Baldó Padró, Anna Palou Rispau, Matilde Rubio Garay, Manel Rubio Goday" "autores" => array:6 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "Manuel" "apellidos" => "Haro Estarriol" "email" => array:1 [ 0 => "mip.mharo@htrueta.scs.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Luis" "apellidos" => "Alberto Álvarez Castillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Xavier" "apellidos" => "Baldó Padró" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "Anna" "apellidos" => "Palou Rispau" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "Matilde" "apellidos" => "Rubio Garay" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 5 => array:3 [ "nombre" => "Manel" "apellidos" => "Rubio Goday" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Sección de Neumología, Hospital Universitario de Girona Doctor Josep Trueta, Girona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario de Girona Doctor Josep Trueta, Girona, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. M. Haro Estarriol. Sección de Neumología (Planta 4.<span class="elsevierStyleSup">a</span> B). Hospital Universitario de Girona Doctor Josep Trueta. Avda. de Francia, s/n. 17007 Girona. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-08-23" "fechaAceptado" => "2005-09-06" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154409" "palabras" => array:3 [ 0 => "Clopidogrel" 1 => "Acetylsalicylic acid" 2 => "Hemothorax" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154408" "palabras" => array:3 [ 0 => "Clopidogrel" 1 => "Ácido acetilsalicílico" 2 => "Hemotórax" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Clopidogrel is a platelet aggregation inhibitor that increases the risk of bleeding complications when combined with acetylsalicylic acid. We report a rare case of a 79-year-old male treated with clopidogrel and acetylsalicylic acid after coronary angioplasty and stenting to treat unstable angina. Two months after initiation of therapy, the patient presented with symptomatic bilateral pleural effusion. Examination of both effusions confirmed the diagnosis of spontaneous bilateral hemothorax due to combined antiplatelet therapy. Serious functional sequelae were still present 18 months after diagnosis despite bilateral pleural drainage and respiratory therapy.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El clopidogrel es un inhibidor de la agregación plaquetaria que aumenta el riesgo de complicaciones hemorrágicas cuando se combina con el ácido acetilsalicílico. Presentamos un caso excepcional en un varón de 79 años tratado con clopidogrel y ácido acetilsalicílico después de una angioplastia coronaria y la colocación de un <span class="elsevierStyleItalic">stent</span> por una angina inestable. A los 2 meses de tratamiento presentó un derrame pleural bilateral sintomático. El estudio de ambos derrames confirmó el diagnóstico de un hemotórax espontáneo bilateral atribuido a los antiagregantes. El drenaje pleural bilateral y la fisioterapia respiratoria no impidieron la persistencia de importantes secuelas funcionales a los 18 meses del diagnóstico.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ticlopidine and clopidogrel" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "MJ Quinn" 1 => "DJ Fitzgerald" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1999" "volumen" => "100" "paginaInicial" => "1667" "paginaFinal" => "1672" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10517740" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => 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2024 October | 29 | 18 | 47 |
2024 September | 29 | 15 | 44 |
2024 August | 45 | 40 | 85 |
2024 July | 22 | 23 | 45 |
2024 June | 26 | 24 | 50 |
2024 May | 40 | 37 | 77 |
2024 April | 18 | 17 | 35 |
2024 March | 16 | 12 | 28 |
2024 February | 20 | 21 | 41 |
2023 March | 1 | 3 | 4 |
2023 February | 15 | 17 | 32 |
2023 January | 19 | 34 | 53 |
2022 December | 19 | 36 | 55 |
2022 November | 18 | 18 | 36 |
2022 October | 17 | 33 | 50 |
2022 September | 16 | 23 | 39 |
2022 August | 19 | 28 | 47 |
2022 July | 15 | 36 | 51 |
2022 June | 15 | 35 | 50 |
2022 May | 21 | 26 | 47 |
2022 April | 18 | 23 | 41 |
2022 March | 18 | 34 | 52 |
2022 February | 19 | 44 | 63 |
2022 January | 14 | 34 | 48 |
2021 December | 21 | 51 | 72 |
2021 November | 18 | 54 | 72 |
2021 October | 19 | 51 | 70 |
2021 September | 19 | 59 | 78 |
2021 August | 11 | 28 | 39 |
2021 July | 9 | 30 | 39 |
2021 June | 20 | 39 | 59 |
2021 May | 13 | 23 | 36 |
2021 April | 29 | 78 | 107 |
2021 March | 18 | 18 | 36 |
2021 February | 14 | 23 | 37 |
2021 January | 9 | 7 | 16 |
2020 December | 10 | 14 | 24 |
2020 November | 9 | 21 | 30 |
2020 October | 14 | 7 | 21 |
2020 September | 2 | 6 | 8 |
2020 August | 11 | 14 | 25 |
2020 July | 12 | 19 | 31 |
2020 June | 21 | 8 | 29 |
2020 May | 21 | 17 | 38 |
2020 April | 22 | 30 | 52 |
2020 March | 17 | 16 | 33 |
2020 February | 28 | 22 | 50 |
2020 January | 17 | 17 | 34 |
2019 December | 18 | 18 | 36 |
2019 November | 12 | 17 | 29 |
2019 October | 6 | 12 | 18 |
2019 September | 7 | 9 | 16 |
2019 August | 17 | 6 | 23 |
2019 July | 12 | 16 | 28 |
2019 June | 9 | 13 | 22 |
2019 May | 19 | 8 | 27 |
2019 April | 27 | 20 | 47 |
2019 March | 20 | 28 | 48 |
2019 February | 22 | 20 | 42 |
2019 January | 17 | 14 | 31 |
2018 December | 16 | 16 | 32 |
2018 November | 19 | 8 | 27 |
2018 October | 17 | 15 | 32 |
2018 September | 16 | 16 | 32 |
2018 May | 7 | 1 | 8 |
2018 April | 7 | 5 | 12 |
2018 March | 3 | 3 | 6 |
2018 February | 7 | 6 | 13 |
2018 January | 4 | 13 | 17 |
2017 December | 4 | 10 | 14 |
2017 November | 2 | 6 | 8 |
2017 October | 4 | 4 | 8 |
2017 September | 3 | 15 | 18 |
2017 August | 7 | 9 | 16 |
2017 July | 4 | 6 | 10 |
2017 June | 8 | 26 | 34 |
2017 May | 5 | 11 | 16 |
2017 April | 2 | 3 | 5 |
2017 March | 5 | 17 | 22 |
2017 February | 0 | 4 | 4 |
2017 January | 1 | 1 | 2 |
2016 December | 7 | 7 | 14 |
2016 November | 10 | 7 | 17 |
2016 October | 16 | 12 | 28 |
2016 September | 15 | 15 | 30 |
2016 August | 13 | 3 | 16 |
2016 July | 13 | 3 | 16 |
2016 March | 3 | 0 | 3 |
2015 December | 2 | 0 | 2 |
2015 October | 84 | 17 | 101 |
2015 September | 98 | 8 | 106 |
2015 August | 105 | 8 | 113 |
2015 July | 150 | 5 | 155 |
2015 June | 83 | 5 | 88 |
2015 May | 81 | 5 | 86 |
2015 April | 72 | 9 | 81 |
2015 March | 102 | 11 | 113 |
2015 February | 111 | 4 | 115 |
2015 January | 55 | 6 | 61 |
2014 December | 75 | 5 | 80 |
2014 November | 93 | 5 | 98 |
2014 October | 88 | 6 | 94 |
2014 September | 70 | 5 | 75 |
2014 August | 83 | 9 | 92 |
2014 July | 79 | 4 | 83 |
2014 June | 90 | 10 | 100 |
2014 May | 89 | 5 | 94 |
2014 April | 92 | 9 | 101 |
2014 March | 114 | 4 | 118 |
2014 February | 100 | 8 | 108 |
2014 January | 70 | 6 | 76 |
2013 December | 79 | 7 | 86 |
2013 November | 80 | 6 | 86 |
2013 October | 80 | 14 | 94 |
2013 September | 67 | 10 | 77 |
2013 August | 56 | 9 | 65 |
2013 July | 62 | 7 | 69 |
2013 June | 54 | 8 | 62 |
2013 May | 51 | 4 | 55 |
2013 April | 35 | 3 | 38 |
2013 March | 10 | 2 | 12 |