Clinical Image
Finding the Cause of Chronic Cough and Respiratory Failure
Tos crónica e insuficiencia respiratoria. ¿Por qué?
João Carvalho
, Inês Faria, Carvalheira Santos
Corresponding author
Respiratory Intensive Intermediate Care Unit, Hospital Pulido Valente, Centro Hospitalar Lisboa Norte, EPE, Lisboa, Portugal
Read
5143
Timeswas read the article
1890
Total PDF
3253
Total HTML
Share statistics
array:24 [ "pii" => "S1579212915002141" "issn" => "15792129" "doi" => "10.1016/j.arbr.2015.06.013" "estado" => "S300" "fechaPublicacion" => "2016-05-01" "aid" => "1206" "copyright" => "SEPAR" "copyrightAnyo" => "2014" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2016;52:274" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1718 "formatos" => array:3 [ "EPUB" => 131 "HTML" => 1117 "PDF" => 470 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0300289615002008" "issn" => "03002896" "doi" => "10.1016/j.arbres.2015.02.022" "estado" => "S300" "fechaPublicacion" => "2016-05-01" "aid" => "1206" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2016;52:274" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4026 "formatos" => array:3 [ "EPUB" => 94 "HTML" => 3264 "PDF" => 668 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen clínica</span>" "titulo" => "Tos crónica e insuficiencia respiratoria. ¿Por qué?" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "274" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Finding the Cause of Chronic Cough and Respiratory Failure" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 633 "Ancho" => 1400 "Tamanyo" => 98404 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Radiografía de tórax que muestra atelectasias e infiltrados en la base del pulmón derecho compatibles con un diente. B) TAC que muestra una opacidad en el lóbulo inferior derecho y un cuerpo extraño endobronquial de 13<span class="elsevierStyleHsp" style=""></span>mm.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "João Carvalho, Inês Faria, Carvalheira Santos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "João" "apellidos" => "Carvalho" ] 1 => array:2 [ "nombre" => "Inês" "apellidos" => "Faria" ] 2 => array:2 [ "nombre" => "Carvalheira" "apellidos" => "Santos" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212915002141" "doi" => "10.1016/j.arbr.2015.06.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915002141?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615002008?idApp=UINPBA00003Z" "url" => "/03002896/0000005200000005/v1_201604270107/S0300289615002008/v1_201604270107/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212915001457" "issn" => "15792129" "doi" => "10.1016/j.arbr.2015.05.008" "estado" => "S300" "fechaPublicacion" => "2016-05-01" "aid" => "1176" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2016;52:275" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1541 "formatos" => array:3 [ "EPUB" => 141 "HTML" => 994 "PDF" => 406 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "An Unusual Cause for Hemoptysis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "275" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Una causa inusual de hemoptisis" ] ] "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" => 1500 "Ancho" => 786 "Tamanyo" => 169135 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Chest X-ray (posteroanterior and lateral aspects, respectively) revealing a rounded opacity in the right lung base. (C) Thoracoabdominal CT (coronal plane) showing a large abdominal mass of about 13<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>11<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8.3<span class="elsevierStyleHsp" style=""></span>cm, apparently originating in the right kidney, invading the right lobe of the liver, the diaphragm and the lower lobe of the right lung (red arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Hans Dabó, Carla Damas" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Hans" "apellidos" => "Dabó" ] 1 => array:2 [ "nombre" => "Carla" "apellidos" => "Damas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289615001301" "doi" => "10.1016/j.arbres.2015.02.019" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615001301?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915001457?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000005/v1_201604270052/S1579212915001457/v1_201604270052/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212916300106" "issn" => "15792129" "doi" => "10.1016/j.arbr.2016.03.010" "estado" => "S300" "fechaPublicacion" => "2016-05-01" "aid" => "1285" "documento" => "article" "crossmark" => 1 "subdocumento" => "ssu" "cita" => "Arch Bronconeumol. 2016;52:269-73" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 5572 "formatos" => array:3 [ "EPUB" => 151 "HTML" => 4129 "PDF" => 1292 ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review</span>" "titulo" => "Pediatric Asthma and Viral Infection" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "269" "paginaFinal" => "273" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Asma y virus en el niño" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Luz Garcia-Garcia, Cristina Calvo Rey, Teresa del Rosal Rabes" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Luz Garcia-Garcia" ] 1 => array:2 [ "nombre" => "Cristina" "apellidos" => "Calvo Rey" ] 2 => array:2 [ "nombre" => "Teresa" "apellidos" => "del Rosal Rabes" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289615004792" "doi" => "10.1016/j.arbres.2015.11.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615004792?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916300106?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000005/v1_201604270052/S1579212916300106/v1_201604270052/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Finding the Cause of Chronic Cough and Respiratory Failure" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "274" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "João Carvalho, Inês Faria, Carvalheira Santos" "autores" => array:3 [ 0 => array:4 [ "nombre" => "João" "apellidos" => "Carvalho" "email" => array:1 [ 0 => "joaobettencourtcarvalho@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Inês" "apellidos" => "Faria" ] 2 => array:2 [ "nombre" => "Carvalheira" "apellidos" => "Santos" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Respiratory Intensive Intermediate Care Unit, Hospital Pulido Valente, Centro Hospitalar Lisboa Norte, EPE, Lisboa, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tos crónica e insuficiencia respiratoria. ¿Por qué?" ] ] "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" => 633 "Ancho" => 1400 "Tamanyo" => 102828 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray (A) showing atelectasis and pulmonary infiltrates in right base consistent with a tooth; CT scan (B) showing opacity in the right lower lobe and 13<span class="elsevierStyleHsp" style=""></span>mm endobronchial foreign body.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We the report the case of a 59-year-old woman, non-smoker, with diagnoses of hypertension, diabetes mellitus. She reported a 20-year history of “chronic rhinitis”, characterized by dry cough without improvement with inhaled or antihistamine therapy. Patient denies previous chest computed tomography (CT scan) or respiratory function tests.</p><p id="par0010" class="elsevierStylePara elsevierViewall">She was admitted to the emergency department with worsening cough, dyspnea and chest pain. Arterial blood gas (ABG) results (FiO<span class="elsevierStyleInf">2</span>: 40%) showed type 1 respiratory failure (PaO<span class="elsevierStyleInf">2</span>: 52<span class="elsevierStyleHsp" style=""></span>mmHg) and the chest X-ray showed pulmonary infiltrates in right base. She was diagnosed with community-acquired pneumonia and empirical antibiotherapy was initiated with levofloxacin.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Due to clinical deterioration, chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) was repeated, revealing atelectasis in the right lower lobe (RLL). Chest CT scan (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) showed pneumonia caused by an endobronchial foreign body impacted in the entrance of the RLL bronchus.Rigid bronchoscopy was performed, revealing the presence of a tooth, which was removed.In re-anamnesis, the patient reports an episode of choking 20 years ago, which was considered meaningless.One month later, patient was asymptomatic, ABG normalized and lung function testing by spirometry was normal.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Chronic symptoms should always be investigated. A small number of foreign bodies are found incidentally in bronchoscopic inspection, most commonly food, nails and pieces of toys.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Carvalho J, Faria I, Santos C. Tos crónica e insuficiencia respiratoria. ¿Por qué? Arch Bronconeumol. 2016;52:274.</p>" ] ] "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" => 633 "Ancho" => 1400 "Tamanyo" => 102828 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray (A) showing atelectasis and pulmonary infiltrates in right base consistent with a tooth; CT scan (B) showing opacity in the right lower lobe and 13<span class="elsevierStyleHsp" style=""></span>mm endobronchial foreign body.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Warshawsky Martin E. Foreign body aspiration: background, pathophysiology, epidemiology. 2013. Available from: <a id="intr0010" class="elsevierStyleInterRef" href="http://emedicine.medscape.com/article/298940">http://emedicine.medscape.com/article/298940</a>." ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005200000005/v1_201604270052/S1579212915002141/v1_201604270052/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005200000005/v1_201604270052/S1579212915002141/v1_201604270052/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212915002141?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 3 | 7 |
| 2024 October | 38 | 28 | 66 |
| 2024 September | 41 | 15 | 56 |
| 2024 August | 60 | 39 | 99 |
| 2024 July | 47 | 15 | 62 |
| 2024 June | 53 | 27 | 80 |
| 2024 May | 74 | 27 | 101 |
| 2024 April | 44 | 23 | 67 |
| 2024 March | 63 | 12 | 75 |
| 2024 February | 36 | 21 | 57 |
| 2023 March | 4 | 5 | 9 |
| 2023 February | 38 | 21 | 59 |
| 2023 January | 47 | 33 | 80 |
| 2022 December | 35 | 44 | 79 |
| 2022 November | 33 | 32 | 65 |
| 2022 October | 58 | 40 | 98 |
| 2022 September | 42 | 44 | 86 |
| 2022 August | 36 | 39 | 75 |
| 2022 July | 56 | 40 | 96 |
| 2022 June | 37 | 38 | 75 |
| 2022 May | 40 | 40 | 80 |
| 2022 April | 89 | 39 | 128 |
| 2022 March | 53 | 45 | 98 |
| 2022 February | 44 | 36 | 80 |
| 2022 January | 65 | 49 | 114 |
| 2021 December | 53 | 41 | 94 |
| 2021 November | 53 | 47 | 100 |
| 2021 October | 64 | 33 | 97 |
| 2021 September | 29 | 37 | 66 |
| 2021 August | 43 | 26 | 69 |
| 2021 July | 45 | 33 | 78 |
| 2021 June | 47 | 41 | 88 |
| 2021 May | 54 | 30 | 84 |
| 2021 April | 103 | 133 | 236 |
| 2021 March | 46 | 32 | 78 |
| 2021 February | 51 | 24 | 75 |
| 2021 January | 37 | 21 | 58 |
| 2020 December | 39 | 24 | 63 |
| 2020 November | 33 | 15 | 48 |
| 2020 October | 51 | 14 | 65 |
| 2020 September | 30 | 10 | 40 |
| 2020 August | 23 | 19 | 42 |
| 2020 July | 41 | 21 | 62 |
| 2020 June | 24 | 6 | 30 |
| 2020 May | 35 | 13 | 48 |
| 2020 April | 52 | 25 | 77 |
| 2020 March | 31 | 12 | 43 |
| 2020 February | 34 | 25 | 59 |
| 2020 January | 32 | 15 | 47 |
| 2019 December | 57 | 17 | 74 |
| 2019 November | 35 | 16 | 51 |
| 2019 October | 28 | 12 | 40 |
| 2019 September | 23 | 10 | 33 |
| 2019 August | 21 | 13 | 34 |
| 2019 July | 29 | 18 | 47 |
| 2019 June | 18 | 14 | 32 |
| 2019 May | 22 | 17 | 39 |
| 2019 April | 24 | 24 | 48 |
| 2019 March | 31 | 15 | 46 |
| 2019 February | 29 | 20 | 49 |
| 2019 January | 11 | 11 | 22 |
| 2018 December | 28 | 17 | 45 |
| 2018 November | 36 | 13 | 49 |
| 2018 October | 45 | 21 | 66 |
| 2018 September | 25 | 12 | 37 |
| 2018 May | 11 | 0 | 11 |
| 2018 April | 55 | 9 | 64 |
| 2018 March | 26 | 4 | 30 |
| 2018 February | 33 | 7 | 40 |
| 2018 January | 35 | 6 | 41 |
| 2017 December | 27 | 8 | 35 |
| 2017 November | 22 | 5 | 27 |
| 2017 October | 17 | 6 | 23 |
| 2017 September | 16 | 16 | 32 |
| 2017 August | 19 | 9 | 28 |
| 2017 July | 23 | 14 | 37 |
| 2017 June | 28 | 12 | 40 |
| 2017 May | 29 | 6 | 35 |
| 2017 April | 20 | 8 | 28 |
| 2017 March | 11 | 8 | 19 |
| 2017 February | 22 | 5 | 27 |
| 2017 January | 15 | 6 | 21 |
| 2016 December | 24 | 16 | 40 |
| 2016 November | 37 | 13 | 50 |
| 2016 October | 46 | 20 | 66 |
| 2016 September | 36 | 5 | 41 |
| 2016 August | 50 | 5 | 55 |
| 2016 July | 2 | 0 | 2 |
Show all
