array:24 [
  "pii" => "S1579212916301094"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2016.06.005"
  "estado" => "S300"
  "fechaPublicacion" => "2016-08-01"
  "aid" => "1239"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2015"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2016;52:436-7"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2013
    "formatos" => array:3 [
      "EPUB" => 137
      "HTML" => 1352
      "PDF" => 524
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289615003531"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2015.07.018"
      "estado" => "S300"
      "fechaPublicacion" => "2016-08-01"
      "aid" => "1239"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Arch Bronconeumol. 2016;52:436-7"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 2867
        "formatos" => array:3 [
          "EPUB" => 127
          "HTML" => 2101
          "PDF" => 639
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Imagen cl&#237;nica</span>"
        "titulo" => "Traqueobronquitis seudomembranosa y ulcerativa causada por <span class="elsevierStyleItalic">Aspergillus fumigatus</span>"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "436"
            "paginaFinal" => "437"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Ulcerative pseudomembranous tracheobronchitis caused by <span class="elsevierStyleItalic">Aspergillus fumigatus</span>"
          ]
        ]
        "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" => 1100
                "Ancho" => 1212
                "Tamanyo" => 150060
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#41; P&#233;rdida de volumen del hemit&#243;rax izquierdo con estenosis del bronquio principal izquierdo y bronquiectasias en el segmento apical del LSD&#46; B&#41; Lesi&#243;n ulcerativa para-traqueal inferior izquierda cubierta por secreci&#243;n mucopurulenta &#40;flecha&#41;&#46; C&#41; Mucosa seudomembranosa en el tercio distal de la tr&#225;quea y BPI&#46; D&#41; Dilataci&#243;n con cat&#233;ter bal&#243;n de la estenosis del BPI&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Miguel Ariza-Prota, Arturo Morales-Soto, Antoni Rosell-Grata&#231;os"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Miguel"
                "apellidos" => "Ariza-Prota"
              ]
              1 => array:2 [
                "nombre" => "Arturo"
                "apellidos" => "Morales-Soto"
              ]
              2 => array:2 [
                "nombre" => "Antoni"
                "apellidos" => "Rosell-Grata&#231;os"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212916301094"
          "doi" => "10.1016/j.arbr.2016.06.005"
          "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/S1579212916301094?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615003531?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005200000008/v1_201607230338/S0300289615003531/v1_201607230338/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212916000677"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.02.016"
    "estado" => "S300"
    "fechaPublicacion" => "2016-08-01"
    "aid" => "1305"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Arch Bronconeumol. 2016;52:438-9"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1982
      "formatos" => array:3 [
        "EPUB" => 112
        "HTML" => 1327
        "PDF" => 543
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Exogenous Lipoid Pneumonia in Laryngectomy Patients&#58; Is Ground Glass Opacity&#47;Crazy Paving Pattern an Organizing Pneumonia Reaction That Can Predict Poor Outcome&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "438"
          "paginaFinal" => "439"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Neumon&#237;a lipoidea ex&#243;gena en pacientes laringectomizados&#58; &#191;es el patr&#243;n de opacificaci&#243;n en vidrio esmerilado&#47;en empedrado una reacci&#243;n organizada de la neumon&#237;a capaz de predecir una mala evoluci&#243;n&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1084
              "Ancho" => 1321
              "Tamanyo" => 188308
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">High resolution computed tomography scan of the chest shows peribronchial fat consolidation in middle lobe &#40;white arrows&#41;&#46; Extensive representation of GGO containing subtle reticulation &#40;crazy paving&#41; up to pleural spaces &#40;black arrows&#41; 8 months after discontinuing petroleum jelly &#40;Vaseline&#41; and steroid therapy &#40;prolonged for 6 months&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Gaetano Rea, Francesco Lassandro, Tullio Valente"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Gaetano"
              "apellidos" => "Rea"
            ]
            1 => array:2 [
              "nombre" => "Francesco"
              "apellidos" => "Lassandro"
            ]
            2 => array:2 [
              "nombre" => "Tullio"
              "apellidos" => "Valente"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289616000156"
        "doi" => "10.1016/j.arbres.2015.11.018"
        "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/S0300289616000156?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916000677?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000008/v1_201607230336/S1579212916000677/v1_201607230336/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1579212916301082"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.06.004"
    "estado" => "S300"
    "fechaPublicacion" => "2016-08-01"
    "aid" => "1227"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2016;52:435"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1679
      "formatos" => array:3 [
        "EPUB" => 144
        "HTML" => 1061
        "PDF" => 474
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "A One-Handed Maneuver for Opening the Airway During Flexible Bronchoscopy Under Deep Sedation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "435"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Maniobra de apertura de la v&#237;a a&#233;rea con una mano en broncoscopia flexible con sedaci&#243;n profunda"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pablo Rubinstein-Agu&#241;&#237;n, Mar&#237;a Luisa Domenech-Alcocer, Ricardo Leiro-Riera"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Pablo"
              "apellidos" => "Rubinstein-Agu&#241;&#237;n"
            ]
            1 => array:2 [
              "nombre" => "Mar&#237;a Luisa"
              "apellidos" => "Domenech-Alcocer"
            ]
            2 => array:2 [
              "nombre" => "Ricardo"
              "apellidos" => "Leiro-Riera"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289615003117"
        "doi" => "10.1016/j.arbres.2015.07.006"
        "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/S0300289615003117?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916301082?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000008/v1_201607230336/S1579212916301082/v1_201607230336/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => "Ulcerative Pseudomembranous Tracheobronchitis Caused by <span class="elsevierStyleItalic">Aspergillus fumigatus</span>"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "436"
        "paginaFinal" => "437"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Miguel Ariza-Prota, Arturo Morales-Soto, Antoni Rosell-Grata&#231;os"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Miguel"
            "apellidos" => "Ariza-Prota"
            "email" => array:1 [
              0 => "arizamiguel&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Arturo"
            "apellidos" => "Morales-Soto"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Antoni"
            "apellidos" => "Rosell-Grata&#231;os"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicio de Neumolog&#237;a&#44; Hospital Universitario Central de Asturias&#44; Oviedo&#44; Asturias&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Enfermedades Respiratorias&#44; Facultad de Medicina&#44; Pontificia Universidad Cat&#243;lica de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Unidad de Broncoscopia&#44; Servicio de Neumolog&#237;a&#44; Hospital Universitario de Bellvitge&#44; L&#8217;Hospitalet de Llobregat&#44; Barcelona&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Traqueobronquitis seudomembranosa y ulcerativa causada por <span class="elsevierStyleItalic">Aspergillus fumigatus</span>"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1100
            "Ancho" => 1212
            "Tamanyo" => 160208
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Loss of volume in the left hemithorax with stenosis of the left main bronchus and bronchiectasis in the apical segment of the right upper lobe&#46; &#40;B&#41; Left lower paratracheal ulcerative lesion covered with mucopurulent secretion &#40;arrow&#41;&#46; &#40;C&#41; Pseudomembranous mucosa in the distal third of the trachea and left main bronchus&#46; &#40;D&#41; Balloon catheter dilation of stenosis in left main bronchus&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 71-year-old man with a history of lung adenocarcinoma diagnosed and treated in 2006 with concomitant chemo- and radiotherapy&#44; presented in February 2015 with recurrent respiratory infections&#46; Chest and abdomen computed tomography &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; showed stenosis of the left main bronchus&#46; Flexible bronchoscopy revealed&#58; &#40;a&#41; left lower paratracheal ulcerative lesion covered with mucopurulent secretion &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41; and &#40;b&#41; pseudomembranous mucosa in the distal third of the trachea and left main bronchus &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; The left main bronchus was successfully dilated with a balloon catheter &#40;CRE&#8482; Pulmonary&#59; Boston Scientific&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#41;&#46; Tracheobronchial aspiration was performed in the left main bronchus and endobronchial biopsies were obtained from the ulcerative lesions&#46; The biopsy revealed bifurcated hyphae at 45&#176; angles&#44; with positive Grocott staining&#44; confirming the diagnosis of <span class="elsevierStyleItalic">Aspergillus fumigatus&#46;</span> Culture of the tracheobronchial aspirate was positive for <span class="elsevierStyleItalic">Aspergillus fumigatus&#46;</span></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Treatment was started with liposomal amphotericin B &#40;25<span class="elsevierStyleHsp" style=""></span>mg twice a week&#41; for 2 months &#40;first phase&#41;&#46; The patient&#39;s respiratory status is currently stable&#44; and endoscopic monitoring and treatment review are pending&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The pseudomembranous form of invasive tracheobronchial aspergillosis is characterized by extensive involvement of the lower airways&#44; with detachment of the necrotic epithelium which&#44; together with the endobronchial mucosa&#44; form the pseudomembranes which cover the mucosa surface&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Diagnosis should be based on clinical findings&#44; imaging tests&#44; bronchoscopy&#44; pathology examination&#44; and culture and identification of the fungus&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> This variant occurs mainly in immunosuppressed patients&#44; such as lung transplant recipients and patients with HIV&#44; hematological and non-hematological cancers&#44; and COPD patients&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a></p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Ariza-Prota M&#44; Morales-Soto A&#44; Rosell-Grata&#231;os A&#46; Traqueobronquitis seudomembranosa y ulcerativa causada por <span class="elsevierStyleItalic">Aspergillus fumigatus</span>&#46; Arch Bronconeumol&#46; 2016&#59;52&#58;436&#8211;437&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1100
            "Ancho" => 1212
            "Tamanyo" => 160208
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Loss of volume in the left hemithorax with stenosis of the left main bronchus and bronchiectasis in the apical segment of the right upper lobe&#46; &#40;B&#41; Left lower paratracheal ulcerative lesion covered with mucopurulent secretion &#40;arrow&#41;&#46; &#40;C&#41; Pseudomembranous mucosa in the distal third of the trachea and left main bronchus&#46; &#40;D&#41; Balloon catheter dilation of stenosis in left main bronchus&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudomembranous and obstructive <span class="elsevierStyleItalic">Aspergillus tracheobronchitis</span>&#58; optimal diagnostic strategy and outcome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Tasci"
                            1 => "A&#46; Glasmacher"
                            2 => "S&#46; Lentini"
                            3 => "K&#46; Tschubel"
                            4 => "S&#46; Ewig"
                            5 => "E&#46; Molitor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1439-0507.2006.01301.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mycoses"
                        "fecha" => "2006"
                        "volumen" => "49"
                        "paginaInicial" => "37"
                        "paginaFinal" => "42"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16961581"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rapid diagnosis of invasive aspergillosis by antigen detection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46;J&#46; Wheat"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Transpl Infect Dis"
                        "fecha" => "2003"
                        "volumen" => "5"
                        "paginaInicial" => "158"
                        "paginaFinal" => "166"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14987199"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ulcerative and plaque-like tracheobronchitis due to infection with <span class="elsevierStyleItalic">Aspergillus</span> in patients with AIDS"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;A&#46; Kemper"
                            1 => "J&#46;S&#46; Hostetler"
                            2 => "S&#46;E&#46; Follansbee"
                            3 => "P&#46; Ruane"
                            4 => "D&#46; Covington"
                            5 => "S&#46;S&#46; Leong"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Infect Dis"
                        "fecha" => "1993"
                        "volumen" => "17"
                        "paginaInicial" => "344"
                        "paginaFinal" => "352"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8218674"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005200000008/v1_201607230336/S1579212916301094/v1_201607230336/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/15792129/0000005200000008/v1_201607230336/S1579212916301094/v1_201607230336/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916301094?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Clinical Image
Ulcerative Pseudomembranous Tracheobronchitis Caused by Aspergillus fumigatus
Traqueobronquitis seudomembranosa y ulcerativa causada por Aspergillus fumigatus
Miguel Ariza-Protaa,
Corresponding author
arizamiguel@hotmail.com

Corresponding author.
, Arturo Morales-Sotob, Antoni Rosell-Grataçosc
a Servicio de Neumología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
b Departamento de Enfermedades Respiratorias, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
c Unidad de Broncoscopia, Servicio de Neumología, Hospital Universitario de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
Read
5913
Times
was read the article
2078
Total PDF
3835
Total HTML
Share statistics
 array:24 [
  "pii" => "S1579212916301094"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2016.06.005"
  "estado" => "S300"
  "fechaPublicacion" => "2016-08-01"
  "aid" => "1239"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2015"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2016;52:436-7"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2013
    "formatos" => array:3 [
      "EPUB" => 137
      "HTML" => 1352
      "PDF" => 524
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289615003531"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2015.07.018"
      "estado" => "S300"
      "fechaPublicacion" => "2016-08-01"
      "aid" => "1239"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Arch Bronconeumol. 2016;52:436-7"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 2867
        "formatos" => array:3 [
          "EPUB" => 127
          "HTML" => 2101
          "PDF" => 639
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Imagen cl&#237;nica</span>"
        "titulo" => "Traqueobronquitis seudomembranosa y ulcerativa causada por <span class="elsevierStyleItalic">Aspergillus fumigatus</span>"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "436"
            "paginaFinal" => "437"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Ulcerative pseudomembranous tracheobronchitis caused by <span class="elsevierStyleItalic">Aspergillus fumigatus</span>"
          ]
        ]
        "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" => 1100
                "Ancho" => 1212
                "Tamanyo" => 150060
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#41; P&#233;rdida de volumen del hemit&#243;rax izquierdo con estenosis del bronquio principal izquierdo y bronquiectasias en el segmento apical del LSD&#46; B&#41; Lesi&#243;n ulcerativa para-traqueal inferior izquierda cubierta por secreci&#243;n mucopurulenta &#40;flecha&#41;&#46; C&#41; Mucosa seudomembranosa en el tercio distal de la tr&#225;quea y BPI&#46; D&#41; Dilataci&#243;n con cat&#233;ter bal&#243;n de la estenosis del BPI&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Miguel Ariza-Prota, Arturo Morales-Soto, Antoni Rosell-Grata&#231;os"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Miguel"
                "apellidos" => "Ariza-Prota"
              ]
              1 => array:2 [
                "nombre" => "Arturo"
                "apellidos" => "Morales-Soto"
              ]
              2 => array:2 [
                "nombre" => "Antoni"
                "apellidos" => "Rosell-Grata&#231;os"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212916301094"
          "doi" => "10.1016/j.arbr.2016.06.005"
          "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/S1579212916301094?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615003531?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005200000008/v1_201607230338/S0300289615003531/v1_201607230338/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212916000677"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.02.016"
    "estado" => "S300"
    "fechaPublicacion" => "2016-08-01"
    "aid" => "1305"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Arch Bronconeumol. 2016;52:438-9"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1982
      "formatos" => array:3 [
        "EPUB" => 112
        "HTML" => 1327
        "PDF" => 543
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Exogenous Lipoid Pneumonia in Laryngectomy Patients&#58; Is Ground Glass Opacity&#47;Crazy Paving Pattern an Organizing Pneumonia Reaction That Can Predict Poor Outcome&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "438"
          "paginaFinal" => "439"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Neumon&#237;a lipoidea ex&#243;gena en pacientes laringectomizados&#58; &#191;es el patr&#243;n de opacificaci&#243;n en vidrio esmerilado&#47;en empedrado una reacci&#243;n organizada de la neumon&#237;a capaz de predecir una mala evoluci&#243;n&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1084
              "Ancho" => 1321
              "Tamanyo" => 188308
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">High resolution computed tomography scan of the chest shows peribronchial fat consolidation in middle lobe &#40;white arrows&#41;&#46; Extensive representation of GGO containing subtle reticulation &#40;crazy paving&#41; up to pleural spaces &#40;black arrows&#41; 8 months after discontinuing petroleum jelly &#40;Vaseline&#41; and steroid therapy &#40;prolonged for 6 months&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Gaetano Rea, Francesco Lassandro, Tullio Valente"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Gaetano"
              "apellidos" => "Rea"
            ]
            1 => array:2 [
              "nombre" => "Francesco"
              "apellidos" => "Lassandro"
            ]
            2 => array:2 [
              "nombre" => "Tullio"
              "apellidos" => "Valente"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289616000156"
        "doi" => "10.1016/j.arbres.2015.11.018"
        "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/S0300289616000156?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916000677?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000008/v1_201607230336/S1579212916000677/v1_201607230336/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1579212916301082"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.06.004"
    "estado" => "S300"
    "fechaPublicacion" => "2016-08-01"
    "aid" => "1227"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2016;52:435"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1679
      "formatos" => array:3 [
        "EPUB" => 144
        "HTML" => 1061
        "PDF" => 474
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "A One-Handed Maneuver for Opening the Airway During Flexible Bronchoscopy Under Deep Sedation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "435"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Maniobra de apertura de la v&#237;a a&#233;rea con una mano en broncoscopia flexible con sedaci&#243;n profunda"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Pablo Rubinstein-Agu&#241;&#237;n, Mar&#237;a Luisa Domenech-Alcocer, Ricardo Leiro-Riera"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Pablo"
              "apellidos" => "Rubinstein-Agu&#241;&#237;n"
            ]
            1 => array:2 [
              "nombre" => "Mar&#237;a Luisa"
              "apellidos" => "Domenech-Alcocer"
            ]
            2 => array:2 [
              "nombre" => "Ricardo"
              "apellidos" => "Leiro-Riera"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289615003117"
        "doi" => "10.1016/j.arbres.2015.07.006"
        "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/S0300289615003117?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916301082?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000008/v1_201607230336/S1579212916301082/v1_201607230336/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
    "titulo" => "Ulcerative Pseudomembranous Tracheobronchitis Caused by <span class="elsevierStyleItalic">Aspergillus fumigatus</span>"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "436"
        "paginaFinal" => "437"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Miguel Ariza-Prota, Arturo Morales-Soto, Antoni Rosell-Grata&#231;os"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Miguel"
            "apellidos" => "Ariza-Prota"
            "email" => array:1 [
              0 => "arizamiguel&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Arturo"
            "apellidos" => "Morales-Soto"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Antoni"
            "apellidos" => "Rosell-Grata&#231;os"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicio de Neumolog&#237;a&#44; Hospital Universitario Central de Asturias&#44; Oviedo&#44; Asturias&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Enfermedades Respiratorias&#44; Facultad de Medicina&#44; Pontificia Universidad Cat&#243;lica de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Unidad de Broncoscopia&#44; Servicio de Neumolog&#237;a&#44; Hospital Universitario de Bellvitge&#44; L&#8217;Hospitalet de Llobregat&#44; Barcelona&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Traqueobronquitis seudomembranosa y ulcerativa causada por <span class="elsevierStyleItalic">Aspergillus fumigatus</span>"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1100
            "Ancho" => 1212
            "Tamanyo" => 160208
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Loss of volume in the left hemithorax with stenosis of the left main bronchus and bronchiectasis in the apical segment of the right upper lobe&#46; &#40;B&#41; Left lower paratracheal ulcerative lesion covered with mucopurulent secretion &#40;arrow&#41;&#46; &#40;C&#41; Pseudomembranous mucosa in the distal third of the trachea and left main bronchus&#46; &#40;D&#41; Balloon catheter dilation of stenosis in left main bronchus&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 71-year-old man with a history of lung adenocarcinoma diagnosed and treated in 2006 with concomitant chemo- and radiotherapy&#44; presented in February 2015 with recurrent respiratory infections&#46; Chest and abdomen computed tomography &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; showed stenosis of the left main bronchus&#46; Flexible bronchoscopy revealed&#58; &#40;a&#41; left lower paratracheal ulcerative lesion covered with mucopurulent secretion &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41; and &#40;b&#41; pseudomembranous mucosa in the distal third of the trachea and left main bronchus &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; The left main bronchus was successfully dilated with a balloon catheter &#40;CRE&#8482; Pulmonary&#59; Boston Scientific&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#41;&#46; Tracheobronchial aspiration was performed in the left main bronchus and endobronchial biopsies were obtained from the ulcerative lesions&#46; The biopsy revealed bifurcated hyphae at 45&#176; angles&#44; with positive Grocott staining&#44; confirming the diagnosis of <span class="elsevierStyleItalic">Aspergillus fumigatus&#46;</span> Culture of the tracheobronchial aspirate was positive for <span class="elsevierStyleItalic">Aspergillus fumigatus&#46;</span></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Treatment was started with liposomal amphotericin B &#40;25<span class="elsevierStyleHsp" style=""></span>mg twice a week&#41; for 2 months &#40;first phase&#41;&#46; The patient&#39;s respiratory status is currently stable&#44; and endoscopic monitoring and treatment review are pending&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The pseudomembranous form of invasive tracheobronchial aspergillosis is characterized by extensive involvement of the lower airways&#44; with detachment of the necrotic epithelium which&#44; together with the endobronchial mucosa&#44; form the pseudomembranes which cover the mucosa surface&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Diagnosis should be based on clinical findings&#44; imaging tests&#44; bronchoscopy&#44; pathology examination&#44; and culture and identification of the fungus&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> This variant occurs mainly in immunosuppressed patients&#44; such as lung transplant recipients and patients with HIV&#44; hematological and non-hematological cancers&#44; and COPD patients&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a></p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Ariza-Prota M&#44; Morales-Soto A&#44; Rosell-Grata&#231;os A&#46; Traqueobronquitis seudomembranosa y ulcerativa causada por <span class="elsevierStyleItalic">Aspergillus fumigatus</span>&#46; Arch Bronconeumol&#46; 2016&#59;52&#58;436&#8211;437&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1100
            "Ancho" => 1212
            "Tamanyo" => 160208
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Loss of volume in the left hemithorax with stenosis of the left main bronchus and bronchiectasis in the apical segment of the right upper lobe&#46; &#40;B&#41; Left lower paratracheal ulcerative lesion covered with mucopurulent secretion &#40;arrow&#41;&#46; &#40;C&#41; Pseudomembranous mucosa in the distal third of the trachea and left main bronchus&#46; &#40;D&#41; Balloon catheter dilation of stenosis in left main bronchus&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudomembranous and obstructive <span class="elsevierStyleItalic">Aspergillus tracheobronchitis</span>&#58; optimal diagnostic strategy and outcome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Tasci"
                            1 => "A&#46; Glasmacher"
                            2 => "S&#46; Lentini"
                            3 => "K&#46; Tschubel"
                            4 => "S&#46; Ewig"
                            5 => "E&#46; Molitor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1439-0507.2006.01301.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mycoses"
                        "fecha" => "2006"
                        "volumen" => "49"
                        "paginaInicial" => "37"
                        "paginaFinal" => "42"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16961581"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rapid diagnosis of invasive aspergillosis by antigen detection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46;J&#46; Wheat"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Transpl Infect Dis"
                        "fecha" => "2003"
                        "volumen" => "5"
                        "paginaInicial" => "158"
                        "paginaFinal" => "166"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14987199"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ulcerative and plaque-like tracheobronchitis due to infection with <span class="elsevierStyleItalic">Aspergillus</span> in patients with AIDS"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;A&#46; Kemper"
                            1 => "J&#46;S&#46; Hostetler"
                            2 => "S&#46;E&#46; Follansbee"
                            3 => "P&#46; Ruane"
                            4 => "D&#46; Covington"
                            5 => "S&#46;S&#46; Leong"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Infect Dis"
                        "fecha" => "1993"
                        "volumen" => "17"
                        "paginaInicial" => "344"
                        "paginaFinal" => "352"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8218674"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005200000008/v1_201607230336/S1579212916301094/v1_201607230336/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/15792129/0000005200000008/v1_201607230336/S1579212916301094/v1_201607230336/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916301094?idApp=UINPBA00003Z"
]
Article information
ISSN: 15792129
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 2 0 2
2024 October 53 15 68
2024 September 71 13 84
2024 August 66 34 100
2024 July 44 26 70
2024 June 79 30 109
2024 May 87 35 122
2024 April 36 26 62
2024 March 45 35 80
2024 February 27 17 44
2023 March 16 3 19
2023 February 59 26 85
2023 January 53 31 84
2022 December 60 32 92
2022 November 73 35 108
2022 October 103 40 143
2022 September 102 33 135
2022 August 91 56 147
2022 July 77 53 130
2022 June 98 43 141
2022 May 63 52 115
2022 April 49 34 83
2022 March 62 44 106
2022 February 42 39 81
2022 January 53 38 91
2021 December 35 39 74
2021 November 90 54 144
2021 October 45 50 95
2021 September 44 59 103
2021 August 59 39 98
2021 July 22 21 43
2021 June 58 52 110
2021 May 41 44 85
2021 April 100 121 221
2021 March 59 29 88
2021 February 37 29 66
2021 January 35 27 62
2020 December 29 28 57
2020 November 44 22 66
2020 October 39 14 53
2020 September 25 14 39
2020 August 27 15 42
2020 July 33 17 50
2020 June 36 8 44
2020 May 27 24 51
2020 April 42 23 65
2020 March 37 21 58
2020 February 26 26 52
2020 January 34 26 60
2019 December 36 29 65
2019 November 38 34 72
2019 October 19 25 44
2019 September 18 13 31
2019 August 27 17 44
2019 July 31 18 49
2019 June 29 8 37
2019 May 33 16 49
2019 April 60 16 76
2019 March 31 20 51
2019 February 34 17 51
2019 January 26 20 46
2018 December 23 14 37
2018 November 57 23 80
2018 October 113 17 130
2018 September 38 7 45
2018 May 18 0 18
2018 April 66 10 76
2018 March 35 2 37
2018 February 41 10 51
2018 January 134 9 143
2017 December 79 7 86
2017 November 19 4 23
2017 October 24 4 28
2017 September 23 5 28
2017 August 23 9 32
2017 July 20 6 26
2017 June 35 17 52
2017 May 27 17 44
2017 April 25 14 39
2017 March 18 7 25
2017 February 12 9 21
2017 January 16 6 22
2016 December 30 21 51
2016 November 40 33 73
2016 October 2 2 4
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

Are you a health professional able to prescribe or dispense drugs?