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Coincident Tuberculosis and Tracheobronchopathia Osteochondroplastica in a Patient
Tuberculosis y traqueobroncopatía osteocondroplásica coincidentes en un paciente
Marta Sousa
, João Silva, Bárbara Rodrigues
Corresponding author
Serviço de Pneumologia, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
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An Unusual Complication of Pancreatitis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "344" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fístula pancreato-torácica, una inusual complicación de la pancreatitis" ] ] "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" => 600 "Ancho" => 1447 "Tamanyo" => 146922 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Coronal reconstructions of CT in a 47-year-old patient with a history of chronic pancreatitis complicated by a thoracopancreatic fistula. 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Lung centrilobular nodules and a left pleural effusion can also be seen on Chest CT (a).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Tracheobronchopathia osteochondroplastica (OT) is a rare benign disorder characterized by the presence of multiple osseous or cartilaginous nodules in the submucosa of the trachea and main bronchi.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> We report the case of a 70 year-old male admitted to our hospital for a left pleural effusion interpreted as metapneumonic and treated with antibiotics. The chest-CT revealed a left pleural effusion, centrilobular lung nodules, and calcified nodular irregularities in the lower portion of the anterior wall of the trachea (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a). Blood cultures were positive for <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> (MT). He was submitted to a bronchofibroscopy, where white ‘rock’ lesions were observed in the trachea and biopsied (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b). The histology confirmed the diagnosis of OT. MT was isolated from bronchial secretions and the diagnosis of Pulmonary Tuberculosis was also established. The patient completed 6-months of tuberculostatic treatment and is now asymptomatic. As described in the literature and observed in this case, the diagnosis of OT is usually incidental and the clinical course is benign, with only a few cases requiring local treatment for stenosis or uncontrolled symptoms. It is also worth noting the increased risk of infections<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> and the importance of considering this diagnosis when radiological and endoscopic changes described are observed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Sousa M, Silva J, Rodrigues B. Tuberculosis y traqueobroncopatía osteocondroplásica coincidentes en un paciente. Arch Bronconeumol. 2017;53:343.</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" => 554 "Ancho" => 1500 "Tamanyo" => 128106 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT (a) and bronchofibroscopy (b) revealing osteocartilagenous nodules in the anterior wall of the trachea. Lung centrilobular nodules and a left pleural effusion can also be seen on Chest CT (a).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheobronchopathia osteochondroplastica: case report and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Sun" 1 => "L. Xie" 2 => "X. Su" 3 => "X. Zhang" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rmcr.2015.03.003" "Revista" => array:6 [ "tituloSerie" => "Respir Med Case Rep" "fecha" => "2015" "volumen" => "15" "paginaInicial" => "14" "paginaFinal" => "17" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26236591" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheobronchopathia osteochondroplastica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "U.B. Prakash" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/s-2002-25305" "Revista" => array:7 [ "tituloSerie" => "Semin Respir Crit Care Med" "fecha" => "2002" "volumen" => "23" "paginaInicial" => "167" "paginaFinal" => "175" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16088609" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1470204506705848" "estado" => "S300" "issn" => "14702045" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005300000006/v2_201707150125/S1579212917300125/v2_201707150125/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/15792129/0000005300000006/v2_201707150125/S1579212917300125/v2_201707150125/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917300125?idApp=UINPBA00003Z" ]
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