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Tumoración en mediastino anterior con áreas necrosadas, como remanente embriológico infectado.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ruth Yeste Martín, Luis Javier Navarro Marín, Carmen Herrero Rodríguez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ruth" "apellidos" => "Yeste Martín" ] 1 => array:2 [ "nombre" => "Luis Javier" "apellidos" => "Navarro Marín" ] 2 => array:2 [ "nombre" => "Carmen" "apellidos" => "Herrero Rodríguez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212917300551" "doi" => "10.1016/j.arbr.2017.02.007" "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/S1579212917300551?idApp=UINPBA00003Z" ] ] "EPUB" => 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Anterior mediastinal mass with necrotized areas of infected embryonic remnants.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 51-year-old man, former smoker with a history of hepatitis C infection, presented with symptoms of fever, arthralgia, and weight loss. After case history and physical examination were completed, which were unremarkable, additional tests were requested: complete blood count, serum biochemistry, viral serologies, autoimmunity, Mantoux and blood cultures. Of note was C-reactive protein 238<span class="elsevierStyleHsp" style=""></span>mg/l. Imaging studies were performed, and a chest radiograph revealed a picture of water density in the right hilum and the chest computed tomography (CT) showed an anterior mediastinal mass 9<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>7<span class="elsevierStyleHsp" style=""></span>cm consistent with infected embryonic remnants (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient was diagnosed with an infected pleuropericardial cyst, and antibiotic treatment began. Progress was good so the patient was discharged and scheduled for surgical extraction of the cyst.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pleuropericardial cyst is an uncommon lesion that occurs at an incidence of 1 in 100,000 cases. It is normally located in the mid-mediastinum, and is often asymptomatic and found by chance,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> but it may be complicated by compression from adjacent structures,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> infection or bleeding from the cyst itself.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Treatment is conservative, and surgical treatment is reserved for symptomatic cases. In our patient, both the form of presentation (infection) and the site (anterior) are unusual.</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: Yeste Martín R, Navarro Marín LJ, Herrero Rodríguez, C. Quiste pleuropericárdico: localización y presentación inusuales. Arch Bronconeumol. 2017;53:208.</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" => 1003 "Ancho" => 1800 "Tamanyo" => 157639 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT. Anterior mediastinal mass with necrotized areas of infected embryonic remnants.</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" => "Quiste pericárdico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Gervilla Caño" 1 => "J. Soler González" 2 => "J. Melé Olivé" 3 => "P. Domingo Salvany" 4 => "E. Mayolas Saura" 5 => "C. Oriol Zerbe" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Semergen" "fecha" => "2010" "volumen" => "36" "paginaInicial" => "174" "paginaFinal" => "176" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pleuro pericardial cyst" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Adil" 1 => "S. Hashamani" 2 => "G.U. Khan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2010/JCPSP.685686" "Revista" => array:6 [ "tituloSerie" => "J Coll Physicians Surg Pak" "fecha" => "2010" "volumen" => "20" "paginaInicial" => "685" "paginaFinal" => "686" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20943113" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005300000004/v1_201704070039/S1579212917300551/v1_201704070039/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/15792129/0000005300000004/v1_201704070039/S1579212917300551/v1_201704070039/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917300551?idApp=UINPBA00003Z" ]
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