Scientific Letter
Chylothorax in a Patient Receiving Hemodialysis
Quilotórax en paciente en hemodiálisis
Elizabeth María De Freitas González
, Jesús Antonio Villegas Alcázar, Silvia García García
Corresponding author
Servicio de Neumología, Complejo Asistencial Universitario de León, León, Spain
Read
4228
Timeswas read the article
1734
Total PDF
2494
Total HTML
Share statistics
array:24 [ "pii" => "S1579212917301817" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.05.010" "estado" => "S300" "fechaPublicacion" => "2017-07-01" "aid" => "1486" "copyright" => "SEPAR" "copyrightAnyo" => "2016" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:404" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1368 "formatos" => array:3 [ "EPUB" => 137 "HTML" => 867 "PDF" => 364 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0300289616302691" "issn" => "03002896" "doi" => "10.1016/j.arbres.2016.10.009" "estado" => "S300" "fechaPublicacion" => "2017-07-01" "aid" => "1486" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:404" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2589 "formatos" => array:3 [ "EPUB" => 140 "HTML" => 1895 "PDF" => 554 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta científica</span>" "titulo" => "Quilotórax en paciente en hemodiálisis" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "404" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Chylothorax in a Patient Receiving Hemodialysis" ] ] "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" => 719 "Ancho" => 909 "Tamanyo" => 75959 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Derrame pleural derecho. Catéter en vena cava superior.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Elizabeth María De Freitas González, Jesús Antonio Villegas Alcázar, Silvia García García" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Elizabeth María" "apellidos" => "De Freitas González" ] 1 => array:2 [ "nombre" => "Jesús Antonio" "apellidos" => "Villegas Alcázar" ] 2 => array:2 [ "nombre" => "Silvia" "apellidos" => "García García" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212917301817" "doi" => "10.1016/j.arbr.2017.05.010" "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/S1579212917301817?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289616302691?idApp=UINPBA00003Z" "url" => "/03002896/0000005300000007/v2_201706291228/S0300289616302691/v2_201706291228/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212917301829" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.05.011" "estado" => "S300" "fechaPublicacion" => "2017-07-01" "aid" => "1484" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:405-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1428 "formatos" => array:3 [ "EPUB" => 135 "HTML" => 831 "PDF" => 462 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Pulmonary Lymphoma. A Case Report" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "405" "paginaFinal" => "406" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Linfoma pulmonar: a propósito de un caso" ] ] "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" => 1344 "Ancho" => 1712 "Tamanyo" => 306925 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Positron emission tomography: hypermetabolic left pleural mass, with SUV(max) 10.3 consistent with primary neoplastic lesion (black arrows) and abdominal lymphadenopathies in the hepatic hilum, and retropancreatic and para-aortic lymphadenopathies, suggestive of tumor infiltration (white arrows).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María del Carmen Vera Sanchez, María del Carmen Fernández Aguirre, María Victoria Hidalgo Sanjuan" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María del Carmen" "apellidos" => "Vera Sanchez" ] 1 => array:2 [ "nombre" => "María del Carmen" "apellidos" => "Fernández Aguirre" ] 2 => array:2 [ "nombre" => "María Victoria" "apellidos" => "Hidalgo Sanjuan" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289616302678" "doi" => "10.1016/j.arbres.2016.10.007" "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/S0300289616302678?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917301829?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000007/v1_201706290145/S1579212917301829/v1_201706290145/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212917301805" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.05.009" "estado" => "S300" "fechaPublicacion" => "2017-07-01" "aid" => "1491" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:402-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1598 "formatos" => array:3 [ "EPUB" => 134 "HTML" => 1022 "PDF" => 442 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "An Unusual Occupant of the Pulmonary Artery" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "402" "paginaFinal" => "404" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Un ocupante insólito de la arteria pulmonar" ] ] "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" => 1191 "Ancho" => 1427 "Tamanyo" => 261200 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography showing hypodense nodular images in the interior of the right pulmonary artery suggestive of cysts in the axial, sagittal, and coronal projections (A–C). Intra-operative view after clamping of the right pulmonary artery and arteriotomy of the lower lobe branch, showing hydatid membranes in the interior (D).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Teresa Gómez Hernández, María Rodríguez Pérez, Pilar García Hernández, Marcelo F. Jiménez López" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M. Teresa" "apellidos" => "Gómez Hernández" ] 1 => array:2 [ "nombre" => "María" "apellidos" => "Rodríguez Pérez" ] 2 => array:2 [ "nombre" => "Pilar" "apellidos" => "García Hernández" ] 3 => array:2 [ "nombre" => "Marcelo F." "apellidos" => "Jiménez López" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289616302745" "doi" => "10.1016/j.arbres.2016.10.012" "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/S0300289616302745?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917301805?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000007/v1_201706290145/S1579212917301805/v1_201706290145/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Chylothorax in a Patient Receiving Hemodialysis" "tieneTextoCompleto" => true "saludo" => "To the Editor:" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "404" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Elizabeth María De Freitas González, Jesús Antonio Villegas Alcázar, Silvia García García" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Elizabeth María" "apellidos" => "De Freitas González" "email" => array:1 [ 0 => "elizabethdefreitas2810@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Jesús Antonio" "apellidos" => "Villegas Alcázar" ] 2 => array:2 [ "nombre" => "Silvia" "apellidos" => "García García" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología, Complejo Asistencial Universitario de León, León, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Quilotórax en paciente en hemodiálisis" ] ] "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" => 719 "Ancho" => 909 "Tamanyo" => 75959 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Right pleural effusion. Catheter in superior vena cava.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of an 84-year-old woman, with a history of arterial hypertension, type 2 diabetes, diabetic nephropathy treated with dialysis via a right jugular vein catheter (thrombosed 3 months before admission), and spinal stenosis (L4–L5). She was referred to the emergency department when she reported cough during a hemodialysis session, and pulmonary auscultation revealed diminished breath sounds in the lower half of the right hemithorax. She did not have fever or dyspnea. In the days before admission, she had received amoxicillin/clavulanate for a possible urinary infection. Physical examination showed arteriovenous fistula for hemodialysis access in the left forearm, rhythmic heart sounds with a grade III/IV systolic murmur in the mitral valve, and diminished breath sounds in the right lung base. Complete blood count and biochemistry results were normal, except for proBNP 1750 and triglycerides 99<span class="elsevierStyleHsp" style=""></span>mm/dl. Chest radiography revealed pleural effusion in the lower third of the right hemithorax, thickening of the minor fissure, and catheter in the right jugular vein. A diagnostic thoracocentesis was performed, obtaining milky fluid with pH 7.30, ADA 21<span class="elsevierStyleHsp" style=""></span>U/l, LDH 119<span class="elsevierStyleHsp" style=""></span>U/l, glucose 214<span class="elsevierStyleHsp" style=""></span>mg/dl, total proteins 4.1<span class="elsevierStyleHsp" style=""></span>g/dl, cholesterol 94<span class="elsevierStyleHsp" style=""></span>mg/dl, and triglycerides 870<span class="elsevierStyleHsp" style=""></span>mg/dl. Cytology was negative for malignancy. Chest CT findings included large right pleural effusion, passive atelectasis of the right lung with mediastinal shift, large collateral circulation in the right hemithorax through the azygos/hemiazygos system, and superior vena cava stenosis with a right jugular vein catheter (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The central jugular catheter was removed under fluoroscopic control, and replaced by a femoral catheter. Before chylothorax was diagnosed, a pleural drain was placed, which collected 1800<span class="elsevierStyleHsp" style=""></span>ml. Chest radiograph on discharge showed complete resolution of the pleural effusion, which did not relapse during follow-up.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Patients receiving hemodialysis may develop pleural effusion for diverse reasons. Some may be exudates in the setting of infections, cancers, uremic pleuritis, and hemothorax, but most are transudates caused by volume overload or changes in venous drainage. Chylothorax, on the other hand, is rare.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> In the case of our patient, thrombosis of the central jugular vein catheter led to the appearance of stenosis/obstruction of the superior vena cava, obstructing lymphatic drainage and promoting the formation of chylothorax.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In short, chylothorax is a rarely documented cause of effusion in patients undergoing hemodialysis,<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> and requires an appropriate clinical suspicion and a specific therapeutic approach, including withdrawal of the hemodialysis catheter.<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" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: De Freitas González EM, Villegas Alcázar JA, García García S. Quilotórax en paciente en hemodiálisis. Arch Bronconeumol. 2017;53:404.</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" => 719 "Ancho" => 909 "Tamanyo" => 75959 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Right pleural effusion. Catheter in superior vena cava.</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" => "Quilotórax: una causa poco frecuente de derrame pleural en los pacientes en hemodiálisis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Torres Guinea" 1 => "G. de Arriba" 2 => "M.A. Basterrechea" 3 => "J. Ocaña" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Nefrologia" "fecha" => "2008" "volumen" => "28" "paginaInicial" => "353" "paginaFinal" => "354" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18590509" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Patología de la Pleura" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "Sociedad Española de Cirugía Torácica" "etal" => false "autores" => array:3 [ 0 => "R. Peñalver" 1 => "J. Isea Viña" 2 => "L. Martínez Huerta" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2013" "editorial" => "Panamericana" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chylopericardium and chylothorax: unusual mechanical complications of central venous catheters" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "K. Alkayed" 1 => "G. Plautz" 2 => "K. Gowans" 3 => "G. Rosenthal" 4 => "O. Soldes" 5 => "A.M. Qureshi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1442-200X.2012.03701.x" "Revista" => array:6 [ "tituloSerie" => "Pediatr Int" "fecha" => "2013" "volumen" => "55" "paginaInicial" => "e4" "paginaFinal" => "e6" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23679183" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005300000007/v1_201706290145/S1579212917301817/v1_201706290145/en/main.assets" "Apartado" => array:4 [ "identificador" => "49861" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Scientific letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005300000007/v1_201706290145/S1579212917301817/v1_201706290145/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917301817?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 7 | 11 |
| 2024 October | 50 | 17 | 67 |
| 2024 September | 55 | 33 | 88 |
| 2024 August | 79 | 51 | 130 |
| 2024 July | 48 | 23 | 71 |
| 2024 June | 55 | 32 | 87 |
| 2024 May | 66 | 26 | 92 |
| 2024 April | 42 | 29 | 71 |
| 2024 March | 57 | 21 | 78 |
| 2024 February | 47 | 22 | 69 |
| 2023 March | 10 | 3 | 13 |
| 2023 February | 33 | 21 | 54 |
| 2023 January | 18 | 40 | 58 |
| 2022 December | 46 | 38 | 84 |
| 2022 November | 54 | 22 | 76 |
| 2022 October | 43 | 49 | 92 |
| 2022 September | 32 | 27 | 59 |
| 2022 August | 36 | 34 | 70 |
| 2022 July | 35 | 47 | 82 |
| 2022 June | 29 | 36 | 65 |
| 2022 May | 30 | 29 | 59 |
| 2022 April | 28 | 37 | 65 |
| 2022 March | 33 | 37 | 70 |
| 2022 February | 42 | 29 | 71 |
| 2022 January | 36 | 42 | 78 |
| 2021 December | 39 | 53 | 92 |
| 2021 November | 30 | 43 | 73 |
| 2021 October | 25 | 47 | 72 |
| 2021 September | 37 | 43 | 80 |
| 2021 August | 19 | 37 | 56 |
| 2021 July | 22 | 23 | 45 |
| 2021 June | 32 | 32 | 64 |
| 2021 May | 35 | 38 | 73 |
| 2021 April | 75 | 100 | 175 |
| 2021 March | 35 | 22 | 57 |
| 2021 February | 15 | 21 | 36 |
| 2021 January | 31 | 10 | 41 |
| 2020 December | 21 | 16 | 37 |
| 2020 November | 16 | 10 | 26 |
| 2020 October | 21 | 21 | 42 |
| 2020 September | 21 | 13 | 34 |
| 2020 August | 25 | 14 | 39 |
| 2020 July | 27 | 22 | 49 |
| 2020 June | 14 | 4 | 18 |
| 2020 May | 28 | 9 | 37 |
| 2020 April | 21 | 26 | 47 |
| 2020 March | 17 | 10 | 27 |
| 2020 February | 34 | 13 | 47 |
| 2020 January | 31 | 13 | 44 |
| 2019 December | 27 | 20 | 47 |
| 2019 November | 28 | 23 | 51 |
| 2019 October | 25 | 16 | 41 |
| 2019 September | 23 | 15 | 38 |
| 2019 August | 23 | 17 | 40 |
| 2019 July | 52 | 21 | 73 |
| 2019 June | 13 | 10 | 23 |
| 2019 May | 27 | 19 | 46 |
| 2019 April | 56 | 19 | 75 |
| 2019 March | 29 | 18 | 47 |
| 2019 February | 17 | 10 | 27 |
| 2019 January | 24 | 15 | 39 |
| 2018 December | 16 | 11 | 27 |
| 2018 November | 41 | 31 | 72 |
| 2018 October | 87 | 34 | 121 |
| 2018 September | 20 | 8 | 28 |
| 2018 May | 28 | 0 | 28 |
| 2018 April | 30 | 5 | 35 |
| 2018 March | 55 | 7 | 62 |
| 2018 February | 54 | 6 | 60 |
| 2018 January | 44 | 9 | 53 |
| 2017 December | 53 | 9 | 62 |
| 2017 November | 19 | 8 | 27 |
| 2017 October | 23 | 11 | 34 |
| 2017 September | 1 | 0 | 1 |
Show all
