array:24 [
  "pii" => "S1579212918304221"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2018.12.002"
  "estado" => "S300"
  "fechaPublicacion" => "2019-02-01"
  "aid" => "1911"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2018"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Arch Bronconeumol. 2019;55:105-6"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 509
    "formatos" => array:3 [
      "EPUB" => 41
      "HTML" => 384
      "PDF" => 84
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289618301856"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2018.04.018"
      "estado" => "S300"
      "fechaPublicacion" => "2019-02-01"
      "aid" => "1911"
      "copyright" => "SEPAR"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Arch Bronconeumol. 2019;55:105-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 877
        "formatos" => array:3 [
          "EPUB" => 61
          "HTML" => 651
          "PDF" => 165
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fica</span>"
        "titulo" => "Urinot&#243;rax e insuficiencia renal cr&#243;nica&#58; una rara asociaci&#243;n"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "105"
            "paginaFinal" => "106"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Urinothorax and Chronic Renal Failure&#58; A Rare Combination"
          ]
        ]
        "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" => 722
                "Ancho" => 1400
                "Tamanyo" => 124660
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#41; L&#237;quido pleural te&#241;ido de rifampicina&#46; B&#41; Rx de t&#243;rax que muestra un derrame pleural que ocupa 2&#47;3 inferiores del hemit&#243;rax izquierdo&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Virginia Molina, Eusebi Chiner, Mar Arlandis, Sandra Ba&#241;es"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Virginia"
                "apellidos" => "Molina"
              ]
              1 => array:2 [
                "nombre" => "Eusebi"
                "apellidos" => "Chiner"
              ]
              2 => array:2 [
                "nombre" => "Mar"
                "apellidos" => "Arlandis"
              ]
              3 => array:2 [
                "nombre" => "Sandra"
                "apellidos" => "Ba&#241;es"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212918304221"
          "doi" => "10.1016/j.arbr.2018.12.002"
          "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/S1579212918304221?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289618301856?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005500000002/v1_201902020631/S0300289618301856/v1_201902020631/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212918304233"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2018.12.003"
    "estado" => "S300"
    "fechaPublicacion" => "2019-02-01"
    "aid" => "1913"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2019;55:107-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 420
      "formatos" => array:3 [
        "EPUB" => 49
        "HTML" => 280
        "PDF" => 91
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "High-Altitude Acute Pulmonary Edema after 48 Hours in a Ski Station"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "107"
          "paginaFinal" => "108"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Edema agudo de pulm&#243;n por altura tras 48 horas de estancia en una estaci&#243;n de esqu&#237;"
        ]
      ]
      "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" => 593
              "Ancho" => 1500
              "Tamanyo" => 97094
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">On the left&#44; chest X-ray with bilateral reticular cotton&#8211;wool infiltrates&#46; On the right&#44; CT-angiogram &#40;parenchymal window&#41; showing alveolar and ground glass opacities in both lungs&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Paula Isabel Garc&#237;a Flores, Alberto Caballero V&#225;zquez, &#193;ngela Herrera Chilla, Ana Dolores Romero Ortiz"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Paula Isabel"
              "apellidos" => "Garc&#237;a Flores"
            ]
            1 => array:2 [
              "nombre" => "Alberto"
              "apellidos" => "Caballero V&#225;zquez"
            ]
            2 => array:2 [
              "nombre" => "&#193;ngela"
              "apellidos" => "Herrera Chilla"
            ]
            3 => array:2 [
              "nombre" => "Ana Dolores"
              "apellidos" => "Romero Ortiz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S030028961830187X"
        "doi" => "10.1016/j.arbres.2018.04.020"
        "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/S030028961830187X?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918304233?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005500000002/v1_201902020656/S1579212918304233/v1_201902020656/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S157921291830421X"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2018.12.001"
    "estado" => "S300"
    "fechaPublicacion" => "2019-02-01"
    "aid" => "1908"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2019;55:104-5"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 573
      "formatos" => array:3 [
        "EPUB" => 38
        "HTML" => 424
        "PDF" => 111
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "Atypical Presentation of Pulmonary Tuberculosis in an Immunocompetent Patient"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "104"
          "paginaFinal" => "105"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Tuberculosis pulmonar con presentaci&#243;n at&#237;pica en paciente inmunocompetente"
        ]
      ]
      "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" => 575
              "Ancho" => 1300
              "Tamanyo" => 92230
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Posteroanterior chest X-ray &#40;A&#41; with patchy pseudonodular opacities&#44; predominantly in the middle and upper fields&#46; No pleural effusion or mediastinal widening is seen&#46; Chest CT cross-sectional slice &#40;B&#41; showing centrolobular pulmonary opacities with a tendency to coalesce&#44; predominantly in the upper and middle fields&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Elisabeth Gallardo P&#233;rez, Cristina Trasancos Escura, Isabel Pacheco Tenza, Ignacio Massa Navarrete"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Elisabeth"
              "apellidos" => "Gallardo P&#233;rez"
            ]
            1 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "Trasancos Escura"
            ]
            2 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Pacheco Tenza"
            ]
            3 => array:2 [
              "nombre" => "Ignacio"
              "apellidos" => "Massa Navarrete"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289618301820"
        "doi" => "10.1016/j.arbres.2018.04.016"
        "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/S0300289618301820?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921291830421X?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005500000002/v1_201902020656/S157921291830421X/v1_201902020656/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
    "titulo" => "Urinothorax and Chronic Renal Failure&#58; A Rare Combination"
    "tieneTextoCompleto" => true
    "saludo" => "<span class="elsevierStyleItalic">To the Editor</span>&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "105"
        "paginaFinal" => "106"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Virginia Molina, Eusebi Chiner, Mar Arlandis, Sandra Va&#241;es"
        "autores" => array:4 [
          0 => array:2 [
            "nombre" => "Virginia"
            "apellidos" => "Molina"
          ]
          1 => array:4 [
            "nombre" => "Eusebi"
            "apellidos" => "Chiner"
            "email" => array:1 [
              0 => "echinervives&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          2 => array:2 [
            "nombre" => "Mar"
            "apellidos" => "Arlandis"
          ]
          3 => array:2 [
            "nombre" => "Sandra"
            "apellidos" => "Va&#241;es"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Neumolog&#237;a&#44; Hospital Upl&#44; Sant Joan d&#8217;Alacant&#44; Alicante&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Urinot&#243;rax e insuficiencia renal cr&#243;nica&#58; una rara asociaci&#243;n"
      ]
    ]
    "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" => 722
            "Ancho" => 1400
            "Tamanyo" => 124660
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Rifampicin-stained pleural fluid&#46; &#40;B&#41; Chest X-ray showing a pleural effusion occupying the lower two thirds of the left hemithorax&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Urinothorax&#44; a rare cause of pleural effusion &#40;PE&#41;&#44; consists of the presence of urine in the pleural cavity&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#8211;10</span></a> It is generally associated with obstructive urinary disease or urinary tract lesion&#44; causing accumulation of urine in the retroperitoneal space&#44; which is filtered to the pleural cavity&#46; Pleural fluid &#40;PF&#41; is usually a transudate&#44; ipsilateral to the lesion&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#8211;9</span></a> We report a case of recurrent&#44; difficult-to-manage urinothorax in a patient with stage 4 chronic renal failure&#44; with no apparent obstructive urinary disease&#46; We discuss the pathogenesis of this entity and underline the importance of recognizing this exceptional clinical picture&#44; not previously described in the literature&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">This was an 89-year-old man&#44; non-smoker with a history of arterial hypertension&#44; dyslipidemia&#44; and stage IV chronic kidney disease&#44; with atrophic left kidney due to left renal artery stenosis&#46; He was receiving anticoagulation for chronic atrial fibrillation&#44; and had undergone transurethral resection for benign prostatic hypertrophy&#44; and pulmonary thromboembolism in 2015&#46; He presented in the emergency room for progressive worsening of dyspnea and pain in the left hemithorax&#44; without no previous fever or catarrh&#46; Physical examination showed tachyarrhythmia without murmurs&#44; and auscultation of the lungs revealed signs of left PE&#46; Chest X-ray showed PE occupying the lower two thirds of the hemithorax &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Laboratory tests showed 7000 leukocytes with 82&#46;7&#37; neutrophils&#59; creatinine 2&#46;15<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#59; total protein 5&#46;56<span class="elsevierStyleHsp" style=""></span>g&#47;dl&#59; albumin 2&#46;70<span class="elsevierStyleHsp" style=""></span>g&#47;dl&#59; LDH&#58; 178<span class="elsevierStyleHsp" style=""></span>IU&#47;l&#59; and CRP&#58; 18<span class="elsevierStyleHsp" style=""></span>mg&#47;l&#46; Ultrasound and computed tomography &#40;CT&#41; of the abdomen and pelvis showed no signs of hydronephrosis nor free liquid&#44; and left kidney measuring 9<span class="elsevierStyleHsp" style=""></span>cm with irregular contour and atrophic appearance&#44; and a small amount of peri-renal fluid&#46; Renal Doppler showed intra-renal flows with increased resistance indices in both renal arteries&#44; indicative of severe stenosis&#46; Chest ultrasound showed moderate PE without septations&#44; and a diagnostic and therapeutic thoracentesis was performed&#44; yielding 1200<span class="elsevierStyleHsp" style=""></span>ml of cloudy&#44; amber-colored PF&#44; smelling of urine&#46; The PF protein&#47;serum protein ratio was 0&#46;69 and the PF LDH&#47;serum LDH ratio was 0&#46;7&#44; confirming the presence of exudate&#59; pH was 7&#46;11&#46; Creatinine in PF was 3&#46;4<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; with PF creatinine&#47;serum creatinine ratio of 1&#46;58&#44; confirming the suspicion of urinothorax&#46; Microbiological cultures and cytology were negative&#46; Thoracentesis and Pleur-evac<span class="elsevierStyleSup">&#174;</span> were performed 5 times in the following 2 months due to recurrent PE&#46; An intravenous dose of rifampicin was administered&#44; and the PF drained by the Pleur-evac&#174; was confirmed to be copper-colored&#44; so a tunneled pleural catheter was implanted&#44; which remained in place for 2 months&#44; requiring 2 changes of the recipient every week&#46; The patient died of multiple comorbidities and kidney failure not resolved by dialysis&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The first case of urinothorax was described in 1968 by Corriere et al&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">1</span></a> and since then less than 100 reported cases have been reported worldwide&#46; A recent systematic review includes 78 cases&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">8</span></a> Urinothorax is probably underdiagnosed because of its low index of suspicion as a cause of PE&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a> Patients with a history of urinothorax usually present with obstructive disease or lesion of the urinary tract&#44;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#8211;9</span></a> most frequently benign prostatic hyperplasia&#44; hydronephrosis due to acute obstructive lithiasis&#44; bladder cancer&#44; nephrostomy tube&#44; renal biopsy&#44; etc&#46; The leak in the urinary tract causes extravasation of urine into the pleural space&#44; with or without the previous formation of retroperitoneal urinoma&#46; Urinothorax can be ipsilateral to the renal lesion&#44; although in some occasions it can be bilateral&#44; or even contralateral&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">8&#44;9</span></a> Three mechanisms are involved in its pathogenesis<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">3</span></a>&#58; the rupture of a urinoma and passage of urine into the pleural space via a fistula&#59; absorption of a urinoma by subdiaphragmatic lymph nodes&#59; or the passage of urine through anatomical defects in the diaphragm&#46; The urinothorax of our patient differs from the cases published due to the absence of a clear history of hydronephrosis caused by obstructive urinary disease or lesion&#46; However&#44; renal artery stenosis is a potential cause of renal atrophy and pyelocalyceal dilation&#44; which can increase intra-renal pressure&#46;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">11&#44;12</span></a> In our case&#44; urinothorax may be explained by an atrophic left kidney and chronic advanced renal failure&#44; and spontaneous extravasation of urine&#44; with leakage through the peri-renal tissue and fascia&#44; passing directly through the diaphragm to the pleural cavity&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Urinothorax often has an amber color and urine-like smell&#44; and from a biochemical point of view displays characteristics of transudate with a pH<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>7&#46;3 and low protein and glucose ratios&#44;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">6&#44;7</span></a> although in some cases&#44; high levels of LDH lead it to be classified as false exudate&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#8211;8</span></a> The main parameter accepted for the confirmation of a diagnosis of urinothorax is a PF creatinine&#47;serum creatinine ratio greater than 1&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">3&#44;4&#44;7</span></a> Other tests that help us to diagnosis this entity are contrast-enhanced CT and intravenous urography&#44; that can detect urinomas and extravasation to the retroperitoneum&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">2</span></a> Renal scintigraphy with radiotracers such as <span class="elsevierStyleSup">99m</span>Tc DTPA or <span class="elsevierStyleSup">99m</span>Tc MAG3&#44; reveal the connection between the retroperitoneum and the pleural space&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#44;10</span></a> We can also use dyes such as methylene blue&#44; indigo carmine or&#44; as in our case&#44; rifampicin&#44; that stain the PF immediately after it is injected intravenously&#46; Regarding treatment&#44; removing the urinary tract obstruction will lead to progressive resolution of the PE without the need for drainage&#44;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">3&#44;4&#44;8</span></a> but this approach is indicated only in highly symptomatic patients with massive PE&#46; However&#44; in patients with chronic renal failure&#44; atrophic kidneys&#44; and no clear obstructive disease&#44; therapy can be very complicated&#44; requiring the use of palliative treatments&#46;</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; Molina V&#44; Chiner E&#44; Arlandis M&#44; Ba&#241;es S&#46; Urinot&#243;rax e insuficiencia renal cr&#243;nica&#58; una rara asociaci&#243;n&#46; Arch Bronconeumol&#46; 2019&#59;55&#58;105&#8211;106&#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" => 722
            "Ancho" => 1400
            "Tamanyo" => 124660
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Rifampicin-stained pleural fluid&#46; &#40;B&#41; Chest X-ray showing a pleural effusion occupying the lower two thirds of the left hemithorax&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:12 [
            0 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hydronephrosis as a cause of pleural effusion"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;N&#46; Corriere"
                            1 => "W&#46;T&#46; Miller"
                            2 => "J&#46;J&#46; Murphy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/90.1.79"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1968"
                        "volumen" => "90"
                        "paginaInicial" => "79"
                        "paginaFinal" => "84"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4169467"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinothorax&#58; an uncommon cause of pleural effusion"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Wei"
                            1 => "H&#46; Takayama"
                            2 => "M&#46;D&#46; Bacchetta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Respir Med CME"
                        "fecha" => "2009"
                        "volumen" => "2"
                        "paginaInicial" => "179"
                        "paginaFinal" => "180"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinothorax&#58; a new approach"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Garcia-Pach&#243;n"
                            1 => "S&#46; Romero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.mcp.0000230628.65515.86"
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Pulm Med"
                        "fecha" => "2006"
                        "volumen" => "12"
                        "paginaInicial" => "259"
                        "paginaFinal" => "263"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16825877"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinothorax&#58; case report and review of the literature with emphasis on biochemical diagnosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Garcia-Pach&#243;n"
                            1 => "I&#46; Padilla"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1159/000080642"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respiration"
                        "fecha" => "2004"
                        "volumen" => "71"
                        "paginaInicial" => "533"
                        "paginaFinal" => "536"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15467335"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinot&#243;rax&#58; &#191;siempre un trasudado pleural&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Calvache"
                            1 => "X&#46; Pomares Amig&#243;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2008"
                        "volumen" => "44"
                        "paginaInicial" => "286"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18448022"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bilateral urinothorax identified by technetium-99m DPTA renal imaging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;D&#46; Ralston"
                            1 => "R&#46;H&#46; Wilkinson Jr&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Nucl Med"
                        "fecha" => "1986"
                        "volumen" => "27"
                        "paginaInicial" => "56"
                        "paginaFinal" => "59"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3510288"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinothorax&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;E&#46; Toubes"
                            1 => "A&#46; Lama"
                            2 => "L&#46; Ferreiro"
                            3 => "A&#46; Golpe"
                            4 => "J&#46;M&#46; &#193;lvarez-Doba&#241;o"
                            5 => "F&#46;J&#46; Gonz&#225;lez-Barcala"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Thorac Dis"
                        "fecha" => "2017"
                        "volumen" => "9"
                        "paginaInicial" => "1209"
                        "paginaFinal" => "1218"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Unilateral urinothorax can occur contralateral to the affected kidney"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46; Dimitriadis"
                            1 => "A&#46; Tahmatzopoulos"
                            2 => "S&#46; Kampantais"
                            3 => "S&#46; Loannidis"
                            4 => "D&#46; Radopoulos"
                            5 => "V&#46; Katsikas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3109/00365599.2012.695391"
                      "Revista" => array:6 [
                        "tituloSerie" => "Scand J Urol"
                        "fecha" => "2013"
                        "volumen" => "47"
                        "paginaInicial" => "242"
                        "paginaFinal" => "243"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22725633"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pleural effusions&#58; the diagnostic separation of trasudates and exudates"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;W&#46; Light"
                            1 => "M&#46;I&#46; Macgregor"
                            2 => "P&#46;C&#46; Luchsinger"
                            3 => "W&#46;C&#46; Barr Jr&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "1972"
                        "volumen" => "77"
                        "paginaInicial" => "507"
                        "paginaFinal" => "513"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Biochemical features of urinothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;D&#46; Stark"
                            1 => "J&#46;G&#46; Shades"
                            2 => "R&#46;L&#46; Baron"
                            3 => "D&#46;D&#46; Koch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Intern Med"
                        "fecha" => "1982"
                        "volumen" => "142"
                        "paginaInicial" => "1509"
                        "paginaFinal" => "1511"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7103632"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Current approaches to atherosclerotic obstructive renal artery stenosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;I&#46; Juncos"
                            1 => "S&#46; Textor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/1753944715579143"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ther Adv Cardiovasc Dis"
                        "fecha" => "2015"
                        "volumen" => "9"
                        "paginaInicial" => "153"
                        "paginaFinal" => "157"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25907506"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Renal artery stenosis&#58; new findings from the CORAL trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Gupta"
                            1 => "S&#46; Assiri"
                            2 => "C&#46;J&#46; Cooper"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11886-017-0894-2"
                      "Revista" => array:5 [
                        "tituloSerie" => "Curr Cardiol Rep"
                        "fecha" => "2017"
                        "volumen" => "19"
                        "paginaInicial" => "75"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28752274"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005500000002/v1_201902020656/S1579212918304221/v1_201902020656/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/15792129/0000005500000002/v1_201902020656/S1579212918304221/v1_201902020656/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918304221?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Scientific Letter
Urinothorax and Chronic Renal Failure: A Rare Combination
Urinotórax e insuficiencia renal crónica: una rara asociación
Virginia Molina, Eusebi Chiner
Corresponding author
echinervives@gmail.com

Corresponding author.
, Mar Arlandis, Sandra Vañes
Servicio de Neumología, Hospital Upl, Sant Joan d’Alacant, Alicante, Spain
Read
3846
Times
was read the article
1255
Total PDF
2591
Total HTML
Share statistics
 array:24 [
  "pii" => "S1579212918304221"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2018.12.002"
  "estado" => "S300"
  "fechaPublicacion" => "2019-02-01"
  "aid" => "1911"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2018"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Arch Bronconeumol. 2019;55:105-6"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 509
    "formatos" => array:3 [
      "EPUB" => 41
      "HTML" => 384
      "PDF" => 84
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289618301856"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2018.04.018"
      "estado" => "S300"
      "fechaPublicacion" => "2019-02-01"
      "aid" => "1911"
      "copyright" => "SEPAR"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Arch Bronconeumol. 2019;55:105-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 877
        "formatos" => array:3 [
          "EPUB" => 61
          "HTML" => 651
          "PDF" => 165
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fica</span>"
        "titulo" => "Urinot&#243;rax e insuficiencia renal cr&#243;nica&#58; una rara asociaci&#243;n"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "105"
            "paginaFinal" => "106"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Urinothorax and Chronic Renal Failure&#58; A Rare Combination"
          ]
        ]
        "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" => 722
                "Ancho" => 1400
                "Tamanyo" => 124660
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#41; L&#237;quido pleural te&#241;ido de rifampicina&#46; B&#41; Rx de t&#243;rax que muestra un derrame pleural que ocupa 2&#47;3 inferiores del hemit&#243;rax izquierdo&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Virginia Molina, Eusebi Chiner, Mar Arlandis, Sandra Ba&#241;es"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Virginia"
                "apellidos" => "Molina"
              ]
              1 => array:2 [
                "nombre" => "Eusebi"
                "apellidos" => "Chiner"
              ]
              2 => array:2 [
                "nombre" => "Mar"
                "apellidos" => "Arlandis"
              ]
              3 => array:2 [
                "nombre" => "Sandra"
                "apellidos" => "Ba&#241;es"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212918304221"
          "doi" => "10.1016/j.arbr.2018.12.002"
          "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/S1579212918304221?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289618301856?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005500000002/v1_201902020631/S0300289618301856/v1_201902020631/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212918304233"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2018.12.003"
    "estado" => "S300"
    "fechaPublicacion" => "2019-02-01"
    "aid" => "1913"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2019;55:107-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 420
      "formatos" => array:3 [
        "EPUB" => 49
        "HTML" => 280
        "PDF" => 91
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "High-Altitude Acute Pulmonary Edema after 48 Hours in a Ski Station"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "107"
          "paginaFinal" => "108"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Edema agudo de pulm&#243;n por altura tras 48 horas de estancia en una estaci&#243;n de esqu&#237;"
        ]
      ]
      "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" => 593
              "Ancho" => 1500
              "Tamanyo" => 97094
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">On the left&#44; chest X-ray with bilateral reticular cotton&#8211;wool infiltrates&#46; On the right&#44; CT-angiogram &#40;parenchymal window&#41; showing alveolar and ground glass opacities in both lungs&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Paula Isabel Garc&#237;a Flores, Alberto Caballero V&#225;zquez, &#193;ngela Herrera Chilla, Ana Dolores Romero Ortiz"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Paula Isabel"
              "apellidos" => "Garc&#237;a Flores"
            ]
            1 => array:2 [
              "nombre" => "Alberto"
              "apellidos" => "Caballero V&#225;zquez"
            ]
            2 => array:2 [
              "nombre" => "&#193;ngela"
              "apellidos" => "Herrera Chilla"
            ]
            3 => array:2 [
              "nombre" => "Ana Dolores"
              "apellidos" => "Romero Ortiz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S030028961830187X"
        "doi" => "10.1016/j.arbres.2018.04.020"
        "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/S030028961830187X?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918304233?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005500000002/v1_201902020656/S1579212918304233/v1_201902020656/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S157921291830421X"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2018.12.001"
    "estado" => "S300"
    "fechaPublicacion" => "2019-02-01"
    "aid" => "1908"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2019;55:104-5"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 573
      "formatos" => array:3 [
        "EPUB" => 38
        "HTML" => 424
        "PDF" => 111
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "Atypical Presentation of Pulmonary Tuberculosis in an Immunocompetent Patient"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "104"
          "paginaFinal" => "105"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Tuberculosis pulmonar con presentaci&#243;n at&#237;pica en paciente inmunocompetente"
        ]
      ]
      "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" => 575
              "Ancho" => 1300
              "Tamanyo" => 92230
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Posteroanterior chest X-ray &#40;A&#41; with patchy pseudonodular opacities&#44; predominantly in the middle and upper fields&#46; No pleural effusion or mediastinal widening is seen&#46; Chest CT cross-sectional slice &#40;B&#41; showing centrolobular pulmonary opacities with a tendency to coalesce&#44; predominantly in the upper and middle fields&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Elisabeth Gallardo P&#233;rez, Cristina Trasancos Escura, Isabel Pacheco Tenza, Ignacio Massa Navarrete"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Elisabeth"
              "apellidos" => "Gallardo P&#233;rez"
            ]
            1 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "Trasancos Escura"
            ]
            2 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Pacheco Tenza"
            ]
            3 => array:2 [
              "nombre" => "Ignacio"
              "apellidos" => "Massa Navarrete"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289618301820"
        "doi" => "10.1016/j.arbres.2018.04.016"
        "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/S0300289618301820?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921291830421X?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005500000002/v1_201902020656/S157921291830421X/v1_201902020656/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
    "titulo" => "Urinothorax and Chronic Renal Failure&#58; A Rare Combination"
    "tieneTextoCompleto" => true
    "saludo" => "<span class="elsevierStyleItalic">To the Editor</span>&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "105"
        "paginaFinal" => "106"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Virginia Molina, Eusebi Chiner, Mar Arlandis, Sandra Va&#241;es"
        "autores" => array:4 [
          0 => array:2 [
            "nombre" => "Virginia"
            "apellidos" => "Molina"
          ]
          1 => array:4 [
            "nombre" => "Eusebi"
            "apellidos" => "Chiner"
            "email" => array:1 [
              0 => "echinervives&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          2 => array:2 [
            "nombre" => "Mar"
            "apellidos" => "Arlandis"
          ]
          3 => array:2 [
            "nombre" => "Sandra"
            "apellidos" => "Va&#241;es"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Neumolog&#237;a&#44; Hospital Upl&#44; Sant Joan d&#8217;Alacant&#44; Alicante&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Urinot&#243;rax e insuficiencia renal cr&#243;nica&#58; una rara asociaci&#243;n"
      ]
    ]
    "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" => 722
            "Ancho" => 1400
            "Tamanyo" => 124660
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Rifampicin-stained pleural fluid&#46; &#40;B&#41; Chest X-ray showing a pleural effusion occupying the lower two thirds of the left hemithorax&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Urinothorax&#44; a rare cause of pleural effusion &#40;PE&#41;&#44; consists of the presence of urine in the pleural cavity&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#8211;10</span></a> It is generally associated with obstructive urinary disease or urinary tract lesion&#44; causing accumulation of urine in the retroperitoneal space&#44; which is filtered to the pleural cavity&#46; Pleural fluid &#40;PF&#41; is usually a transudate&#44; ipsilateral to the lesion&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#8211;9</span></a> We report a case of recurrent&#44; difficult-to-manage urinothorax in a patient with stage 4 chronic renal failure&#44; with no apparent obstructive urinary disease&#46; We discuss the pathogenesis of this entity and underline the importance of recognizing this exceptional clinical picture&#44; not previously described in the literature&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">This was an 89-year-old man&#44; non-smoker with a history of arterial hypertension&#44; dyslipidemia&#44; and stage IV chronic kidney disease&#44; with atrophic left kidney due to left renal artery stenosis&#46; He was receiving anticoagulation for chronic atrial fibrillation&#44; and had undergone transurethral resection for benign prostatic hypertrophy&#44; and pulmonary thromboembolism in 2015&#46; He presented in the emergency room for progressive worsening of dyspnea and pain in the left hemithorax&#44; without no previous fever or catarrh&#46; Physical examination showed tachyarrhythmia without murmurs&#44; and auscultation of the lungs revealed signs of left PE&#46; Chest X-ray showed PE occupying the lower two thirds of the hemithorax &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Laboratory tests showed 7000 leukocytes with 82&#46;7&#37; neutrophils&#59; creatinine 2&#46;15<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#59; total protein 5&#46;56<span class="elsevierStyleHsp" style=""></span>g&#47;dl&#59; albumin 2&#46;70<span class="elsevierStyleHsp" style=""></span>g&#47;dl&#59; LDH&#58; 178<span class="elsevierStyleHsp" style=""></span>IU&#47;l&#59; and CRP&#58; 18<span class="elsevierStyleHsp" style=""></span>mg&#47;l&#46; Ultrasound and computed tomography &#40;CT&#41; of the abdomen and pelvis showed no signs of hydronephrosis nor free liquid&#44; and left kidney measuring 9<span class="elsevierStyleHsp" style=""></span>cm with irregular contour and atrophic appearance&#44; and a small amount of peri-renal fluid&#46; Renal Doppler showed intra-renal flows with increased resistance indices in both renal arteries&#44; indicative of severe stenosis&#46; Chest ultrasound showed moderate PE without septations&#44; and a diagnostic and therapeutic thoracentesis was performed&#44; yielding 1200<span class="elsevierStyleHsp" style=""></span>ml of cloudy&#44; amber-colored PF&#44; smelling of urine&#46; The PF protein&#47;serum protein ratio was 0&#46;69 and the PF LDH&#47;serum LDH ratio was 0&#46;7&#44; confirming the presence of exudate&#59; pH was 7&#46;11&#46; Creatinine in PF was 3&#46;4<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; with PF creatinine&#47;serum creatinine ratio of 1&#46;58&#44; confirming the suspicion of urinothorax&#46; Microbiological cultures and cytology were negative&#46; Thoracentesis and Pleur-evac<span class="elsevierStyleSup">&#174;</span> were performed 5 times in the following 2 months due to recurrent PE&#46; An intravenous dose of rifampicin was administered&#44; and the PF drained by the Pleur-evac&#174; was confirmed to be copper-colored&#44; so a tunneled pleural catheter was implanted&#44; which remained in place for 2 months&#44; requiring 2 changes of the recipient every week&#46; The patient died of multiple comorbidities and kidney failure not resolved by dialysis&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The first case of urinothorax was described in 1968 by Corriere et al&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">1</span></a> and since then less than 100 reported cases have been reported worldwide&#46; A recent systematic review includes 78 cases&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">8</span></a> Urinothorax is probably underdiagnosed because of its low index of suspicion as a cause of PE&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a> Patients with a history of urinothorax usually present with obstructive disease or lesion of the urinary tract&#44;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">1&#8211;9</span></a> most frequently benign prostatic hyperplasia&#44; hydronephrosis due to acute obstructive lithiasis&#44; bladder cancer&#44; nephrostomy tube&#44; renal biopsy&#44; etc&#46; The leak in the urinary tract causes extravasation of urine into the pleural space&#44; with or without the previous formation of retroperitoneal urinoma&#46; Urinothorax can be ipsilateral to the renal lesion&#44; although in some occasions it can be bilateral&#44; or even contralateral&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">8&#44;9</span></a> Three mechanisms are involved in its pathogenesis<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">3</span></a>&#58; the rupture of a urinoma and passage of urine into the pleural space via a fistula&#59; absorption of a urinoma by subdiaphragmatic lymph nodes&#59; or the passage of urine through anatomical defects in the diaphragm&#46; The urinothorax of our patient differs from the cases published due to the absence of a clear history of hydronephrosis caused by obstructive urinary disease or lesion&#46; However&#44; renal artery stenosis is a potential cause of renal atrophy and pyelocalyceal dilation&#44; which can increase intra-renal pressure&#46;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">11&#44;12</span></a> In our case&#44; urinothorax may be explained by an atrophic left kidney and chronic advanced renal failure&#44; and spontaneous extravasation of urine&#44; with leakage through the peri-renal tissue and fascia&#44; passing directly through the diaphragm to the pleural cavity&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Urinothorax often has an amber color and urine-like smell&#44; and from a biochemical point of view displays characteristics of transudate with a pH<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>7&#46;3 and low protein and glucose ratios&#44;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">6&#44;7</span></a> although in some cases&#44; high levels of LDH lead it to be classified as false exudate&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#8211;8</span></a> The main parameter accepted for the confirmation of a diagnosis of urinothorax is a PF creatinine&#47;serum creatinine ratio greater than 1&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">3&#44;4&#44;7</span></a> Other tests that help us to diagnosis this entity are contrast-enhanced CT and intravenous urography&#44; that can detect urinomas and extravasation to the retroperitoneum&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">2</span></a> Renal scintigraphy with radiotracers such as <span class="elsevierStyleSup">99m</span>Tc DTPA or <span class="elsevierStyleSup">99m</span>Tc MAG3&#44; reveal the connection between the retroperitoneum and the pleural space&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#44;10</span></a> We can also use dyes such as methylene blue&#44; indigo carmine or&#44; as in our case&#44; rifampicin&#44; that stain the PF immediately after it is injected intravenously&#46; Regarding treatment&#44; removing the urinary tract obstruction will lead to progressive resolution of the PE without the need for drainage&#44;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">3&#44;4&#44;8</span></a> but this approach is indicated only in highly symptomatic patients with massive PE&#46; However&#44; in patients with chronic renal failure&#44; atrophic kidneys&#44; and no clear obstructive disease&#44; therapy can be very complicated&#44; requiring the use of palliative treatments&#46;</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; Molina V&#44; Chiner E&#44; Arlandis M&#44; Ba&#241;es S&#46; Urinot&#243;rax e insuficiencia renal cr&#243;nica&#58; una rara asociaci&#243;n&#46; Arch Bronconeumol&#46; 2019&#59;55&#58;105&#8211;106&#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" => 722
            "Ancho" => 1400
            "Tamanyo" => 124660
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Rifampicin-stained pleural fluid&#46; &#40;B&#41; Chest X-ray showing a pleural effusion occupying the lower two thirds of the left hemithorax&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:12 [
            0 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hydronephrosis as a cause of pleural effusion"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;N&#46; Corriere"
                            1 => "W&#46;T&#46; Miller"
                            2 => "J&#46;J&#46; Murphy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/90.1.79"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1968"
                        "volumen" => "90"
                        "paginaInicial" => "79"
                        "paginaFinal" => "84"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4169467"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinothorax&#58; an uncommon cause of pleural effusion"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Wei"
                            1 => "H&#46; Takayama"
                            2 => "M&#46;D&#46; Bacchetta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Respir Med CME"
                        "fecha" => "2009"
                        "volumen" => "2"
                        "paginaInicial" => "179"
                        "paginaFinal" => "180"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinothorax&#58; a new approach"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Garcia-Pach&#243;n"
                            1 => "S&#46; Romero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.mcp.0000230628.65515.86"
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Pulm Med"
                        "fecha" => "2006"
                        "volumen" => "12"
                        "paginaInicial" => "259"
                        "paginaFinal" => "263"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16825877"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinothorax&#58; case report and review of the literature with emphasis on biochemical diagnosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Garcia-Pach&#243;n"
                            1 => "I&#46; Padilla"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1159/000080642"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respiration"
                        "fecha" => "2004"
                        "volumen" => "71"
                        "paginaInicial" => "533"
                        "paginaFinal" => "536"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15467335"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinot&#243;rax&#58; &#191;siempre un trasudado pleural&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Calvache"
                            1 => "X&#46; Pomares Amig&#243;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2008"
                        "volumen" => "44"
                        "paginaInicial" => "286"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18448022"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bilateral urinothorax identified by technetium-99m DPTA renal imaging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;D&#46; Ralston"
                            1 => "R&#46;H&#46; Wilkinson Jr&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Nucl Med"
                        "fecha" => "1986"
                        "volumen" => "27"
                        "paginaInicial" => "56"
                        "paginaFinal" => "59"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3510288"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urinothorax&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;E&#46; Toubes"
                            1 => "A&#46; Lama"
                            2 => "L&#46; Ferreiro"
                            3 => "A&#46; Golpe"
                            4 => "J&#46;M&#46; &#193;lvarez-Doba&#241;o"
                            5 => "F&#46;J&#46; Gonz&#225;lez-Barcala"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Thorac Dis"
                        "fecha" => "2017"
                        "volumen" => "9"
                        "paginaInicial" => "1209"
                        "paginaFinal" => "1218"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Unilateral urinothorax can occur contralateral to the affected kidney"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46; Dimitriadis"
                            1 => "A&#46; Tahmatzopoulos"
                            2 => "S&#46; Kampantais"
                            3 => "S&#46; Loannidis"
                            4 => "D&#46; Radopoulos"
                            5 => "V&#46; Katsikas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3109/00365599.2012.695391"
                      "Revista" => array:6 [
                        "tituloSerie" => "Scand J Urol"
                        "fecha" => "2013"
                        "volumen" => "47"
                        "paginaInicial" => "242"
                        "paginaFinal" => "243"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22725633"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pleural effusions&#58; the diagnostic separation of trasudates and exudates"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;W&#46; Light"
                            1 => "M&#46;I&#46; Macgregor"
                            2 => "P&#46;C&#46; Luchsinger"
                            3 => "W&#46;C&#46; Barr Jr&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "1972"
                        "volumen" => "77"
                        "paginaInicial" => "507"
                        "paginaFinal" => "513"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Biochemical features of urinothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;D&#46; Stark"
                            1 => "J&#46;G&#46; Shades"
                            2 => "R&#46;L&#46; Baron"
                            3 => "D&#46;D&#46; Koch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Intern Med"
                        "fecha" => "1982"
                        "volumen" => "142"
                        "paginaInicial" => "1509"
                        "paginaFinal" => "1511"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7103632"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Current approaches to atherosclerotic obstructive renal artery stenosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;I&#46; Juncos"
                            1 => "S&#46; Textor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/1753944715579143"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ther Adv Cardiovasc Dis"
                        "fecha" => "2015"
                        "volumen" => "9"
                        "paginaInicial" => "153"
                        "paginaFinal" => "157"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25907506"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Renal artery stenosis&#58; new findings from the CORAL trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Gupta"
                            1 => "S&#46; Assiri"
                            2 => "C&#46;J&#46; Cooper"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11886-017-0894-2"
                      "Revista" => array:5 [
                        "tituloSerie" => "Curr Cardiol Rep"
                        "fecha" => "2017"
                        "volumen" => "19"
                        "paginaInicial" => "75"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28752274"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005500000002/v1_201902020656/S1579212918304221/v1_201902020656/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/15792129/0000005500000002/v1_201902020656/S1579212918304221/v1_201902020656/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918304221?idApp=UINPBA00003Z"
]
Article information
ISSN: 15792129
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 1 5
2024 October 58 34 92
2024 September 60 22 82
2024 August 91 36 127
2024 July 56 24 80
2024 June 68 27 95
2024 May 74 27 101
2024 April 47 31 78
2024 March 43 14 57
2024 February 40 23 63
2023 April 0 1 1
2023 March 9 4 13
2023 February 46 33 79
2023 January 70 41 111
2022 December 67 22 89
2022 November 55 24 79
2022 October 69 28 97
2022 September 48 26 74
2022 August 55 44 99
2022 July 46 31 77
2022 June 55 32 87
2022 May 64 41 105
2022 April 53 36 89
2022 March 58 35 93
2022 February 88 44 132
2022 January 75 34 109
2021 December 48 44 92
2021 November 44 36 80
2021 October 71 50 121
2021 September 82 41 123
2021 August 63 30 93
2021 July 31 21 52
2021 June 46 47 93
2021 May 62 49 111
2021 April 188 89 277
2021 March 66 18 84
2021 February 35 24 59
2020 March 34 3 37
2020 February 96 11 107
2020 January 85 14 99
2019 December 89 6 95
2019 November 47 15 62
2019 October 53 15 68
2019 September 31 11 42
2019 August 21 16 37
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?