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"lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Scar Sarcoidosis 10 Years After Videothoracoscopy: Incidental Diagnosis at <span class="elsevierStyleSup">18</span>FDG-PET-CT" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "45" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sarcoidosis en una cicatriz 10 años despuèc)s de una videotoracoscopia: diagnostico incidental con <span class="elsevierStyleSup">18</span>FDG-PET-CT" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 980 "Ancho" => 980 "Tamanyo" => 89674 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">18FDG-PET-CT showing confluent hypermetabolic nodules in the right lower lobe (black arrows) and two small hypermetabolic subcutaneous nodules in the right thoracic wall (white arrows).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ainhoa Viteri Jusuèc), Alfonso Montero de la Peña" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Ainhoa" "apellidos" => "Viteri Jusuèc)" ] 1 => array:2 [ "nombre" => "Alfonso" "apellidos" => "Montero de la Peña" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289619301000" "doi" => "10.1016/j.arbres.2019.02.017" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => 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Recipient" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "42" "paginaFinal" => "43" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Micobacteriosis no tuberculosa extrapulmonar en un receptor de transplante de pulmón" ] ] "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" => 1143 "Ancho" => 1505 "Tamanyo" => 225693 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Abdominal CT: heterogeneous and nodular hepato-splenomegaly. (B) Chest CT-transplanted lung: normal appearance. Right lung: signs of pseudotumoral silicosis with massive fibrosis and confluence of silicotic aggregates; both CT scans show a small right-sided pleural effusion that was already present before the transplantation and remains stable since then. This diagnosis is based on the history of substantial exposure to silica dust during 30 years, compatible radiological features, consistent BAL findings and exclusion of other competing diagnoses. (C) and (D) Liver biopsy: epithelioid granulomas.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Filipa Carriço, António Sarmento, Carla Damas" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Filipa" "apellidos" => "Carriço" ] 1 => array:2 [ "nombre" => "António" "apellidos" => "Sarmento" ] 2 => array:2 [ "nombre" => "Carla" "apellidos" => "Damas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289619300055" "doi" => "10.1016/j.arbres.2018.12.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619300055?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919304306?idApp=UINPBA00003Z" "url" => "/15792129/0000005600000001/v3_202001222229/S1579212919304306/v3_202001222229/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Lung Abscesses. A Bronchoscopic Perspective" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "44" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Maria Antónia Galego, Ana Paula Vaz, Sílvia Correia" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Maria Antónia" "apellidos" => "Galego" "email" => array:1 [ 0 => "antoniagalego@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ana Paula" "apellidos" => "Vaz" ] 2 => array:2 [ "nombre" => "Sílvia" "apellidos" => "Correia" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Pulmonology Department, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Abscesos pulmonares. Una perspectiva broncoscópica" ] ] "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" => 1143 "Ancho" => 2500 "Tamanyo" => 212483 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lung abscesses.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Although most lung abscesses communicate with the tracheobronchial tree, direct visualization of the necrotic cavity is uncommon. We present two cases were this bronchoscopic perspective was possible.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 64-year-old male with previously treated oral squamous-cell carcinoma and dysphagia, under broad-spectrum antibiotics for an abscess on the right lower lobe(a); bronchoscopy revealed complete necrosis of the basal segments (B8-B10) throughout a bronchopulmonary fistula(b•c).</p><p id="par0015" class="elsevierStylePara elsevierViewall">A 74-year-old male with stage IIIB lung squamous-cell carcinoma with extensive necrosis of the right upper lobe(d); bronchoscopy showed an obstructive tumoral infiltration of the right main bronchus with fistulization through the lateral wall to the necrotic cavity(e•f).</p><p id="par0020" class="elsevierStylePara elsevierViewall">No microbiological isolation occurred in both cases. Considering their low impairment status, no other therapeutic approach was considered and the patients died after a month under antibiotics (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Obstruction (tumour, foreign body), erroneous microbiologic diagnosis (mycobacteria), large abscesses and nonbacterial causes (vasculitis, pulmonary sequestration) can result in antibiotic failure. In this setting, bronchoscopic drainage via endobronchial catheter has emerged as a therapeutic option in those who are not eligible for surgery, in abscesses without an air-fluid level (cavity under high tension and risk of sudden endobronchial decompression) or if risk of massive hemoptysis (especially in hemodynamically unstable patients)<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a>.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 1143 "Ancho" => 2500 "Tamanyo" => 212483 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lung abscesses.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bronchoscopic drainage of lung abscesses using a pigtail catheter" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Unterman" 1 => "O. Fruchter" 2 => "D. Rosengarten" 3 => "S. Izhakian" 4 => "N. Abdel-Rahman" 5 => "M.R. Kramer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000453003" "Revista" => array:5 [ "tituloSerie" => "Respiration" "fecha" => "2017" "volumen" => "93" "paginaInicial" => "99" "paginaFinal" => "105" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopic drainage of lung abscesses: technique and outcome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F. Herth" 1 => "A. Ernst" 2 => "H.D. Becker" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1378/chest.127.4.1378" "Revista" => array:5 [ "tituloSerie" => "Chest" "fecha" => "2005" "volumen" => "127" "paginaInicial" => "1378" "paginaFinal" => "1381" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005600000001/v3_202001222229/S1579212919304318/v3_202001222229/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005600000001/v3_202001222229/S1579212919304318/v3_202001222229/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212919304318?idApp=UINPBA00003Z" ]
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