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Repeated aspiration pneumonia in a 7-year-old girl with undiagnosed congenital tracheoesophageal fistula
Neumonías aspirativas de repetición en una niña de 7 años con fístula traqueoesofágica congénita no diagnosticada
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An exceedingly rare complication" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "546" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Doble fístula tras cavitación de adenocarcinoma pulmonar tratado mediante termoablación con microondas. Una complicación muy infrecuente" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 783 "Ancho" => 1007 "Tamanyo" => 126601 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray, PA projection (A). Extensive subcutaneous emphysema in right chest wall and supraclavicular and cervical region, along with pneumomediastinum (arrows). Poorly delimited mass in the right upper lobe (asterisk), apparently communicating with a bronchus leading to that lobe (arrowheads). Chest CT without intravenous contrast medium, pulmonary parenchyma window. Multiplanar reconstructions in coronal (B) and axial (C) planes, with minimum intensity projection (D). The air cavity is clearly seen surrounding the treated mass (arrowheads in B and C), communicating with a bronchial branch to that lobe (arrowheads in D), along with pneumomediastinum (white arrows) and extensive subcutaneous emphysema predominantly in the right chest wall. Note the large gas-filled space in the chest wall adjacent to the post-thermal ablation cavity, suggesting communication between the two cavities (C and D asterisk). There are also signs of centrilobular emphysema predominantly in the upper lobes.</p>" ] ] ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "Antonio Jesús Láinez Ramos-Bossini" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Antonio Jesús" "apellidos" => "Láinez Ramos-Bossini" ] ] ] 1 => array:2 [ "autoresLista" => "Eduardo Ruiz Carazo, Genaro López Milena" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Ruiz Carazo" ] 1 => array:2 [ "nombre" => "Genaro" "apellidos" => "López Milena" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289621000053" "doi" => "10.1016/j.arbres.2020.12.026" "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/S0300289621000053?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001907?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000008/v1_202108020523/S1579212921001907/v1_202108020523/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921002445" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.01.016" "estado" => "S300" "fechaPublicacion" => "2021-08-01" "aid" => "2405" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:544" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "DIPNECH: When Computed Tomography May Suggest the Diagnosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "544" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "DIPNECH: cuando la tomografía computerizada puede sugerir el diagnóstico" ] ] "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" => 875 "Ancho" => 1000 "Tamanyo" => 224345 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A coronal minimum-intensity projection reformatted image (A) demonstrates mosaic attenuation with sharply defined lobular areas of low attenuation due to small airway obstruction (consistent with air trapping). 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During the visit, she reported dysphagia to liquids and was febrile with subcrepitant rales in the left lung base. Neonatal screening for metabolic diseases, an immunity study, and α-1-antitrypsin levels were normal. HRCT revealed a continuity defect of the tracheal pars membranacea (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) and central acinar opacities consistent with microaspirations (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). On fiberoptic bronchoscopy, the patency of the tracheoesophageal fistula (TEF) was confirmed by bubbling and passage of methylene blue, instilled through the esophagus, into the trachea (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). Multiple minor bronchial abnormalities and 70% lipid-laden macrophages were detected in bronchoalveolar lavage. Surgical closure was performed by right cervicotomy with a good outcome.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">TEF and esophageal atresia are the most common congenital abnormalities of the esophagus. H-type TEF is the least common (4%).<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Presentation outside the postnatal period consists of recurrent pneumonias in different sites.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Treatment is surgical, depending on the location. The presence of TEF with dorsal hemivertebra and pes plano valgus may correspond to a mild variant of VACTERL association.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Piolatti-Luna A, Castillo-Corrullón S. Neumonías aspirativas de repetición en una niña de 7 años con fístula traqueoesofágica congénita no diagnosticada. Arch Bronconeumol. 2021;57:545.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0020" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 618 "Ancho" => 1500 "Tamanyo" => 98672 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) HRCT: continuity defect of tracheal pars membranacea; (B) HRCT: central acinar opacities consistent with microaspirations; (C) fiberoptic bronchoscopy: bubbling and passage of methylene blue, instilled through the esophagus, to the trachea.</p>" ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 8640632 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fístula traqueoesofágica en H en periodo neonatal: diferentes abordajes terapéuticos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "N. González Temprano" 1 => "N. Viguria Sánchez" 2 => "L. Ayuso González" 3 => "A. Pérez Martínez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "An Pediatr" "fecha" => "2014" "volumen" => "81" "paginaInicial" => "e50" "paginaFinal" => "e51" "itemHostRev" => array:3 [ "pii" => "S0266613818300974" "estado" => "S300" "issn" => "02666138" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Neumonía persistente y neumonía recurrente" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Andrés Martín" 1 => "M. Navarro Merino" 2 => "G. Pérez Pérez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Protoc Diagn Ter Pediatr" "fecha" => "2017" "volumen" => "1" "paginaInicial" => "157" "paginaFinal" => "187" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000008/v1_202108020523/S1579212921001877/v1_202108020523/en/main.assets" "Apartado" => array:4 [ "identificador" => "60604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005700000008/v1_202108020523/S1579212921001877/v1_202108020523/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001877?idApp=UINPBA00003Z" ]
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