array:23 [ "pii" => "S0300289624002722" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.07.011" "estado" => "S300" "fechaPublicacion" => "2024-11-01" "aid" => "3627" "copyright" => "SEPAR" "copyrightAnyo" => "2024" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:727-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S030028962400276X" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.07.014" "estado" => "S300" "fechaPublicacion" => "2024-11-01" "aid" => "3630" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2024;60:729-30" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Pulmonary <span class="elsevierStyleItalic">Tropheryma whipplei</span> Infection Diagnosed by Metagenomic Next-generation Sequencing: A Case Report" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "729" "paginaFinal" => "730" ] ] "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" => 841 "Ancho" => 1476 "Tamanyo" => 218748 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Gastroscopy revealed the presence of multiple ulcers at the gastric angle (A). Colonoscopy showed a polyp in the sigmoid colon (B). Chest CT images revealed pulmonary nodules (yellow arrow) and patchy opacities (blue arrow) in the apical segment of the right upper lobe (C and D). Fiberoptic bronchoscopy with no notable abnormalities (E). Chest CT 3 months after treatment with doxycycline (F and G).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Xiaoting Zhou, Chuanjun Huang, Jianfeng Zhang" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Xiaoting" "apellidos" => "Zhou" ] 1 => array:2 [ "nombre" => "Chuanjun" "apellidos" => "Huang" ] 2 => array:2 [ "nombre" => "Jianfeng" "apellidos" => "Zhang" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962400276X?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000011/v1_202411050534/S030028962400276X/v1_202411050534/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289624002400" "issn" => "03002896" "doi" => "10.1016/j.arbres.2024.07.002" "estado" => "S300" "fechaPublicacion" => "2024-11-01" "aid" => "3613" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2024;60:725-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Letter</span>" "titulo" => "Mediastinal Venous-Lymphatic Malformations: Thoracoscopic Resection" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "725" "paginaFinal" => "726" ] ] "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" => 839 "Ancho" => 975 "Tamanyo" => 245307 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Thoracic coronal CT scan with intravenous contrast show a hypodense mediastinal cyst (red circle) with 9<span class="elsevierStyleHsp" style=""></span>HU. (B) Mediastinal cyst surrounded by the superior vena cava and the right phrenic nerve (yellow circle). (C) Microscopic image ×40, lymphatic follicles (thin red arrow) and vascular structures (thick yellow arrow). (D) Image ×80, lymphatic follicles (thin red arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José G. Yaryura Montero, Rodrigo A. Benavidez, Mario A. Cafaro" "autores" => array:3 [ 0 => array:2 [ "nombre" => "José G." "apellidos" => "Yaryura Montero" ] 1 => array:2 [ "nombre" => "Rodrigo A." "apellidos" => "Benavidez" ] 2 => array:2 [ "nombre" => "Mario A." "apellidos" => "Cafaro" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624002400?idApp=UINPBA00003Z" "url" => "/03002896/0000006000000011/v1_202411050534/S0300289624002400/v1_202411050534/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Tracheopleural Fistula: Rare Complication of Pulmonary Tuberculosis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "727" "paginaFinal" => "728" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Assyifaa Nik Mazian, Siti Soraya Ab Rahman, Nor Diana Borian" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Assyifaa" "apellidos" => "Nik Mazian" "email" => array:1 [ 0 => "nm.syifaa@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Siti Soraya" "apellidos" => "Ab Rahman" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Nor Diana" "apellidos" => "Borian" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Radiology Unit, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Persiaran Ilmu, Bandar Baru Nilai, 71800 Nilai, Negeri Sembilan, Malaysia" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Radiology Department, Hospital Sultanah Nur Zahirah, Jalan Sultan Mahmud, 20400 Kuala Terengganu, Malaysia" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "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" => 1687 "Ancho" => 1600 "Tamanyo" => 409576 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest radiograph showed right pneumothorax with pleural thickening (red arrow) (a). CECT Thorax in coronal (b) and axial (c) views revealed tracheal wall defects with direct communication with the pleural cavity, representing tracheopleural fistula (blue arrows). Left upper lobe lung bullae (green arrows) (b, c).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Tracheopleural fistula is an extremely rare complication of chronic pulmonary tuberculosis as no similar case being published previously. A 52-year-old gentleman with history of chronic pulmonary tuberculosis (PTB) 20 years ago was presented with lethargy for 2 weeks associated with occasional haemoptysis. There was loss of weight and loss of appetite. No fever, shortness of breath, chest pain or night sweat. On examination, he was pale, afebrile, normotensive and not tachycardic. There was reduced air entry on the right lung with generalized coarse crepitations. Chest radiograph (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a) showed right pneumothorax. Contrast-enhanced CT Thorax (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b and c) confirmed presence of tracheopleural fistulae with thick-walled right pneumothorax. He was given intravenous (IV) tranexamic acid, blood transfusion and metered-dose inhaler (MDI) berodual and spiriva. He was stable under room air and discharged well after 5 days. He was planned for optimization of medical treatment as he refused surgical intervention or bronchoscopy. Chest tube was not done due to patient's refusal and clinically the oxygen saturation was acceptable. Tracheopleural fistula is rare and usually seen among cancer patients after chemotherapy.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> As opposed to tracheopleural fistula, tuberculous bronchopleural fistula is commonly seen although both conditions are rare.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> Clinical manifestations are varied among individuals and direction of treatment should be tailored individually to achieve good quality of life.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "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" => 1687 "Ancho" => 1600 "Tamanyo" => 409576 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest radiograph showed right pneumothorax with pleural thickening (red arrow) (a). CECT Thorax in coronal (b) and axial (c) views revealed tracheal wall defects with direct communication with the pleural cavity, representing tracheopleural fistula (blue arrows). Left upper lobe lung bullae (green arrows) (b, c).</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" => "Invasive pulmonary aspergillosis presenting with tracheopleural fistula in a pediatric patient with a history of rhabdomyosarcoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Khatun" 1 => "J. Julson" 2 => "D.W. Taylor" 3 => "B.O. Foxworthy" 4 => "E.A. Beierle" 5 => "J.M. Aye" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.epsc.2023.102602" "Revista" => array:5 [ "tituloSerie" => "J Pediatr Surg Case Rep" "fecha" => "2023" "volumen" => "92" "paginaInicial" => "102602" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/37205179" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Giant bronchopleural fistula and empyema in a tuberculosis patient with diabetes mellitus: vista from a high tuberculosis burden country in Southeast Asia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Yanti" 1 => "S. Hadi" 2 => "F. Harrika" 3 => "A. Shehzad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.52225/narra.v2i2.81" "Revista" => array:6 [ "tituloSerie" => "Narra J" "fecha" => "2022" "volumen" => "2" "numero" => "2" "paginaInicial" => "e81" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/38449704" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000006000000011/v1_202411050534/S0300289624002722/v1_202411050534/en/main.assets" "Apartado" => array:4 [ "identificador" => "98298" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Cllinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000011/v1_202411050534/S0300289624002722/v1_202411050534/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289624002722?idApp=UINPBA00003Z" ]
Journal Information
Vol. 60. Issue 11.
Pages 727-728 (November 2024)
Vol. 60. Issue 11.
Pages 727-728 (November 2024)
Clinical Image
Tracheopleural Fistula: Rare Complication of Pulmonary Tuberculosis
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