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Osorio Aira, M.A. Udaondo Cascante, J.M. Herrero Izquierdo, I.M. Otero Mongil" "autores" => array:4 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Osorio Aira" "email" => array:1 [ 0 => "soniaosorio004@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M.A." "apellidos" => "Udaondo Cascante" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Herrero Izquierdo" ] 3 => array:2 [ "nombre" => "I.M." "apellidos" => "Otero Mongil" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Clínico Universitario de Valladolid, Valladolid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hidatidosis pulmonar complicada con apertura a vía aérea y cavidad pleural" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 965 "Ancho" => 950 "Tamanyo" => 82958 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the clinical case of a 32-year-old man from Morocco who came to the emergency department with symptoms of left pleuritic pain, blackish expectoration and generalized urticaria. Laboratory tests revealed leukocytosis (13.9<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">6</span><span class="elsevierStyleHsp" style=""></span>cells/L), with 90% neutrophils and 7% eosinophils, as well as a C-reactive protein level of 270<span class="elsevierStyleHsp" style=""></span>mg/L. Plain chest radiography was performed in posterior-anterior projection (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">As can be identified in the chest radiography, we can see images of 2 cysts in the lung parenchyma. One of these cysts was located in the right lower lobe and had a homogeneous appearance with no evidence of complication. The other cyst was located in the lingula and presented air-fluid content and multiple floating membranes. When faced with a cystic lesion compatible with pulmonary hydatidosis in which air-fluid content is observed, as well as the water-lily sign (floating membranes), we should suspect a complication, mainly rupture of the cysts. In our patient, this rupture created a communication with the bronchial tree, which explained the urticarial reaction and copious expectoration of purulent material. The rupture also communicated with the pleural cavity, thereby causing the pleuritic pain.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Diagnosis: complicated pulmonary hydatidosis.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-01-07" "fechaAceptado" => "2018-02-05" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Osorio Aira S, Udaondo Cascante MA, Herrero Izquierdo JM, Otero Mongil IM. Hidatidosis pulmonar complicada con apertura a vía aérea y cavidad pleural. Rev Clin Esp. 2018;218:207.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 965 "Ancho" => 950 "Tamanyo" => 82958 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021800000004/v2_201805060420/S2254887418300341/v2_201805060420/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021800000004/v2_201805060420/S2254887418300341/v2_201805060420/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300341?idApp=WRCEE" ]
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