array:24 [
  "pii" => "S2254887418300766"
  "issn" => "22548874"
  "doi" => "10.1016/j.rceng.2018.03.014"
  "estado" => "S300"
  "fechaPublicacion" => "2018-12-01"
  "aid" => "1501"
  "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
  "copyrightAnyo" => "2018"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Rev Clin Esp. 2018;218:496-7"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 4
    "formatos" => array:2 [
      "HTML" => 1
      "PDF" => 3
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0014256518301073"
      "issn" => "00142565"
      "doi" => "10.1016/j.rce.2018.03.013"
      "estado" => "S300"
      "fechaPublicacion" => "2018-12-01"
      "aid" => "1501"
      "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Rev Clin Esp. 2018;218:496-7"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 49
        "formatos" => array:2 [
          "HTML" => 26
          "PDF" => 23
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Medicina en im&#225;genes</span>"
        "titulo" => "Var&#243;n con broncopat&#237;a cr&#243;nica y enfisema bulloso sobreinfectado"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "496"
            "paginaFinal" => "497"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Male patient with chronic bronchial disease and bullous emphysema superinfection"
          ]
        ]
        "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" => 537
                "Ancho" => 1250
                "Tamanyo" => 80859
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "S&#46;M&#46; Santos-Seoane, V&#46; Arenas-Garc&#237;a, R&#46;J&#46; Delgado Sevillano"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "S&#46;M&#46;"
                "apellidos" => "Santos-Seoane"
              ]
              1 => array:2 [
                "nombre" => "V&#46;"
                "apellidos" => "Arenas-Garc&#237;a"
              ]
              2 => array:2 [
                "nombre" => "R&#46;J&#46;"
                "apellidos" => "Delgado Sevillano"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2254887418300766"
          "doi" => "10.1016/j.rceng.2018.03.014"
          "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/S2254887418300766?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518301073?idApp=WRCEE"
      "url" => "/00142565/0000021800000009/v2_201811290625/S0014256518301073/v2_201811290625/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2254887418300754"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2018.03.013"
    "estado" => "S300"
    "fechaPublicacion" => "2018-12-01"
    "aid" => "1507"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Rev Clin Esp. 2018;218:498-9"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 4
      "formatos" => array:2 [
        "HTML" => 1
        "PDF" => 3
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
      "titulo" => "Unusual presentation of emphysematous pyelonephritis with extension to the scrotum and leg"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "498"
          "paginaFinal" => "499"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Presentaci&#243;n inusual de pielonefritis enfisematosa con extensi&#243;n escrotal y pierna"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1247
              "Ancho" => 950
              "Tamanyo" => 119052
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Evidence of gas in the left kidney&#44; using tomography without contrast medium&#44; as well as gas towards the scrotum and left leg coming from the left kidney &#40;axial image&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46;O&#46; Pi&#241;&#243;n Solis, J&#46; Garc&#237;a Ramirez, J&#46;F&#46; Gil Garcia"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "E&#46;O&#46;"
              "apellidos" => "Pi&#241;&#243;n Solis"
            ]
            1 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Garc&#237;a Ramirez"
            ]
            2 => array:2 [
              "nombre" => "J&#46;F&#46;"
              "apellidos" => "Gil Garcia"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256518301139"
        "doi" => "10.1016/j.rce.2018.03.019"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518301139?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300754?idApp=WRCEE"
    "url" => "/22548874/0000021800000009/v2_201811290638/S2254887418300754/v2_201811290638/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2254887418300705"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2018.03.008"
    "estado" => "S300"
    "fechaPublicacion" => "2018-12-01"
    "aid" => "1506"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "ssu"
    "cita" => "Rev Clin Esp. 2018;218:489-95"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 4
      "formatos" => array:2 [
        "HTML" => 1
        "PDF" => 3
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review</span>"
      "titulo" => "Treatment in Fabry disease"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "489"
          "paginaFinal" => "495"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Tratamiento en la enfermedad de Fabry"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 659
              "Ancho" => 833
              "Tamanyo" => 21991
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Chemical structure of migalastat Formula&#58; C<span class="elsevierStyleInf">6</span>H<span class="elsevierStyleInf">14</span>ClNO<span class="elsevierStyleInf">4</span>&#46; Molecular weight&#58; 199&#46;63<span class="elsevierStyleHsp" style=""></span>g&#47;mol&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; L&#243;pez Rodr&#237;guez"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "L&#243;pez Rodr&#237;guez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256518301127"
        "doi" => "10.1016/j.rce.2018.03.018"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518301127?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300705?idApp=WRCEE"
    "url" => "/22548874/0000021800000009/v2_201811290638/S2254887418300705/v2_201811290638/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
    "titulo" => "Male patient with chronic bronchial disease and bullous emphysema superinfection"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "496"
        "paginaFinal" => "497"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "S&#46;M&#46; Santos-Seoane, V&#46; Arenas-Garc&#237;a, R&#46;J&#46; Delgado Sevillano"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "S&#46;M&#46;"
            "apellidos" => "Santos-Seoane"
            "email" => array:1 [
              0 => "smsspulp&#64;yahoo&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "V&#46;"
            "apellidos" => "Arenas-Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "R&#46;J&#46;"
            "apellidos" => "Delgado Sevillano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital Universitario San Agust&#237;n&#44; Avil&#233;s&#44; Asturias&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Radiolog&#237;a&#44; Hospital Universitario San Agust&#237;n&#44; Avil&#233;s&#44; Asturias&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Var&#243;n con broncopat&#237;a cr&#243;nica y enfisema bulloso sobreinfectado"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 604
            "Ancho" => 1250
            "Tamanyo" => 107368
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 57-year-man&#44; smoker of a pack a day&#44; with a history of arterial hypertension and moderate-effort dyspnea&#44; consulted due to symptoms that started 3 days ago with fever and chills&#44; with a certain increase in the typical dyspnea&#44; associated with yellowish and occasionally hemoptoic expectorate&#46; The patient also reported general syndrome of 3&#8211;4 weeks of progression&#44; with a weight loss of approximately 4<span class="elsevierStyleHsp" style=""></span>kg&#46; An anteroposterior and lateral radiography of the chest revealed a round consolidation at the base of the right hemithorax&#44; signs of generalized hyperinflation with diaphragmatic flattening and horizontalization of the ribs suggestive of chronic bronchial disease and blunting of the costophrenic angle &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A and B&#41;&#46; Thoracic computed tomography revealed signs of paraseptal and centriacinar emphysema&#44; with large bullous lesions&#44; especially in the right hemithorax&#44; one of which presented an air-fluid level&#44; surrounded by an area of consolidation&#44; all of which suggested superinfection &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A and B&#41;&#46; Bronchoscopy revealed redness of the bronchial tree&#46; Samples were obtained for bacteriological and histological processing&#44; with negative results including the cultures for mycobacteria&#46; The alpha 1-antitrypsin reading was normal&#44; and spirometry confirmed obstruction with forced expiratory volume in 1 second of 40&#37;&#46; Empiric antibiotic therapy was started with amoxicillin&#8211;clavulanate at high doses&#44; which the patient maintained for 2 weeks&#44; with good progression&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-02-08"
    "fechaAceptado" => "2018-03-17"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Santos-Seoane SM&#44; Arenas-Garc&#237;a V&#44; Delgado Sevillano RJ&#46; Var&#243;n con broncopat&#237;a cr&#243;nica y enfisema bulloso sobreinfectado&#46; Clin Esp&#46; 2018&#59;218&#58;496&#8211;497&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 537
            "Ancho" => 1250
            "Tamanyo" => 80859
          ]
        ]
      ]
      1 => array:6 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 604
            "Ancho" => 1250
            "Tamanyo" => 107368
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/22548874/0000021800000009/v2_201811290638/S2254887418300766/v2_201811290638/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/22548874/0000021800000009/v2_201811290638/S2254887418300766/v2_201811290638/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300766?idApp=WRCEE"
]
Share
Journal Information
Vol. 218. Issue 9.
Pages 496-497 (December 2018)
Share
Share
Download PDF
More article options
Vol. 218. Issue 9.
Pages 496-497 (December 2018)
Medicine in Images
Male patient with chronic bronchial disease and bullous emphysema superinfection
Varón con broncopatía crónica y enfisema bulloso sobreinfectado
Visits
14
S.M. Santos-Seoanea,
Corresponding author
smsspulp@yahoo.es

Corresponding author.
, V. Arenas-Garcíaa, R.J. Delgado Sevillanob
a Servicio de Medicina Interna, Hospital Universitario San Agustín, Avilés, Asturias, Spain
b Servicio de Radiología, Hospital Universitario San Agustín, Avilés, Asturias, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (2)

Article

These are the options to access the full texts of the publication Revista Clínica Española (English Edition)
Member
Si es usted socio de FESEMI siga los siguientes pasos:

Diríjase desde aquí a la web de la >>>FESEMI<<< e inicie sesión mediante el formulario que se encuentra en la barra superior, pulsando sobre el candado.

Una vez autentificado, en la misma web de FESEMI, en el menú superior, elija la opción deseada.

>>>FESEMI<<<

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Revista Clínica Española (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Revista Clínica Española (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?