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 imágenes</span>" "titulo" => "Varón con broncopatía crónica 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">.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "S.M. Santos-Seoane, V. Arenas-García, R.J. Delgado Sevillano" "autores" => array:3 [ 0 => array:2 [ "nombre" => "S.M." "apellidos" => "Santos-Seoane" ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Arenas-García" ] 2 => array:2 [ "nombre" => "R.J." "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 España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "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" => "Presentación inusual de pielonefritis enfisematosa con extensión 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, using tomography without contrast medium, as well as gas towards the scrotum and left leg coming from the left kidney (axial image).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E.O. Piñón Solis, J. García Ramirez, J.F. Gil Garcia" "autores" => array:3 [ 0 => array:2 [ "nombre" => "E.O." "apellidos" => "Piñón Solis" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "García Ramirez" ] 2 => array:2 [ "nombre" => "J.F." "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 España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "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: C<span class="elsevierStyleInf">6</span>H<span class="elsevierStyleInf">14</span>ClNO<span class="elsevierStyleInf">4</span>. Molecular weight: 199.63<span class="elsevierStyleHsp" style=""></span>g/mol.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. López Rodríguez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "López Rodríguez" ] ] ] ] ] "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.M. Santos-Seoane, V. Arenas-García, R.J. Delgado Sevillano" "autores" => array:3 [ 0 => array:4 [ "nombre" => "S.M." "apellidos" => "Santos-Seoane" "email" => array:1 [ 0 => "smsspulp@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "V." "apellidos" => "Arenas-García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "R.J." "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, Hospital Universitario San Agustín, Avilés, Asturias, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Radiología, Hospital Universitario San Agustín, Avilés, Asturias, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Varón con broncopatía crónica 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, smoker of a pack a day, with a history of arterial hypertension and moderate-effort dyspnea, consulted due to symptoms that started 3 days ago with fever and chills, with a certain increase in the typical dyspnea, associated with yellowish and occasionally hemoptoic expectorate. The patient also reported general syndrome of 3–4 weeks of progression, with a weight loss of approximately 4<span class="elsevierStyleHsp" style=""></span>kg. An anteroposterior and lateral radiography of the chest revealed a round consolidation at the base of the right hemithorax, signs of generalized hyperinflation with diaphragmatic flattening and horizontalization of the ribs suggestive of chronic bronchial disease and blunting of the costophrenic angle (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B). Thoracic computed tomography revealed signs of paraseptal and centriacinar emphysema, with large bullous lesions, especially in the right hemithorax, one of which presented an air-fluid level, surrounded by an area of consolidation, all of which suggested superinfection (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A and B). Bronchoscopy revealed redness of the bronchial tree. Samples were obtained for bacteriological and histological processing, with negative results including the cultures for mycobacteria. The alpha 1-antitrypsin reading was normal, and spirometry confirmed obstruction with forced expiratory volume in 1 second of 40%. Empiric antibiotic therapy was started with amoxicillin–clavulanate at high doses, which the patient maintained for 2 weeks, with good progression.</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" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Santos-Seoane SM, Arenas-García V, Delgado Sevillano RJ. Varón con broncopatía crónica y enfisema bulloso sobreinfectado. Clin Esp. 2018;218:496–497.</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" ]
Journal Information