Subscribe to this journal
Advanced Search
 array:24 [
  "pii" => "S2254887417301200"
  "issn" => "22548874"
  "doi" => "10.1016/j.rceng.2017.10.002"
  "estado" => "S300"
  "fechaPublicacion" => "2018-01-01"
  "aid" => "1428"
  "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
  "copyrightAnyo" => "2017"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Rev Clin Esp. 2018;218:38-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 2
    "PDF" => 2
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0014256517301984"
      "issn" => "00142565"
      "doi" => "10.1016/j.rce.2017.08.001"
      "estado" => "S300"
      "fechaPublicacion" => "2018-01-01"
      "aid" => "1428"
      "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Rev Clin Esp. 2018;218:38-9"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 54
        "formatos" => array:2 [
          "HTML" => 36
          "PDF" => 18
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">MEDICINA EN IM&#193;GENES</span>"
        "titulo" => "Toracostom&#237;a abierta como tratamiento de un empiema cr&#243;nico con f&#237;stula broncopleural"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "38"
            "paginaFinal" => "39"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Open thoracostomy as treatment of chronic empyema with bronchopleural fistula"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 2077
                "Ancho" => 2500
                "Tamanyo" => 543391
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46;N&#46; Sol&#237;s-Marqu&#237;nez, J&#46;F&#46; L&#243;pez-Caleya"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "M&#46;N&#46;"
                "apellidos" => "Sol&#237;s-Marqu&#237;nez"
              ]
              1 => array:2 [
                "nombre" => "J&#46;F&#46;"
                "apellidos" => "L&#243;pez-Caleya"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2254887417301200"
          "doi" => "10.1016/j.rceng.2017.10.002"
          "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/S2254887417301200?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256517301984?idApp=WRCEE"
      "url" => "/00142565/0000021800000001/v1_201801070655/S0014256517301984/v1_201801070655/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2254887417301571"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2017.04.007"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1399"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Rev Clin Esp. 2018;218:40-2"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1
      "PDF" => 1
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>"
      "titulo" => "Are article&#39;s social media mentions associated to citation counts&#63; An analysis in highly influential medical journals"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "40"
          "paginaFinal" => "42"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "&#191;Existe asociaci&#243;n entre la menci&#243;n en los medios sociales de los art&#237;culos cient&#237;ficos y su n&#250;mero de citas&#63; An&#225;lisis de las revistas m&#233;dicas m&#225;s influyentes"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R&#46; Dal-R&#233;, I&#46; Mahillo-Fern&#225;ndez"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Dal-R&#233;"
            ]
            1 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Mahillo-Fern&#225;ndez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256517301261"
        "doi" => "10.1016/j.rce.2017.04.003"
        "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/S0014256517301261?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887417301571?idApp=WRCEE"
    "url" => "/22548874/0000021800000001/v1_201801040959/S2254887417301571/v1_201801040959/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2254887417301285"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2017.07.005"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1421"
    "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;218:29-37"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 4
      "formatos" => array:2 [
        "HTML" => 2
        "PDF" => 2
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review</span>"
      "titulo" => "Treatment of hepatitis C virus with direct-acting antivirals&#58; Practical aspects and current situation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "29"
          "paginaFinal" => "37"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Tratamiento del virus de la hepatitis C con antivirales de acci&#243;n directa&#58; Aspectos pr&#225;cticos y situaci&#243;n actual"
        ]
      ]
      "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" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1528
              "Ancho" => 2353
              "Tamanyo" => 232489
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Replication cycle of hepatitis C virus and therapeutic targets&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;J&#46; Vivancos, A&#46; Moreno, C&#46; Quereda"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "M&#46;J&#46;"
              "apellidos" => "Vivancos"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Moreno"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Quereda"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256517301807"
        "doi" => "10.1016/j.rce.2017.07.006"
        "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/S0014256517301807?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887417301285?idApp=WRCEE"
    "url" => "/22548874/0000021800000001/v1_201801040959/S2254887417301285/v1_201801040959/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Medicine in images</span>"
    "titulo" => "Open thoracostomy as treatment of chronic empyema with bronchopleural fistula"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "38"
        "paginaFinal" => "39"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46;N&#46; Sol&#237;s-Marqu&#237;nez, J&#46;F&#46; L&#243;pez-Caleya"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "M&#46;N&#46;"
            "apellidos" => "Sol&#237;s-Marqu&#237;nez"
            "email" => array:1 [
              0 => "natayasolis&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "J&#46;F&#46;"
            "apellidos" => "L&#243;pez-Caleya"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital Universitario de Cabue&#241;es&#44; Gij&#243;n &#40;Asturias&#41;&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Toracostom&#237;a abierta como tratamiento de un empiema cr&#243;nico con f&#237;stula broncopleural"
      ]
    ]
    "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" => 2077
            "Ancho" => 2500
            "Tamanyo" => 546253
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 77-year-old man with a history of chronic obstructive pulmonary disease&#44; pneumoconiosis and pulmonary tuberculosis as a youth&#44; which were treated with left collapse therapy&#44; leaving behind a destroyed lung and residual productive pleurisy&#46; The patient consulted for dyspnea&#44; bronchorrhea and fever&#46; The chest radiography revealed a left pleural effusion with an air-fluid level &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#44; arrow&#41; and a right pneumonic condensation&#46; The chest computed tomography showed a bronchopleural fistula &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#44; arrow&#41; with opacification of the postuberculous residual cavity &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#44; asterisk&#41;&#46; The pleural fluid was purulent&#44; with negative results for the microbiological studies for <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> and other germs&#46; Despite antibiotic treatment with amoxicillin-clavulanate for 4 weeks and with piperacillin-tazobactam for 3 more weeks&#44; the fever&#44; bronchorrhea and general deterioration persisted&#46; Radiologically&#44; the only change was the disappearance of the right condensation&#46; A permanent open thoracostomy was therefore performed &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41; to evacuate&#44; with progressive closure as a second intent&#46; In <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#44; we can see the exposed lung with air bubbles&#44; which shows the persistence of the bronchopleural fistula&#46; No intrapleural therapy or vacuum-assisted closure was performed&#46; The patient experienced a postoperative complication and died a month later&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2017-06-22"
    "fechaAceptado" => "2017-08-10"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Sol&#237;s-Marqu&#237;nez M&#44; L&#243;pez-Caleya JF&#46; Toracostom&#237;a abierta como tratamiento de un empiema cr&#243;nico con f&#237;stula broncopleural&#46; Rev Clin Esp&#46; 2018&#59;218&#58;38&#8211;39&#46;</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" => 2077
            "Ancho" => 2500
            "Tamanyo" => 546253
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/22548874/0000021800000001/v1_201801040959/S2254887417301200/v1_201801040959/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/22548874/0000021800000001/v1_201801040959/S2254887417301200/v1_201801040959/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887417301200?idApp=WRCEE"
]
Share
Current Issue
Journal Information
Previous article | Next article
Lee este artículo en Español
Export reference
Share
Share
Print
Download PDF
More article options
Statistics
Medicine in images
DOI: 10.1016/j.rceng.2017.10.002
Open thoracostomy as treatment of chronic empyema with bronchopleural fistula
Toracostomía abierta como tratamiento de un empiema crónico con fístula broncopleural
Download PDF
M.N. Solís-Marquínez
Corresponding author
natayasolis@gmail.com

Corresponding author.
, J.F. López-Caleya
Servicio de Medicina Interna, Hospital Universitario de Cabueñes, Gijón (Asturias), Spain

Purchase article

For the purchase of this article it is necessary to fill in the following form:

Afganistan
Albania
Alemania
Andorra
Angola
Anguilla
Antartica
Antigua and barbuda
Antillas holandesas
Arabia saudita
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgica
Belice
Benin
Bermudas/antillas britanicas
Bhutan
Bolivia
Bosnia y herzegowina
Botswana
Brasil
Brunei darussalam
Bulgaria
Burkina faso
Burundi
Cabo verde
Camboya
Camerun
Canada
Chad
Chile
China
Chipre
Colombia
Comoros
Corea
Costa rica
Cote d´ivoire
Croacia
Cuba
Dinamarca
Djibouti
Dominica
East timor
Ecuador
Egipto
El salvador
Emiratos arabes unidos
Eritrea
Escocia
Eslovaquia
Eslovenia
España
Estados federados de micronesia
Estados unidos
Estonia
Etiopia
Fiji
Filipinas
Finlandia
Francia
Gabon
Gambia
Georgia
Ghana
Gibraltar
Grecia
Grenada
Groenlandia
Guadalupe
Guam
Guatemala
Guayana britanica
Guinea
Guinea ecuatorial
Guinea francesa
Guinea-bissau
Haiti
Holanda
Honduras
Hong kong
Hungria
India
Indonesia
Irak
Iran
Irlanda
Isla bouvet
Isla cocos (keeling)
Isla cook
Isla mauricio
Isla navidad
Isla norfolk
Islandia
Islas caiman
Islas falkland (malvinas)
Islas faroe
Islas georgia del sur y sandwich
Islas heard and mc donald
Islas marshall
Islas northern mariana
Islas salomon
Islas svalbard and jan mayen
Islas turks and caicos
Islas united states minor outlyi
Islas virgenes (britanicas)
Islas virgenes (u.s.a.)
Islas wallis and futuna
Israel
Italia
Jamaica
Japon
Jordania
Kazakhstan
Kenia
Kiribati
Kuwait
Kyrgyzstan
Lesoto
Letonia
Libano
Liberia
Libia arab jamahiriya
Liechtenstein
Lituania
Luxemburgo
Macao
Macedonia
Madagascar
Malasia
Malawi
Maldives
Mali
Malta
Marruecos
Martinica
Mauritania
Mayotte
Mexico
Monaco
Mongolia
Monserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Noruega
Nueva caledonia
Nueva zelanda
Oman
Pakistan
Palau
Panama
Papua new guinea
Paraguay
Peru
Pitcairn
Polinesia francesa
Polonia
Portugal
Posesiones gran bretaña
Posesiones u.s.a.
Puerto rico
Qatar
Reino unido
Republica checa
Republica de africa central
Republica de cabo verde
Republica de congo
Republica de corea
Republica de moldova
Republica democratica de laos
Republica democratica del congo
Republica dominicana
Reunion
Ruanda
Rumania
Rusia
Sahara occidental
Saint kitts and nevis
Samoa
Samoa americana
San marino
San tomas y principe
San vincent and the grenadines
Santa lucia
Senegal
Serbia
Seychelles
Sierra leona
Singapur
Siria
Somalia
Sri lanka
St. helena
St. pierre and miquelon
Sudafrica
Sudan
Suecia
Suiza
Surinam
Swaziland
Tailandia
Taiwan republica de china
Tajikistan
Tanzania
Territorio de indias britanicas
Togo
Tokelau
Tonga
Trinidad and tobago
Tunisia
Turkmenistan
Turquia
Tuvalu
Ucrania
Uganda
Uruguay
Uzbekistan
Vanuatu
Vaticano
Venezuela
Vietnam
Yemen
Yugoslavia
Zambia
Zimbawe
Lebanon
Paises bajos
A coruña
Alava
Albacete
Alicante
Almeria
Asturias
Avila
Badajoz
Balears
Barcelona
Bizkaia
Burgos
Caceres
Cadiz
Cantabria
Castellon
Ceuta
Ciudad real
Cordoba
Cuenca
Girona
Granada
Guadalajara
Guipuzcoa
Huelva
Huesca
Jaen
La rioja
Las palmas
Leon
Lleida
Lugo
Madrid
Malaga
Melilla
Murcia
Navarra
Ourense
Palencia
Pontevedra
Salamanca
Segovia
Sevilla
Soria
Tarragona
Tenerife
Teruel
Toledo
Valencia
Valladolid
Zamora
Zaragoza
-- Not applicable --
I accept to receive information about Elsevier's special products and promotions by email
I accept to receive information about products and special promotions from Elsevier partners by email
I have read and understand the Privacy Policy and Terms and conditions and agree to be bound by all of its terms.
* Required fields
In addition to temporary access to the article, it will be sent by email.
Customer Support
Phone
Calls from Spain
932 415 960
Calls from abroad
+34 932 415 960
Hours from 9 a.m. to 6 p.m. except the months of July and August, which will be from 9 am to 3 pm.

Subscribe to our newsletter

Highlighted articles
Publish in
Revista Clínica Española
Free access articles
The value of multi-modal ultrasound in the assessment of...
Rev Clin Esp. 2024;224:437-44
Adverse cardiovascular, obstetric and perinatal events...
Rev Clin Esp. 2024;224:337-45
How to detect non-institutionalized older patients at risk...
Rev Clin Esp. 2024;224:217-24
Revista Clínica Española (English Edition) is a member and subscribes the principles of, the Committee on Publication Ethics (COPE)
www.publicationethics.org.
Idiomas
Revista Clínica Española (English Edition)
es en

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

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