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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 67-year-old man underwent a double bypass operation after acute coronary syndrome&#46; One month later&#44; the patient began to present cough&#44; greenish sputum and dyspnoea and was therefore admitted&#46; Chest radiography showed no infiltrates&#44; and the patient was discharged with a diagnostic of acute bronchitis&#46; After antibiotic treatment&#44; the symptoms of infection persisted&#46; Opacity in the left lower lobe &#40;LLL&#41; was observed in the radiography&#46; The patient underwent chest computed tomography &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#44; which showed LLL obstructive pneumonia and a foreign body with bone density in the LLL bronchus&#46; A bronchoscopy was performed&#44; which showed inflammation in the left bronchial tree&#44; purulent secretions and stenosis of the LLL bronchus&#44; with granulomas that impeded the passage of the bronchoscope&#46; After 5 days with piperacillin&#8211;tazobactam and corticosteroids&#44; the patient underwent another bronchoscopy&#44; which confirmed the presence of a brownish foreign body&#46; Despite the granulation tissue and inflammation&#44; the foreign body was extracted with forceps&#46; After the extraction&#44; the patient remembered 2 aspiration episodes&#44; one of which occurred while eating rabbit a month ago&#44; coinciding with the previous hospitalization&#46; The patient&#39;s symptoms improved after the bronchoscopy&#46; Rabbit bones are an unusual foreign body&#46; Nevertheless&#44; foreign body aspiration can go unnoticed if the patient has undergone recent surgery&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
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Vol. 220. Issue 4.
Pages 263 (May 2020)
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Vol. 220. Issue 4.
Pages 263 (May 2020)
Medicine in Images
Pneumonia associated with intrabronchial foreign body
Neumonía asociada a cuerpo extraño intrabronquial
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R. Andújar-Espinosaa,b,
Corresponding author
rubemed@hotmail.com

Corresponding author.
, J.A. Ros-Lucasa,b, F.J. Ruiz-Lópeza
a Servicio de Neumología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
b Aparato Respiratorio, Facultad de Medicina, Universidad Católica San Antonio (UCAM), Murcia, Spain
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