Searching for aspergillosis

Serôdio, J.; Costelha, J.; Carneiro, J.

doi:10.1016/j.rceng.2019.07.015

array:24 ["pii" => "S2254887419302140" "issn" => "22548874" "doi" => "10.1016/j.rceng.2019.07.015" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1732" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2019" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2021;221:182-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0014256519302310" "issn" => "00142565" "doi" => "10.1016/j.rce.2019.07.015" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1732" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2021;221:182-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "Medicina en imágenes" "titulo" => "En busca de la aspergilosis" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "182" "paginaFinal" => "183" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "In search for aspergillosis" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 663 "Ancho" => 905 "Tamanyo" => 68747 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Serôdio, J. Costelha, J. Carneiro" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Serôdio" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Costelha" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Carneiro" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2254887419302140" "doi" => "10.1016/j.rceng.2019.07.015" "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/S2254887419302140?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519302310?idApp=WRCEE" "url" => "/00142565/0000022100000003/v1_202102260721/S0014256519302310/v1_202102260721/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2254887421000047" "issn" => "22548874" "doi" => "10.1016/j.rceng.2020.10.001" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1923" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2021;221:184-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Correspondence" "titulo" => "The COVID-19 era: Ethics in times of crisis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "184" "paginaFinal" => "185" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tiempo de COVID-19: ética en tiempos de crisis" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.-M. Gamboa-Antiñolo" "autores" => array:1 [ 0 => array:2 [ "nombre" => "F.-M." "apellidos" => "Gamboa-Antiñolo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256520303027" "doi" => "10.1016/j.rce.2020.10.008" "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/S0014256520303027?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887421000047?idApp=WRCEE" "url" => "/22548874/0000022100000003/v1_202102260754/S2254887421000047/v1_202102260754/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2254887419301912" "issn" => "22548874" "doi" => "10.1016/j.rceng.2019.08.002" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1726" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2021;221:180-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Medicine in Images" "titulo" => "Visceral Kaposi’s sarcoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "180" "paginaFinal" => "181" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sarcoma de Kaposi visceral" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 410 "Ancho" => 1255 "Tamanyo" => 66439 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "I. Solares, J. Salas Jarque, M.A. Pérez-Jacoiste Asín" "autores" => array:3 [ 0 => array:2 [ "nombre" => "I." "apellidos" => "Solares" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Salas Jarque" ] 2 => array:2 [ "nombre" => "M.A." "apellidos" => "Pérez-Jacoiste Asín" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256519302243" "doi" => "10.1016/j.rce.2019.08.004" "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/S0014256519302243?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419301912?idApp=WRCEE" "url" => "/22548874/0000022100000003/v1_202102260754/S2254887419301912/v1_202102260754/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "Medicine in Images" "titulo" => "Searching for aspergillosis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "182" "paginaFinal" => "183" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Serôdio, J. Costelha, J. Carneiro" "autores" => array:3 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Serôdio" "email" => array:1 [ 0 => "joana.g.serodio@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Costelha" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Carneiro" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Medicina Interna, Unidad de Salud Local del Alto Miño, Ponte de Lima, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "En busca de la aspergilosis" ] ] "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" => 663 "Ancho" => 905 "Tamanyo" => 68816 ] ] ] ] "textoCompleto" => "An 80-year-old woman with long-term type 2 diabetes mellitus and asthma treated with inhaled corticosteroids was admitted for dyspnea lasting 5 weeks, as well as purulent cough, fever, anorexia, asthenia and night-time sweats.The inflammatory markers were high, and the chest radiography revealed bilateral consolidations and an apparent cavitation in the left upper lobe of the lungs. Chest computed tomography showed numerous bilateral nodular lesions (several of which were cavitated with irregular walls), a consolidation surrounding the lesions and areas with ground-glass opacity (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>The patient had been treated with broad-spectrum antibiotics for 10 days in a private hospital with no sign of improvement. Bronchial sputum and bronchoalveolar lavage fluid was collected, with Aspergillus fumigatus isolated from the latter and negative results for the rest of the tests (bacterial, mycobacterial and cytology). The diagnosis of subacute invasive pulmonary aspergillosis was established, and treatment was started with voriconazole, with slow but gradual improvement (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).<elsevierMultimedia ident="fig0010"></elsevierMultimedia>Pulmonary aspergillosis is found among the group of etiologies causing pulmonary cavitations, which can be confused with other, at times more common, entities such as cancer, systemic disease, necrotizing pneumonia and mycobacterial infections. The presence of cavitation in the upper lobe and symptoms of consumption increase the suspicion of mycobacterial infections. Compared with other similar diagnoses, we more often observe with this type of aspergillosis that the lymph nodes are rarely affected and that the cavitations tend to be numerous, bilateral and with irregular walls surrounded by consolidations. As such, and without diminishing the importance of the remaining evaluation, computed tomography can play a key role in the early suspicion of this disease." "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-07-15" "fechaAceptado" => "2019-07-28" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Serôdio J, Costelha J, Carneiro J. En busca de la aspergilosis. Rev Clin Esp. 2021;221:182–183." ] ] "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" => 1104 "Ancho" => 2175 "Tamanyo" => 232666 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 663 "Ancho" => 905 "Tamanyo" => 68816 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022100000003/v1_202102260754/S2254887419302140/v1_202102260754/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/22548874/0000022100000003/v1_202102260754/S2254887419302140/v1_202102260754/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419302140?idApp=WRCEE"]

Revista Clínica Española (English Edition)

ISSN: 2254-8874

Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI).
The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Ten issues are published each year, including mostly originals, reviews and consensus documents.

Indexed in:

Current Contents / Clinical Medicine , JCR / SCI-Expanded, Index Medicus / Medline y Excerpta Medica / EMBASE

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

2.3

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

0.7

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.162

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.211

View more metrics

Open Access Option

Journal Information

Previous article | Next article

Vol. 221. Issue 3.

Pages 182-183 (March 2021)

Lee este artículo en Español

Export reference

Download PDF

Article

These are the options to access the full texts of the publication Revista Clínica Española (English Edition)

Member of the society

Subscriber

Contact

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.