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Ibrahim-Achi, M. Galicia, M.Á. López-Hernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Ibrahim-Achi" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Galicia" ] 2 => array:2 [ "nombre" => "M.Á." "apellidos" => "López-Hernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569121002771" "doi" => "10.1016/j.medin.2021.11.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569121002771?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001394?idApp=WMIE" "url" => "/21735727/0000004600000008/v1_202207200525/S2173572722001394/v1_202207200525/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "From the macro to the micro. Diagnosis at first glance" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "485" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "B. Cantan, I. Martin-Loeches" "autores" => array:2 [ 0 => array:3 [ "nombre" => "B." "apellidos" => "Cantan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "I." "apellidos" => "Martin-Loeches" "email" => array:1 [ 0 => "drmartinloeches@gmail.com" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Department of Intensive Care Medicine, St James Hospital, Dublin, Ireland" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Multidisciplinary Intensive Care Research Organization (MICRO), St. James's Hospital Dublin, Ireland" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of Clinical Medicine, Trinity College, Welcome Trust-HRB Clinical Research Facility, St James Hospital, Dublin, Ireland" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Desde la macro a la micro. Diagnóstico a primera vista" ] ] "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" => 697 "Ancho" => 750 "Tamanyo" => 41322 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 51 year old immunocompetent man was admitted to the intensive care unit with severe acute respiratory distress syndrome caused by influenza A infection. He initially responded well to treatment. His respiratory status subsequently deteriorated and he developed multi-organ failure which prompted suspicion of either a bacterial or fungal co-infection, a recognised complication of influenza infection. Bronchoscopy revealed multiple pseudomembranes in the trachea (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and right and left main bronchi. Samples from brushings and bronchoalveolar lavage were sent to the laboratory. Culture of these yielded both <span class="elsevierStyleItalic">Aspergillus flavus</span> and <span class="elsevierStyleItalic">Aspergillus fumigatus</span> (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Unfortunately despite appropriate treatment the patient progressed to refractory multi-organ failure and died.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">No funding to declare.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">No conflict of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 750 "Ancho" => 750 "Tamanyo" => 37183 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 697 "Ancho" => 750 "Tamanyo" => 41322 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004600000008/v1_202207200525/S2173572722001527/v1_202207200525/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004600000008/v1_202207200525/S2173572722001527/v1_202207200525/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572722001527?idApp=WMIE" ]
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