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Characteristic ultrasound image of a giant thrombosed infrarenal aortic aneurysm" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "626" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "POCUS abdominal. Imagen ecográfica característica de aneurisma de aorta infrarrenal trombosado" ] ] "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" => 429 "Ancho" => 1367 "Tamanyo" => 64333 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Francisco Muñoz Moreno, Maria Carmen Espinosa Gonzalez, Alfonso Peral Santos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Juan Francisco" "apellidos" => "Muñoz Moreno" ] 1 => array:2 [ "nombre" => "Maria Carmen" "apellidos" => "Espinosa Gonzalez" ] 2 => array:2 [ "nombre" => "Alfonso" "apellidos" => "Peral Santos" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569124000664" "doi" => "10.1016/j.medin.2024.02.003" "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/S0210569124000664?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000523?idApp=WMIE" "url" => "/21735727/0000004800000010/v1_202409270531/S2173572724000523/v1_202409270531/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Spontaneous pneumothorax and massive subcutaneous emphysema in a patient with <span class="elsevierStyleItalic">Klebsiella pneumoniae</span> necrotizing pneumonia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "627" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Helena Camino Ferró, Sergio Gómez Camino, Enrique Chicote Álvarez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Helena" "apellidos" => "Camino Ferró" "email" => array:1 [ 0 => "helenacamino8@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Sergio" "apellidos" => "Gómez Camino" ] 2 => array:2 [ "nombre" => "Enrique" "apellidos" => "Chicote Álvarez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital San Pedro, Logroño, La Rioja, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumotórax espontáneo y enfisema subcutáneo masivo en paciente con neumonía necrotizante por <span class="elsevierStyleItalic">Klebsiella pneumoniae</span>" ] ] "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" => 633 "Ancho" => 755 "Tamanyo" => 123460 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 49-year-old woman with a past medical history of asthma and type 2 diabetes who was admitted to the intensive care unit with diabetic ketoacidosis and bilateral pneumonia due to <span class="elsevierStyleItalic">Klebsiella pneumoniae</span> and required invasive mechanical ventilation. The patient exhibited good initial respiratory progress. However, after 8 days of mechanical ventilation, she developed a spontaneous left pneumothorax, which was drained and the chest drain kept in place. Twenty-four hours later, extubation was attempted, but reintubation was deemed necessary due to weakness and poor secretion management. Following reintubation, the patient exhibited hypotension and acute respiratory failure. A new left pneumothorax was seen, leading to the placement of yet another drainage tube. The thoracic x-ray performed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) revealed the presence of a re-expanded left lung, and a hypodense lesion in the right base and significant subcutaneous emphysema. The CAT scan performed (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) with bilateral consolidation confirmed the presence of multiple cavitations consistent with necrotizing pneumonia.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 624 "Ancho" => 755 "Tamanyo" => 57814 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 633 "Ancho" => 755 "Tamanyo" => 123460 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004800000010/v1_202409270531/S2173572724000572/v1_202409270531/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/21735727/0000004800000010/v1_202409270531/S2173572724000572/v1_202409270531/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572724000572?idApp=WMIE" ]