array:23 [
  "pii" => "S0210569112002392"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2012.08.002"
  "estado" => "S300"
  "fechaPublicacion" => "2013-01-01"
  "aid" => "497"
  "copyright" => "Elsevier España, S.L. and SEMICYUC"
  "copyrightAnyo" => "2012"
  "documento" => "simple-article"
  "crossmark" => 0
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2013;37:59"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3335
    "formatos" => array:3 [
      "EPUB" => 145
      "HTML" => 1581
      "PDF" => 1609
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0210569111002142"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2011.06.009"
    "estado" => "S300"
    "fechaPublicacion" => "2013-01-01"
    "aid" => "330"
    "copyright" => "Elsevier España, S.L. and SEMICYUC"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2013;37:60"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2956
      "formatos" => array:3 [
        "EPUB" => 190
        "HTML" => 1909
        "PDF" => 857
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
      "titulo" => "Aspiraci&#243;n de una pr&#243;tesis dental"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "60"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Aspiration of a dental prosthesis"
        ]
      ]
      "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" => 1195
              "Ancho" => 1587
              "Tamanyo" => 112182
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46;M&#46; Baldessari, A&#46; Ferr&#233;-Contreras, A&#46; M&#233;ndez-Villarroel"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "E&#46;M&#46;"
              "apellidos" => "Baldessari"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Ferr&#233;-Contreras"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "M&#233;ndez-Villarroel"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569111002142?idApp=WMIE"
    "url" => "/02105691/0000003700000001/v2_201301251203/S0210569111002142/v2_201301251203/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0210569112002355"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2012.07.005"
    "estado" => "S300"
    "fechaPublicacion" => "2013-01-01"
    "aid" => "493"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2013;37:58"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2266
      "formatos" => array:3 [
        "EPUB" => 163
        "HTML" => 1486
        "PDF" => 617
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
      "titulo" => "&#191;Hospitalistas como fuerza laboral en las terapias intensivas estadounidenses y en Iberoam&#233;rica&#63;"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "58"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Hospitalists as a work force in intensive care in the United States and Latin America&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;L&#46; Sandoval Guti&#233;rrez"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Sandoval Guti&#233;rrez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569112002355?idApp=WMIE"
    "url" => "/02105691/0000003700000001/v2_201301251203/S0210569112002355/v2_201301251203/es/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Organizing pneumonia as another pathological finding in pandemic influenza A &#40;H1N1&#41;"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "59"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "E&#46; Marchiori, G&#46; Zanetti, F&#46;A&#46; Ferreira Francisco, B&#46; Hochhegger"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "E&#46;"
            "apellidos" => "Marchiori"
            "email" => array:1 [
              0 => "edmarchiori&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "G&#46;"
            "apellidos" => "Zanetti"
          ]
          2 => array:2 [
            "nombre" => "F&#46;A&#46;"
            "apellidos" => "Ferreira Francisco"
          ]
          3 => array:2 [
            "nombre" => "B&#46;"
            "apellidos" => "Hochhegger"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Federal University&#44; Rio de Janeiro&#44; Brazil"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Organizaci&#243;n de la neumon&#237;a como otro hallazgo patol&#243;gico en la gripe A pand&#233;mica &#40;H1N1&#41;"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the well-written manuscript by Nin et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> who described pathological changes in the lungs in fatal cases of influenza A &#40;H1N1&#41; viral pneumonia&#46; They concluded that diffuse alveolar damage was the predominant finding&#44; accompanied by alveolar hemorrhage and&#44; in some cases&#44; by bronchiolitis and microthrombi&#46; Patients who died within the first week after diagnosis presented signs of exudative acute respiratory distress syndrome &#40;ARDS&#41;&#44; whereas those who died after the first week presented signs of proliferative ARDS&#46; Also&#44; in a recent editorial&#44; L&#243;pez-Alonso and Albaiceta<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> emphasized the presence of mechanisms of tissue repair occurring in very early stages of injury&#44; and questioned the role of this inflammatory response in patients&#8217; recovery&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">We would like to highlight another important pathological finding observed in these patients&#58; organizing pneumonia &#40;OP&#41;&#46; A recent study examining the correlation between computed tomographic &#40;CT&#41; features and pathological findings in fatal cases of H1N1 pneumonia described a patient who presented linear opacities on a follow-up CT scan performed 15 days after the first examination&#46; The patient died 28 days after the first hospitalization&#44; and histological examination showed typical elongated fibroblast plugs filling airspaces&#44; compatible with OP&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Other studies have also reported similar findings&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Pulmonary fibrosis observed in the recovery phase may&#44; at least in part&#44; account for the respiratory symptoms observed in these patients&#46; CT may play a role in the detection and characterization of the disease&#44; in monitoring the disease progress and response to treatment&#44; and in the identification of complications&#46; Although pulmonary opacities secondary to H1N1 infection usually regress during convalescence&#44; consolidations may occasionally progress to linear or peripheral opacities&#46; Histopathological studies have shown that&#44; in most cases&#44; these later changes are due to secondary OP&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#8211;4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In conclusion&#44; pulmonary opacities observed in the recovery phase of H1N1 infection frequently represent OP&#46; The diagnosis of secondary OP after H1N1 infection is important because proper treatment of OP requires corticosteroid therapy&#46; Physicians should be aware that OP may complicate the recovery of patients with H1N1 infection&#44; and the development of late opacities on CT scans during recovery should suggest this diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#8211;5</span></a></p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung histopathological findings in fatal pandemic influenza A &#40;H1N1&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "N&#46; Nin"
                            1 => "C&#46; S&#225;nchez-Rodr&#237;guez"
                            2 => "L&#46;S&#46; Ver"
                            3 => "P&#46; Cardinal"
                            4 => "A&#46; Ferruelo"
                            5 => "L&#46; Soto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2011.10.005"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "24"
                        "paginaFinal" => "31"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22154847"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Life after death&#58; lessons in lung injury physiopathology with necropsies on H1N1 infected patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46; L&#243;pez-Alonso"
                            1 => "G&#46;M&#46; Albaiceta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2011.12.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "67"
                        "paginaFinal" => "68"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22264893"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Influenza A &#40;H1N1&#41; virus-associated pneumonia&#58; high-resolution computed tomography&#8211;pathologic correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46; Marchiori"
                            1 => "G&#46; Zanetti"
                            2 => "C&#46;A&#46;P&#46; Fontes"
                            3 => "M&#46;L&#46;O&#46; Santos"
                            4 => "P&#46;M&#46; Valiante"
                            5 => "C&#46;M&#46; Mano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejrad.2010.10.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Radiol"
                        "fecha" => "2011"
                        "volumen" => "80"
                        "paginaInicial" => "e500"
                        "paginaFinal" => "e504"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21035974"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Organizing pneumonia associated with swine-origin influenza A H1N1 2009 viral infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; G&#243;mez-G&#243;mez"
                            1 => "R&#46; Mart&#237;nez-Mart&#237;nez"
                            2 => "M&#46;B&#46; Gotway"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/AJR.10.4689"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2011"
                        "volumen" => "196"
                        "paginaInicial" => "W103"
                        "paginaFinal" => "W104"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21178022"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Organising pneumonia as a late abnormality in influenza A &#40;H1N1&#41; virus infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Marchiori"
                            1 => "M&#46;M&#46; Barreto"
                            2 => "B&#46; Hochhegger"
                            3 => "G&#46; Zanetti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1259/bjr/91363092"
                      "Revista" => array:5 [
                        "tituloSerie" => "Br J Radiol"
                        "fecha" => "2012"
                        "volumen" => "85"
                        "paginaInicial" => "841"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22665929"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000003700000001/v2_201301251203/S0210569112002392/v2_201301251203/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "439"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas al director"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000003700000001/v2_201301251203/S0210569112002392/v2_201301251203/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569112002392?idApp=WMIE"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Letter to the Editor
Organizing pneumonia as another pathological finding in pandemic influenza A (H1N1)
Organización de la neumonía como otro hallazgo patológico en la gripe A pandémica (H1N1)
E. Marchiori
Autor para correspondencia
edmarchiori@gmail.com

Corresponding author.
, G. Zanetti, F.A. Ferreira Francisco, B. Hochhegger
Federal University, Rio de Janeiro, Brazil
Leído
1206
Veces
se ha leído el artículo
593
Total PDF
613
Total HTML
Compartir estadísticas
 array:23 [
  "pii" => "S0210569112002392"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2012.08.002"
  "estado" => "S300"
  "fechaPublicacion" => "2013-01-01"
  "aid" => "497"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
  "copyrightAnyo" => "2012"
  "documento" => "simple-article"
  "crossmark" => 0
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2013;37:59"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3335
    "formatos" => array:3 [
      "EPUB" => 145
      "HTML" => 1581
      "PDF" => 1609
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0210569111002142"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2011.06.009"
    "estado" => "S300"
    "fechaPublicacion" => "2013-01-01"
    "aid" => "330"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2013;37:60"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2956
      "formatos" => array:3 [
        "EPUB" => 190
        "HTML" => 1909
        "PDF" => 857
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
      "titulo" => "Aspiraci&#243;n de una pr&#243;tesis dental"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "60"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Aspiration of a dental prosthesis"
        ]
      ]
      "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" => 1195
              "Ancho" => 1587
              "Tamanyo" => 112182
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46;M&#46; Baldessari, A&#46; Ferr&#233;-Contreras, A&#46; M&#233;ndez-Villarroel"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "E&#46;M&#46;"
              "apellidos" => "Baldessari"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Ferr&#233;-Contreras"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "M&#233;ndez-Villarroel"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569111002142?idApp=WMIE"
    "url" => "/02105691/0000003700000001/v2_201301251203/S0210569111002142/v2_201301251203/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0210569112002355"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2012.07.005"
    "estado" => "S300"
    "fechaPublicacion" => "2013-01-01"
    "aid" => "493"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2013;37:58"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2266
      "formatos" => array:3 [
        "EPUB" => 163
        "HTML" => 1486
        "PDF" => 617
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>"
      "titulo" => "&#191;Hospitalistas como fuerza laboral en las terapias intensivas estadounidenses y en Iberoam&#233;rica&#63;"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "58"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Hospitalists as a work force in intensive care in the United States and Latin America&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;L&#46; Sandoval Guti&#233;rrez"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Sandoval Guti&#233;rrez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569112002355?idApp=WMIE"
    "url" => "/02105691/0000003700000001/v2_201301251203/S0210569112002355/v2_201301251203/es/main.assets"
  ]
  "en" => array:11 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Organizing pneumonia as another pathological finding in pandemic influenza A &#40;H1N1&#41;"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "59"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "E&#46; Marchiori, G&#46; Zanetti, F&#46;A&#46; Ferreira Francisco, B&#46; Hochhegger"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "E&#46;"
            "apellidos" => "Marchiori"
            "email" => array:1 [
              0 => "edmarchiori&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "G&#46;"
            "apellidos" => "Zanetti"
          ]
          2 => array:2 [
            "nombre" => "F&#46;A&#46;"
            "apellidos" => "Ferreira Francisco"
          ]
          3 => array:2 [
            "nombre" => "B&#46;"
            "apellidos" => "Hochhegger"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Federal University&#44; Rio de Janeiro&#44; Brazil"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Organizaci&#243;n de la neumon&#237;a como otro hallazgo patol&#243;gico en la gripe A pand&#233;mica &#40;H1N1&#41;"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the well-written manuscript by Nin et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> who described pathological changes in the lungs in fatal cases of influenza A &#40;H1N1&#41; viral pneumonia&#46; They concluded that diffuse alveolar damage was the predominant finding&#44; accompanied by alveolar hemorrhage and&#44; in some cases&#44; by bronchiolitis and microthrombi&#46; Patients who died within the first week after diagnosis presented signs of exudative acute respiratory distress syndrome &#40;ARDS&#41;&#44; whereas those who died after the first week presented signs of proliferative ARDS&#46; Also&#44; in a recent editorial&#44; L&#243;pez-Alonso and Albaiceta<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> emphasized the presence of mechanisms of tissue repair occurring in very early stages of injury&#44; and questioned the role of this inflammatory response in patients&#8217; recovery&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">We would like to highlight another important pathological finding observed in these patients&#58; organizing pneumonia &#40;OP&#41;&#46; A recent study examining the correlation between computed tomographic &#40;CT&#41; features and pathological findings in fatal cases of H1N1 pneumonia described a patient who presented linear opacities on a follow-up CT scan performed 15 days after the first examination&#46; The patient died 28 days after the first hospitalization&#44; and histological examination showed typical elongated fibroblast plugs filling airspaces&#44; compatible with OP&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Other studies have also reported similar findings&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Pulmonary fibrosis observed in the recovery phase may&#44; at least in part&#44; account for the respiratory symptoms observed in these patients&#46; CT may play a role in the detection and characterization of the disease&#44; in monitoring the disease progress and response to treatment&#44; and in the identification of complications&#46; Although pulmonary opacities secondary to H1N1 infection usually regress during convalescence&#44; consolidations may occasionally progress to linear or peripheral opacities&#46; Histopathological studies have shown that&#44; in most cases&#44; these later changes are due to secondary OP&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#8211;4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In conclusion&#44; pulmonary opacities observed in the recovery phase of H1N1 infection frequently represent OP&#46; The diagnosis of secondary OP after H1N1 infection is important because proper treatment of OP requires corticosteroid therapy&#46; Physicians should be aware that OP may complicate the recovery of patients with H1N1 infection&#44; and the development of late opacities on CT scans during recovery should suggest this diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#8211;5</span></a></p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung histopathological findings in fatal pandemic influenza A &#40;H1N1&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "N&#46; Nin"
                            1 => "C&#46; S&#225;nchez-Rodr&#237;guez"
                            2 => "L&#46;S&#46; Ver"
                            3 => "P&#46; Cardinal"
                            4 => "A&#46; Ferruelo"
                            5 => "L&#46; Soto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2011.10.005"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "24"
                        "paginaFinal" => "31"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22154847"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Life after death&#58; lessons in lung injury physiopathology with necropsies on H1N1 infected patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46; L&#243;pez-Alonso"
                            1 => "G&#46;M&#46; Albaiceta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2011.12.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "67"
                        "paginaFinal" => "68"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22264893"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Influenza A &#40;H1N1&#41; virus-associated pneumonia&#58; high-resolution computed tomography&#8211;pathologic correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46; Marchiori"
                            1 => "G&#46; Zanetti"
                            2 => "C&#46;A&#46;P&#46; Fontes"
                            3 => "M&#46;L&#46;O&#46; Santos"
                            4 => "P&#46;M&#46; Valiante"
                            5 => "C&#46;M&#46; Mano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejrad.2010.10.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Radiol"
                        "fecha" => "2011"
                        "volumen" => "80"
                        "paginaInicial" => "e500"
                        "paginaFinal" => "e504"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21035974"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Organizing pneumonia associated with swine-origin influenza A H1N1 2009 viral infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; G&#243;mez-G&#243;mez"
                            1 => "R&#46; Mart&#237;nez-Mart&#237;nez"
                            2 => "M&#46;B&#46; Gotway"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/AJR.10.4689"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR Am J Roentgenol"
                        "fecha" => "2011"
                        "volumen" => "196"
                        "paginaInicial" => "W103"
                        "paginaFinal" => "W104"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21178022"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Organising pneumonia as a late abnormality in influenza A &#40;H1N1&#41; virus infection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Marchiori"
                            1 => "M&#46;M&#46; Barreto"
                            2 => "B&#46; Hochhegger"
                            3 => "G&#46; Zanetti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1259/bjr/91363092"
                      "Revista" => array:5 [
                        "tituloSerie" => "Br J Radiol"
                        "fecha" => "2012"
                        "volumen" => "85"
                        "paginaInicial" => "841"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22665929"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000003700000001/v2_201301251203/S0210569112002392/v2_201301251203/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "439"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas al director"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000003700000001/v2_201301251203/S0210569112002392/v2_201301251203/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569112002392?idApp=WMIE"
]
Información del artículo
ISSN: 02105691
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 8 13 21
2024 Octubre 34 43 77
2024 Septiembre 32 39 71
2024 Agosto 55 54 109
2024 Julio 33 39 72
2024 Junio 39 28 67
2024 Mayo 42 36 78
2024 Abril 36 30 66
2024 Marzo 40 22 62
2024 Febrero 34 34 68
2024 Enero 29 35 64
2023 Diciembre 31 37 68
2023 Noviembre 34 28 62
2023 Octubre 30 27 57
2023 Septiembre 39 39 78
2023 Agosto 31 21 52
2023 Julio 27 29 56
2023 Junio 25 21 46
2023 Mayo 14 18 32
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Medicina Intensiva
es en

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

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