array:23 [ "pii" => "S2387020621005453" "issn" => "23870206" "doi" => "10.1016/j.medcle.2021.04.009" "estado" => "S300" "fechaPublicacion" => "2021-11-12" "aid" => "5653" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:e324" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775321002177" "issn" => "00257753" "doi" => "10.1016/j.medcli.2021.04.007" "estado" => "S300" "fechaPublicacion" => "2021-11-12" "aid" => "5653" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:e324" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen médica</span>" "titulo" => "Neumonía por COVID-19 que afecta solo al pulmón nativo en trasplante unipulmonar" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e324" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "COVID-19 pneumonia affecting only native lung in one-lung transplantation" ] ] "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" => 892 "Ancho" => 1000 "Tamanyo" => 120804 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Víctor Manuel Mora Cuesta, David Iturbe Fernández, Laura González Ramos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Víctor Manuel" "apellidos" => "Mora Cuesta" ] 1 => array:2 [ "nombre" => "David" "apellidos" => "Iturbe Fernández" ] 2 => array:2 [ "nombre" => "Laura" "apellidos" => "González Ramos" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020621005453" "doi" => "10.1016/j.medcle.2021.04.009" "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/S2387020621005453?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775321002177?idApp=UINPBA00004N" "url" => "/00257753/0000015700000009/v1_202110280523/S0025775321002177/v1_202110280523/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2387020621005519" "issn" => "23870206" "doi" => "10.1016/j.medcle.2020.12.027" "estado" => "S300" "fechaPublicacion" => "2021-11-12" "aid" => "5583" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:458" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Disseminated <span class="elsevierStyleItalic">Mycobacterium avium</span> and <span class="elsevierStyleItalic">Talaromyces marneffei</span> coinfection" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "458" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Coinfección diseminada de <span class="elsevierStyleItalic">Mycobacterium avium</span> y <span class="elsevierStyleItalic">Talaromyces marneffei</span>" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1384 "Ancho" => 1667 "Tamanyo" => 298389 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Guocan Yu, Xudong Xu, Bo Ye" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Guocan" "apellidos" => "Yu" ] 1 => array:2 [ "nombre" => "Xudong" "apellidos" => "Xu" ] 2 => array:2 [ "nombre" => "Bo" "apellidos" => "Ye" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0025775321000750" "doi" => "10.1016/j.medcli.2020.12.026" "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/S0025775321000750?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621005519?idApp=UINPBA00004N" "url" => "/23870206/0000015700000009/v1_202111060623/S2387020621005519/v1_202111060623/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "COVID-19 pneumonia affecting only native lung in one-lung transplantation" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e324" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Víctor Manuel Mora Cuesta, David Iturbe Fernández, Laura González Ramos" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Víctor Manuel" "apellidos" => "Mora Cuesta" "email" => array:1 [ 0 => "victormanuel.mora@scsalud.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "David" "apellidos" => "Iturbe Fernández" ] 2 => array:2 [ "nombre" => "Laura" "apellidos" => "González Ramos" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología, Unidad de Trasplante Pulmonar, Hospital Universitario Marques de Valdecilla, Santander, Cantabria, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumonía por COVID-19 que afecta solo al pulmón nativo en trasplante unipulmonar" ] ] "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" => 892 "Ancho" => 1000 "Tamanyo" => 120804 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">58-year-old male patient with single-lung transplantation in March 2018 due to idiopathic pulmonary fibrosis. No relevant complications after transplantation, good functional status and an m-MRC functional class of 0 points. The patient had a confirmed SARS-CoV-2 infection 7 days prior to hospital admission. The symptoms included high fever, dry irritative cough and dyspnoea, as well as O<span class="elsevierStyleInf">2</span> desaturation and confirmed hypoxemic respiratory failure on arterial blood gas analysis. Chest CT demonstrated the presence of ground glass areas in the native lung, compatible with COVID-19 pneumonia, without involvement of the transplanted lung (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Other causes, such as infection by <span class="elsevierStyleItalic">Cytomegalovirus</span> (CMV) or bacterial pneumonia, were ruled out. The fact that it presents with exclusive involvement of the native lung, while sparing the transplanted lung, suggests that there must be molecular mechanisms by which the virus has a greater affinity for some hosts than others. This mechanism of exclusive involvement of the native lung has been described in other viruses such as CMV but has not been described in SARS-CoV-2, which has had a major impact among lung transplant patients.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a> Fortunately, a satisfactory function and the absence of involvement in the transplanted lung allowed him to make good progress and was discharged from hospital in 10 days.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Mora Cuesta VM, Iturbe Fernández D, González Ramos L. Neumonía por COVID-19 que afecta solo al pulmón nativo en trasplante unipulmonar. Med Clin (Barc). 2021;157:e324.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 892 "Ancho" => 1000 "Tamanyo" => 120804 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute hypoxemic respiratory failure and native lung idiopathic pulmonary fibrosis exacerbation in single-lung transplant patients with cytomegalovirus disease: a case series" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.M. Marron" 1 => "M.E. Vega Sanchez" 2 => "H. Clauss" 3 => "A.J. Mamary" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.transproceed.2019.07.017" "Revista" => array:6 [ "tituloSerie" => "Transplant Proc" "fecha" => "2019" "volumen" => "51" "paginaInicial" => "3391" "paginaFinal" => "3394" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31733804" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "COVID-19 in lung transplant recipients: a multicenter study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "B. Saez-Giménez" 1 => "C. Berastegui" 2 => "M. Barrecheguren" 3 => "E. Revilla-López" 4 => "I. Los Arcos" 5 => "R. Alonso" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/ajt.16364" "Revista" => array:7 [ "tituloSerie" => "Am J Transplant" "fecha" => "2020" "volumen" => "21" "paginaInicial" => "1816" "paginaFinal" => "1824" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33089648" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0168827818302150" "estado" => "S300" "issn" => "01688278" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015700000009/v1_202111060623/S2387020621005453/v1_202111060623/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015700000009/v1_202111060623/S2387020621005453/v1_202111060623/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621005453?idApp=UINPBA00004N" ]
Journal Information
Vol. 157. Issue 9.
Pages e324 (November 2021)
Share
Download PDF
More article options
Vol. 157. Issue 9.
Pages e324 (November 2021)
Image in medicine
COVID-19 pneumonia affecting only native lung in one-lung transplantation
Neumonía por COVID-19 que afecta solo al pulmón nativo en trasplante unipulmonar
Visits
113
Víctor Manuel Mora Cuesta
, David Iturbe Fernández, Laura González Ramos
Corresponding author
Servicio de Neumología, Unidad de Trasplante Pulmonar, Hospital Universitario Marques de Valdecilla, Santander, Cantabria, Spain
This item has received
Article information
These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscribe
Purchase
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail