metricas
covid
Buscar en
Medicina Clínica (English Edition)
Toda la web
Inicio Medicina Clínica (English Edition) Spontaneous neumomediastin in coronavirus-associated pneumonitis
Journal Information

Statistics

Follow this link to access the full text of the article

Image in medicine
Spontaneous neumomediastin in coronavirus-associated pneumonitis
Neumomediastino espontáneo en neumonitis por coronavirus evolucionada
Susana Fernández-Raga, Alba Fidalgo-Navarro, Joaquín Bernardo-Cofiño
Corresponding author
joaquin.bercof@gmail.com

Corresponding author.
Servicio de Medicina Interna, Centro Médico de Asturias, Oviedo, Spain
Read
958
Times
was read the article
210
Total PDF
748
Total HTML
Share statistics
 array:24 [
  "pii" => "S2387020620304666"
  "issn" => "23870206"
  "doi" => "10.1016/j.medcle.2020.04.025"
  "estado" => "S300"
  "fechaPublicacion" => "2020-11-13"
  "aid" => "5304"
  "copyright" => "Elsevier España, S.L.U.. All rights reserved"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Clin. 2020;155:421"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0025775320304711"
      "issn" => "00257753"
      "doi" => "10.1016/j.medcli.2020.04.055"
      "estado" => "S300"
      "fechaPublicacion" => "2020-11-13"
      "aid" => "5304"
      "copyright" => "Elsevier España, S.L.U."
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Med Clin. 2020;155:421"
      "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 m&#233;dica</span>"
        "titulo" => "Neumomediastino espont&#225;neo en neumonitis por coronavirus evolucionada"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "421"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Spontaneous neumomediastin in coronavirus-associated pneumonitis"
          ]
        ]
        "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" => 982
                "Ancho" => 2500
                "Tamanyo" => 334081
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Susana Fern&#225;ndez-Raga, Alba Fidalgo-Navarro, Joaqu&#237;n Bernardo-Cofi&#241;o"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Susana"
                "apellidos" => "Fern&#225;ndez-Raga"
              ]
              1 => array:2 [
                "nombre" => "Alba"
                "apellidos" => "Fidalgo-Navarro"
              ]
              2 => array:2 [
                "nombre" => "Joaqu&#237;n"
                "apellidos" => "Bernardo-Cofi&#241;o"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2387020620304666"
          "doi" => "10.1016/j.medcle.2020.04.025"
          "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/S2387020620304666?idApp=UINPBA00004N"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775320304711?idApp=UINPBA00004N"
      "url" => "/00257753/0000015500000009/v1_202010310637/S0025775320304711/v1_202010310637/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2387020620304599"
    "issn" => "23870206"
    "doi" => "10.1016/j.medcle.2020.10.001"
    "estado" => "S300"
    "fechaPublicacion" => "2020-11-13"
    "aid" => "4964"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Clin. 2020;155:422"
    "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" => "Dysuria in a 24 years old woman"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "422"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Disuria en una mujer de 24 a&#241;os"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1138
              "Ancho" => 855
              "Tamanyo" => 69863
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Fig&#46; "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Miguel Rodr&#237;guez Cola, Irena Jim&#233;nez Velasco, Melody Mu&#241;oz Mart&#237;n"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Miguel"
              "apellidos" => "Rodr&#237;guez Cola"
            ]
            1 => array:2 [
              "nombre" => "Irena"
              "apellidos" => "Jim&#233;nez Velasco"
            ]
            2 => array:2 [
              "nombre" => "Melody"
              "apellidos" => "Mu&#241;oz Mart&#237;n"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0025775319305184"
        "doi" => "10.1016/j.medcli.2019.07.006"
        "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/S0025775319305184?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020620304599?idApp=UINPBA00004N"
    "url" => "/23870206/0000015500000009/v1_202011100818/S2387020620304599/v1_202011100818/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2387020620304617"
    "issn" => "23870206"
    "doi" => "10.1016/j.medcle.2019.06.042"
    "estado" => "S300"
    "fechaPublicacion" => "2020-11-13"
    "aid" => "4979"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Clin. 2020;155:419-20"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Cystatin <span class="elsevierStyleSmallCaps">C</span> in estimation of renal function in liver transplantation candidates"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "419"
          "paginaFinal" => "420"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Cistatina C en la estimaci&#243;n de la funci&#243;n renal en candidatos a trasplante hep&#225;tico"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ana Cristina Andrade L&#243;pez, Jos&#233; Joaqu&#237;n Bande Fern&#225;ndez, Carmen D&#237;az Corte"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ana Cristina"
              "apellidos" => "Andrade L&#243;pez"
            ]
            1 => array:2 [
              "nombre" => "Jos&#233; Joaqu&#237;n"
              "apellidos" => "Bande Fern&#225;ndez"
            ]
            2 => array:2 [
              "nombre" => "Carmen"
              "apellidos" => "D&#237;az Corte"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0025775319305330"
        "doi" => "10.1016/j.medcli.2019.06.026"
        "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/S0025775319305330?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020620304617?idApp=UINPBA00004N"
    "url" => "/23870206/0000015500000009/v1_202011100818/S2387020620304617/v1_202011100818/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>"
    "titulo" => "Spontaneous neumomediastin in coronavirus-associated pneumonitis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "421"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Susana Fern&#225;ndez-Raga, Alba Fidalgo-Navarro, Joaqu&#237;n Bernardo-Cofi&#241;o"
        "autores" => array:3 [
          0 => array:2 [
            "nombre" => "Susana"
            "apellidos" => "Fern&#225;ndez-Raga"
          ]
          1 => array:2 [
            "nombre" => "Alba"
            "apellidos" => "Fidalgo-Navarro"
          ]
          2 => array:4 [
            "nombre" => "Joaqu&#237;n"
            "apellidos" => "Bernardo-Cofi&#241;o"
            "email" => array:1 [
              0 => "joaquin.bercof@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Medicina Interna&#44; Centro M&#233;dico de Asturias&#44; Oviedo&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Neumomediastino espont&#225;neo en neumonitis por coronavirus evolucionada"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 982
            "Ancho" => 2500
            "Tamanyo" => 334081
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Fig&#46; "
            "rol" => "short"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">An 80-year-old male&#44; hospitalised due to coronavirus-associated pneumonitis with extensive bilateral affectation&#44; observed in the admission scan&#46; He stated he had dyspnoea at rest&#44; cough and fever after 48&#8239;hours taking paracetamol and oral cefuroxime due to suspicion of bacterial pneumonia&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Previously independent&#44; afflicted by prostatism&#44; diabetes&#44; dyslipidaemia and normal pressure hydrocephalus which limited the ability to walk&#46; He received statins&#44; anticholinergic drugs&#44; clopidogrel and alpha-blockers&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">He was indicated high flow oxygen therapy &#40;transitory auto-PEEP valve without ventilation&#41;&#44; lopinavir&#47;ritonavir and hydroxychloroquine&#44; methylprednisolone every eight hours and antibiotherapy&#46; As a poor candidate for invasive measures&#44; his worsening condition required a bolus dose of methylprednisolone &#40;250&#8239;mg&#8239;&#215;&#8239;5&#41; on day 5&#44; immunoglobulin therapy on day 9 &#40;&#215;3&#41; and anakinra from day 13 onwards&#44; with marked improvement&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">A control computerised tomography scan &#40;CT&#41; performed on day 19 &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; showed a tendency towards fibrosis and pneumomediastinum dissecting to the cervical region&#46; The fraction of inspired oxygen was increased with almost complete improvement shown by imaging six days later&#44; and he was discharged after 27 days&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Pneumomediastinum is a rare clinical finding that seems to be occurring or reported more often in both early- and late-stage coronavirus-associated pneumonitis&#44; usually with low flow&#47;high inspired oxygen fractions&#44; related or unrelated to the use of mechanical ventilation&#46; Presumably&#44; it indicates both lung fragility as well as the need to select appropriate imaging techniques for diagnosis and follow-up&#44; to determine progress and inadvertent complications&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have not received funding for the preparation of this paper&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Case report"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Funding"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Fern&#225;ndez-Raga S&#44; Fidalgo-Navarro A&#44; Bernardo-Cofi&#241;o J&#46; Neumomediastino espont&#225;neo en neumonitis por coronavirus evolucionada&#46; Med Clin &#40;Barc&#41;&#46; 2020&#59;155&#58;421&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 982
            "Ancho" => 2500
            "Tamanyo" => 334081
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Fig&#46; "
            "rol" => "short"
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/23870206/0000015500000009/v1_202011100818/S2387020620304666/v1_202011100818/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/23870206/0000015500000009/v1_202011100818/S2387020620304666/v1_202011100818/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020620304666?idApp=UINPBA00004N"
]
Article information
ISSN: 23870206
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 3 1 4
2024 October 16 1 17
2024 September 17 3 20
2024 August 18 0 18
2024 July 13 5 18
2024 June 14 3 17
2024 May 18 2 20
2024 April 19 2 21
2024 March 12 7 19
2024 February 18 2 20
2024 January 11 2 13
2023 December 19 4 23
2023 November 10 3 13
2023 October 23 5 28
2023 September 10 3 13
2023 August 9 2 11
2023 July 8 1 9
2023 June 11 3 14
2023 May 9 2 11
2023 April 5 1 6
2023 March 5 0 5
2023 February 8 4 12
2023 January 5 4 9
2022 December 10 1 11
2022 November 13 5 18
2022 October 14 4 18
2022 September 26 11 37
2022 August 17 8 25
2022 July 19 3 22
2022 June 19 5 24
2022 May 20 5 25
2022 April 20 4 24
2022 March 30 5 35
2022 February 18 5 23
2022 January 13 2 15
2021 December 11 6 17
2021 November 12 5 17
2021 October 14 11 25
2021 September 10 9 19
2021 August 17 3 20
2021 July 17 4 21
2021 June 27 8 35
2021 May 18 5 23
2021 April 55 6 61
2021 March 21 4 25
2021 February 16 6 22
2021 January 8 2 10
2020 December 12 10 22
2020 November 10 13 23
Show all

Follow this link to access the full text of the article

es en pt

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

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

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos