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                        "fecha" => "1998"
                        "volumen" => "47"
                        "paginaInicial" => "673"
                        "paginaFinal" => "676"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Identifica&#231;&#227;o de Leptospirose em tecido pulmonar por broncoscopia e bi&#243;psia br&#244;nquica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;E&#46; Manh&#227;es de Carvalho"
                            1 => "J&#46;M&#46;C&#46; Oliveira"
                            2 => "A&#46;F&#46; Nicol"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pulm&#227;o RJ"
                        "fecha" => "1999"
                        "volumen" => "8"
                        "numero" => "4"
                        "paginaInicial" => "337"
                        "paginaFinal" => "381"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirose pulmonar"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46;J&#46; Rios Gon&#231;alves"
                            1 => "J&#46;E&#46; Manh&#227;es de Carvalho"
                            2 => "J&#46;B&#46; Guedes e Silva"
                            3 => "R&#46; Rosenbaum"
                            4 => "A&#46;R&#46; Machado Vieira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Rev Soc Bras Med Trop"
                        "fecha" => "1992"
                        "volumen" => "25"
                        "numero" => "4"
                        "paginaInicial" => "261"
                        "paginaFinal" => "270"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1340542"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Selected Reports- -Leptospiral Pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "O&#46;F&#46; Teglta"
                            1 => "C&#46; Battagliotti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1995"
                        "volumen" => "108"
                        "numero" => "3"
                        "paginaInicial" => "874"
                        "paginaFinal" => "879"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7656649"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirose"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;S&#46; Machado"
                            1 => "S&#46;A&#46; Nogueira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Manual de Emerg&#234;ncias M&#233;dicas- -Diagn&#243;stico e Tratamento-Rotina do Servi&#231;o de Emerg&#234;ncia do Hospital Universit&#225;rio Clementino Fraga Filho-UFRJ&#44;Segunda Edi&#231;&#227;o&#46;"
                        "serieFecha" => "2003"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "transmiss&#227;o da leptospirose em &#225;reas A urbanas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;S&#46; Ripper-Vianna"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cadernos de Sa&#250;de P&#250;blica"
                        "fecha" => "2004"
                        "volumen" => "20"
                        "numero" => "6"
                        "paginaInicial" => "32"
                        "paginaFinal" => "35"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Osservazioni clinico-radiologiche sulle manifestazioni polmonari da leptospirosi durantte l&#8216;epidemia de Montefeltro"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;G&#46; Ercolani"
                            1 => "M&#46; Papa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "La Radiologia Medica"
                        "fecha" => "1988"
                        "volumen" => "76"
                        "numero" => "1&#8211;2"
                        "paginaInicial" => "64"
                        "paginaFinal" => "67"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3399710"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outbreak of leptospirosis with pulmonary involviment in North Andaman"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "S&#46;C&#46; Sehgal"
                            1 => "M&#46;V&#46; Murhekar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Indian Journal of Medical Research"
                        "fecha" => "1995"
                        "volumen" => "102"
                        "paginaInicial" => "9"
                        "paginaFinal" => "12"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7558211"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemic leptospirosis associated with pulmonary hemorrhage-Nicaragua 1995"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46;T&#46; Trevejo"
                            1 => "J&#46;G&#46; Rigau-Perez"
                            2 => "D&#46;A&#46; Ashford"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Journal of Infectious Diseases"
                        "fecha" => "1998"
                        "volumen" => "178"
                        "numero" => "5"
                        "paginaInicial" => "1457"
                        "paginaFinal" => "1463"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9780268"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Les facteurs re risque de leptospirose em France&#58; une &#233;tude c&#227;s-t&#233;moins nationale&#40;1999&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "A&#46; Nardone"
                            1 => "C&#46; Campese"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "M&#233;d Mal Infect"
                        "fecha" => "2001"
                        "volumen" => "31"
                        "numero" => "Suppl 2"
                        "paginaInicial" => "285"
                        "paginaFinal" => "287"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hemorragies intra-alveolaires patentes et occultes au cours des leptospiroses"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "L&#46; Du Couedic"
                            1 => "J&#46;P&#46; Courtin"
                            2 => "P&#46; Poubeau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Revue de Maladies Respiratoires"
                        "fecha" => "1998"
                        "volumen" => "15"
                        "numero" => "1"
                        "paginaInicial" => "61"
                        "paginaFinal" => "67"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hipotension&#44; renal failure and pulmonary complications in leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "K&#46; Niwattayakul"
                            1 => "J&#46; Howivijitkul"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Renal Failure"
                        "fecha" => "2002"
                        "volumen" => "24"
                        "numero" => "3"
                        "paginaInicial" => "297"
                        "paginaFinal" => "305"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12166696"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudo do lavado broncoalveolar em pacientes com comprometimento pulmonar na leptospirose"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "J&#46;E&#46; Manh&#227;es de Carvalho"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bras Pneumol"
                        "fecha" => "2004"
                        "volumen" => "30"
                        "numero" => "2"
                        "paginaInicial" => "134"
                        "paginaFinal" => "139"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis presenting as Diffuse Alveolar Hemorrhage-Case Report and Literature Review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "M&#46;A&#46; Lucks"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2003"
                        "volumen" => "123"
                        "numero" => "2"
                        "paginaInicial" => "639"
                        "paginaFinal" => "643"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12576395"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Manifestations pulmonaires predominantes au cours de leptospiroses icteroh&#233;morragiques"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "P&#46;H&#46; Carr&#233;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Revue de Maladies Respiratoire"
                        "fecha" => "1985"
                        "volumen" => "2"
                        "numero" => "6"
                        "paginaInicial" => "343"
                        "paginaFinal" => "349"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis associated with severe pulmonary haemorrhage in Far North Queensland"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "F&#46;G&#46; Simpson"
                            1 => "K&#46;A&#46; Green"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Medical Journal of Australia"
                        "fecha" => "1998"
                        "volumen" => "169"
                        "numero" => "3"
                        "paginaInicial" => "151"
                        "paginaFinal" => "153"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9734512"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung lesions in human leptospirosis&#58; microscopic&#44; immunohistochemical and ultrastructural features related to thrombocytopenia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "A&#46;C&#46; Nicodemo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "American Journal of Tropical Medicine and Hygiene"
                        "fecha" => "1997"
                        "volumen" => "56"
                        "numero" => "2"
                        "paginaInicial" => "181"
                        "paginaFinal" => "187"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9080878"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary Capillaritis and Alveolar Hemorrhage&#8211;Update on Diagnosis and Management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "R&#46;J&#46; Green"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1996"
                        "volumen" => "110"
                        "numero" => "5"
                        "paginaInicial" => "1305"
                        "paginaFinal" => "1316"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8915239"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Manifestations Pulmonaires au cors de leptospiroses icteroh&#233;morragiques severes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Ragnaud"
                            1 => "M&#46; Dupon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Annales de Medicine Interne"
                        "fecha" => "1987"
                        "volumen" => "138"
                        "numero" => "4"
                        "paginaInicial" => "282"
                        "paginaFinal" => "286"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comprometimento pulmonar na leptospirose"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Manh&#227;es de Carvalho"
                            1 => "E&#46; Marchiori"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Revista da Sociedade Brasileira de Medicina Tropical"
                        "fecha" => "1992"
                        "volumen" => "25"
                        "numero" => "1"
                        "paginaInicial" => "21"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1308063"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis as a cause of Acute Respiratory Failure&#58; Clinical Features and Outcome in 35 critical care patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;R&#46;R&#46; Vieira"
                            1 => "J&#46;S&#46; Brauner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "The Brazilian Journal of Infectious Diseases"
                        "fecha" => "2002"
                        "volumen" => "6"
                        "numero" => "3"
                        "paginaInicial" => "135"
                        "paginaFinal" => "139"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12144750"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#201;tats de Choc au cours de Leptospiroses ictero-h&#233;morragiques Quatre observations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "G&#46; Guivarch"
                            1 => "J&#46;R&#46; Le Gall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "La Nouvelle Presse Medicale"
                        "fecha" => "1982"
                        "volumen" => "11"
                        "numero" => "11"
                        "paginaInicial" => "837"
                        "paginaFinal" => "839"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7070975"
                            "web" => "Medline"
                          ]
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                ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Massive pulmonary hemorrhage due to leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Allen"
                            1 => "S&#46; Raffery"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Intensive Care Medicine"
                        "fecha" => "1989"
                        "volumen" => "15"
                        "numero" => "5"
                        "paginaInicial" => "322"
                        "paginaFinal" => "324"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2768647"
                            "web" => "Medline"
                          ]
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                ]
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            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary manifestations of leptospirosis"
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                          "etal" => true
                          "autores" => array:1 [
                            0 => "K&#46;M&#46; O&#8216;Neil"
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                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Review of Infectious Diseases"
                        "fecha" => "1991"
                        "volumen" => "13"
                        "numero" => "4"
                        "paginaInicial" => "705"
                        "paginaFinal" => "709"
                      ]
                    ]
                  ]
                ]
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            34 => array:3 [
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis of the lung&#58; radiographic findings in 58 patients"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;G&#46; Im"
                            1 => "K&#46;M&#46; Yeon"
                            2 => "M&#46;C&#46; Han"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.152.5.955"
                      "Revista" => array:7 [
                        "tituloSerie" => "AJR"
                        "fecha" => "1989"
                        "volumen" => "152"
                        "numero" => "5"
                        "paginaInicial" => "955"
                        "paginaFinal" => "959"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2705352"
                            "web" => "Medline"
                          ]
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                ]
              ]
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            35 => array:3 [
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirose icteroh&#233;morragique avec syndrome de detresse respiratoire aigu&#234; et hemorragie pulmonaire"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "T&#46;K&#46; Vuong"
                            1 => "J&#46;P&#46; Laaban"
                            2 => "A&#46; Rabbat"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Revue de Maladies Respiratoires"
                        "fecha" => "1991"
                        "volumen" => "8"
                        "numero" => "2"
                        "paginaInicial" => "256"
                        "paginaFinal" => "257"
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                    ]
                  ]
                ]
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            36 => array:3 [
              "identificador" => "bib37"
              "etiqueta" => "37&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hemorragie intra-alveolaire f&#233;brile isole&#233; r&#233;velant une leptospirose"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:4 [
                            0 => "M&#46;J&#46; Labalme"
                            1 => "S&#46; Chaabane-Masmoudi"
                            2 => "L&#46; Mathieu"
                            3 => "M&#46; Perol"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "R&#233;vue de Maladies Respiratoire"
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                        "volumen" => "13"
                        "numero" => "3"
                        "paginaInicial" => "310"
                        "paginaFinal" => "312"
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                ]
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            37 => array:3 [
              "identificador" => "bib38"
              "etiqueta" => "38&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hemoptysis and the Adult Respiratory Distress Syndrome as the cause of death in leptospirosis&#58; changes in the clinical and anatomicopathological patterns"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "A&#46;J&#46;R&#46; Gon&#231;alves"
                            1 => "J&#46;E&#46;M&#46; Carvalho"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Revista Sociedade Brasileira de Medicina Tropical"
                        "fecha" => "1992"
                        "volumen" => "54"
                        "paginaInicial" => "382"
                        "paginaFinal" => "392"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib39"
              "etiqueta" => "39&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchoalveolar lavage in rapid diagnosis of leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "Paganin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1996"
                        "volumen" => "347"
                        "paginaInicial" => "1483"
                        "paginaFinal" => "1484"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8676650"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
                ]
              ]
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            39 => array:3 [
              "identificador" => "bib40"
              "etiqueta" => "40&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chest Radiograph abnormalities in patients hospitalized with leptospirosis in the City of Salvador&#44; Bahia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;D&#46; Matos"
                            1 => "E&#46; Costa"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Brazil&#46; The Brazilian Journal of Infectious Diseases"
                        "fecha" => "2001"
                        "volumen" => "5"
                        "numero" => "2"
                        "paginaInicial" => "73"
                        "paginaFinal" => "77"
                      ]
                    ]
                  ]
                ]
              ]
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            40 => array:3 [
              "identificador" => "bib41"
              "etiqueta" => "41&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The chest radiograph in leptospirosis in Jamaica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "R&#46;E&#46; Lee"
                            1 => "S&#46;I&#46; Terry"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1259/0007-1285-54-647-939"
                      "Revista" => array:7 [
                        "tituloSerie" => "British Journal of Radiology"
                        "fecha" => "1981"
                        "volumen" => "54"
                        "numero" => "647"
                        "paginaInicial" => "939"
                        "paginaFinal" => "943"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7306765"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib42"
              "etiqueta" => "42&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary involvement in leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "M&#46;A&#46; Martinez Garcia"
                            1 => "A&#46;D&#46; de Diego"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "European Journal of Clinical Microbiology and Infectious Diseases"
                        "fecha" => "2000"
                        "volumen" => "19"
                        "numero" => "6"
                        "paginaInicial" => "471"
                        "paginaFinal" => "474"
                      ]
                    ]
                  ]
                ]
              ]
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            42 => array:3 [
              "identificador" => "bib43"
              "etiqueta" => "43&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary haemorrhage as a predominant cause of death in leptospirosis in Seychelles"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:4 [
                            0 => "C&#46; Yersin"
                            1 => "P&#46; Bovet"
                            2 => "F&#46; Merien"
                            3 => "J&#46; Clement"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Transactions of the Royal Society of Tropical Medicine and Hygiene"
                        "fecha" => "2000"
                        "volumen" => "94"
                        "numero" => "1"
                        "paginaInicial" => "71"
                        "paginaFinal" => "76"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10748905"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib44"
              "etiqueta" => "44&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Clinicopathological and Immunohistochemical features of the severe pulmonary form of leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:4 [
                            0 => "J&#46;S&#46;P&#46; Silva"
                            1 => "M&#46;O&#46; Dalston"
                            2 => "J&#46;E&#46; Manh&#227;es de Carvalho"
                            3 => "S&#46; Set&#250;bal"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Revista da Sociedade Brasileira de Medicina Tropical"
                        "fecha" => "2002"
                        "volumen" => "35"
                        "numero" => "4"
                        "paginaInicial" => "395"
                        "paginaFinal" => "399"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12170336"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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            44 => array:3 [
              "identificador" => "bib45"
              "etiqueta" => "45&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis of the lung&#58; high resolution computed tomography findings in five patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Marchiori"
                            1 => "N&#46;L&#46; Muller"
                          ]
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Journal of Thoracic Imaging"
                        "fecha" => "2002"
                        "volumen" => "17"
                        "numero" => "2"
                        "paginaInicial" => "151"
                        "paginaFinal" => "153"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11956365"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
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                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib46"
              "etiqueta" => "46&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sinais Radiol&#243;gicos da Doen&#231;a Tor&#225;cica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#252;ller"
                            1 => "Fraser"
                            2 => "Par&#233;&#46; Colman"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "In Diagn&#243;stico Radiol&#243;gico das Doen&#231;as do T&#243;rax&#46; Primeira Edi&#231;&#227;o"
                        "fecha" => "2003"
                        "editorial" => "Guanabara Koogan"
                        "editorialLocalizacion" => "Rio de Janeiro"
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                    ]
                  ]
                ]
              ]
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            46 => array:3 [
              "identificador" => "bib47"
              "etiqueta" => "47&#46;"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Doen&#231;as Pulmonares Difusas"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "Naidich"
                            1 => "Webb"
                            2 => "Muller"
                            3 => "Krinsky"
                            4 => "Zerhouni"
                            5 => "Siegelman"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
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                      "Libro" => array:4 [
                        "titulo" => "In Tomografia Computadorizada e Resson&#226;ncia Magn&#233;tica do T&#243;rax&#46; Terceira Edi&#231;&#227;o"
                        "fecha" => "2001"
                        "editorial" => "Guanabara Koogan"
                        "editorialLocalizacion" => "Rio de Janeiro"
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                  ]
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib48"
              "etiqueta" => "48&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute lung injury in leptospirosis&#58; clinical and laboratory features outcome and factors associated with mortality"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46;C&#46; Marotto"
                            1 => "C&#46;M&#46; Nascimento"
                            2 => "J&#46; Eluf Neto"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1086/313501"
                      "Revista" => array:7 [
                        "tituloSerie" => "Clinical Infectious Diseases"
                        "fecha" => "1999"
                        "volumen" => "29"
                        "numero" => "6"
                        "paginaInicial" => "1561"
                        "paginaFinal" => "1563"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10585813"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib49"
              "etiqueta" => "49&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Massive pulmonary haemorrhage caused by leptospirosis successfully treated with nitric oxide inhalation and haemofiltration"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "A&#46; Borer"
                            1 => "I&#46; Metz"
                            2 => "J&#46; Gilad"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Journal of Infection"
                        "fecha" => "1999"
                        "volumen" => "38"
                        "numero" => "1"
                        "paginaInicial" => "42"
                        "paginaFinal" => "45"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10090507"
                            "web" => "Medline"
                          ]
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                ]
              ]
            ]
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              "identificador" => "bib50"
              "etiqueta" => "50&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hemorragie alveolaire diffuse et myosite au cours d&#8216;une leptospirose ictero-hemorragique Contr&#244;le rapide par un seul bolus du corticoids"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;P&#46; Courtin"
                            1 => "P&#46; Carre"
                            2 => "P&#46; Poubeau"
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Revue de Maladies Respiratoires"
                        "fecha" => "1994"
                        "volumen" => "11"
                        "paginaInicial" => "601"
                        "paginaFinal" => "603"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib51"
              "etiqueta" => "51&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A case of Weil&#39;s Disease requiering steroid therapy for thrombocytopenia and bleeding"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;B&#46; Kahn"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Trop Med Hyg"
                        "fecha" => "1982"
                        "volumen" => "31"
                        "paginaInicial" => "1213"
                        "paginaFinal" => "1216"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7149105"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
                ]
              ]
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              "identificador" => "bib52"
              "etiqueta" => "52&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of glucocorticoid pulse therapy in pulmonary involvement in leptospirosis"
                      "autores" => array:1 [
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                          "etal" => true
                          "autores" => array:4 [
                            0 => "S&#46;V&#46; Trivedi"
                            1 => "R&#46;K&#46; Chavda"
                            2 => "P&#46;Z&#46; Wadia"
                            3 => "V&#46; Sheth"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Am Physicians India"
                        "fecha" => "2001"
                        "volumen" => "49"
                        "paginaInicial" => "901"
                        "paginaFinal" => "903"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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Leptospirose pulmonar
Pulmonary leptospirosis
João Cláudio Barroso Pereira1, Amorita Grijó2, Maria Cristina B Mackay3, Beatriz Guerra Vitral4, Sra Althair de Araújo Silva5, Cláudio de Castro Lázaro6
1 Médico da Emergência do Hospital Municipal Nelson de Sá Earp – Município de Petrópolis, Rio de Janeiro – Brasil, e médico tisiologista do Serviço da Assistência Especializada-SAE da prefeitura Municipal de Belford Roxo – Rio de Janeiro-Brasil
2 Médica infectologista da prefeitura de Petrópolis e Professora da Faculdade de Medicina de Petrópolis
3 Médica infectologista da prefeitura de Petrópolis e Professora da Faculdade de Medicina de Petrópolis
4 Médica infectologista da prefeitura de Petrópolis e Professora da Faculdade de Medicina de Petrópolis
5 Administradora do Serviço de Atendimento Especializado, Belford Roxo – Rio de Janeiro
6 Director Geral do Hospital Municipal Nelson de Sá Earp, Petrópolis – Rio de Janeiro
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                        "paginaInicial" => "178"
                        "paginaFinal" => "193"
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                    0 => array:1 [
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                        "fecha" => "2002"
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                        "numero" => "4"
                        "paginaInicial" => "229"
                        "paginaFinal" => "232"
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                    0 => array:2 [
                      "titulo" => "Rotina de Leptospirose do Instituto Estadual de Infectologia S&#227;o Sebasti&#227;o&#46; Reproduzida pela Secretaria Estadual de Sa&#250;de"
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                            2 => "E&#46; Cond&#233;"
                          ]
                        ]
                      ]
                    ]
                  ]
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                        "editorial" => "Servi&#231;o &#218;nico de Sa&#250;de-Coordena&#231;&#227;o de Epidemiologia&#44; Dezembro de"
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                      "titulo" => "Leptospiroses"
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                        0 => array:2 [
                          "etal" => false
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                            0 => "A&#46;V&#46; Lomar"
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                            2 => "T&#46; Brito"
                            3 => "D&#46; Diament"
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                      "LibroEditado" => array:4 [
                        "titulo" => "Tratado de Infectologia&#46;"
                        "paginaInicial" => "987"
                        "paginaFinal" => "1003"
                        "serieFecha" => "1996"
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                    ]
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                      "titulo" => "Manifesta&#231;&#245;es Respirat&#243;rias na Leptospirose"
                      "autores" => array:1 [
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                          "autores" => array:4 [
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                            3 => "J&#46;A&#46; Menezes"
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                        ]
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                    ]
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                        "tituloSerie" => "Arq Bras Med"
                        "fecha" => "1991"
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                        "numero" => "1"
                        "paginaInicial" => "49"
                        "paginaFinal" => "51"
                      ]
                    ]
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                        "fecha" => "2004"
                        "paginaInicial" => "125"
                        "paginaFinal" => "131"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outbreak of acute febrile illness among participants in Ecochallenge Sabah 2000-Malaysia&#44; 2000"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Centers for Disease Control and Prevention"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Morb Mortal WKly Rep"
                        "fecha" => "2000"
                        "volumen" => "49"
                        "paginaInicial" => "816"
                        "paginaFinal" => "817"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis and unexplained acute febrile illness among athletes participating in Triathlons-Illinois and Wiscousin&#44; 1998"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Centers for Disease Control and Prevention"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Morb Mortal WKly Rep"
                        "fecha" => "1998"
                        "volumen" => "47"
                        "paginaInicial" => "673"
                        "paginaFinal" => "676"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Identifica&#231;&#227;o de Leptospirose em tecido pulmonar por broncoscopia e bi&#243;psia br&#244;nquica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;E&#46; Manh&#227;es de Carvalho"
                            1 => "J&#46;M&#46;C&#46; Oliveira"
                            2 => "A&#46;F&#46; Nicol"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pulm&#227;o RJ"
                        "fecha" => "1999"
                        "volumen" => "8"
                        "numero" => "4"
                        "paginaInicial" => "337"
                        "paginaFinal" => "381"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirose pulmonar"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46;J&#46; Rios Gon&#231;alves"
                            1 => "J&#46;E&#46; Manh&#227;es de Carvalho"
                            2 => "J&#46;B&#46; Guedes e Silva"
                            3 => "R&#46; Rosenbaum"
                            4 => "A&#46;R&#46; Machado Vieira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Rev Soc Bras Med Trop"
                        "fecha" => "1992"
                        "volumen" => "25"
                        "numero" => "4"
                        "paginaInicial" => "261"
                        "paginaFinal" => "270"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1340542"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Selected Reports- -Leptospiral Pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "O&#46;F&#46; Teglta"
                            1 => "C&#46; Battagliotti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1995"
                        "volumen" => "108"
                        "numero" => "3"
                        "paginaInicial" => "874"
                        "paginaFinal" => "879"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7656649"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirose"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;S&#46; Machado"
                            1 => "S&#46;A&#46; Nogueira"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Manual de Emerg&#234;ncias M&#233;dicas- -Diagn&#243;stico e Tratamento-Rotina do Servi&#231;o de Emerg&#234;ncia do Hospital Universit&#225;rio Clementino Fraga Filho-UFRJ&#44;Segunda Edi&#231;&#227;o&#46;"
                        "serieFecha" => "2003"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "transmiss&#227;o da leptospirose em &#225;reas A urbanas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;S&#46; Ripper-Vianna"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cadernos de Sa&#250;de P&#250;blica"
                        "fecha" => "2004"
                        "volumen" => "20"
                        "numero" => "6"
                        "paginaInicial" => "32"
                        "paginaFinal" => "35"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Osservazioni clinico-radiologiche sulle manifestazioni polmonari da leptospirosi durantte l&#8216;epidemia de Montefeltro"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;G&#46; Ercolani"
                            1 => "M&#46; Papa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "La Radiologia Medica"
                        "fecha" => "1988"
                        "volumen" => "76"
                        "numero" => "1&#8211;2"
                        "paginaInicial" => "64"
                        "paginaFinal" => "67"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3399710"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outbreak of leptospirosis with pulmonary involviment in North Andaman"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "S&#46;C&#46; Sehgal"
                            1 => "M&#46;V&#46; Murhekar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Indian Journal of Medical Research"
                        "fecha" => "1995"
                        "volumen" => "102"
                        "paginaInicial" => "9"
                        "paginaFinal" => "12"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7558211"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemic leptospirosis associated with pulmonary hemorrhage-Nicaragua 1995"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46;T&#46; Trevejo"
                            1 => "J&#46;G&#46; Rigau-Perez"
                            2 => "D&#46;A&#46; Ashford"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Journal of Infectious Diseases"
                        "fecha" => "1998"
                        "volumen" => "178"
                        "numero" => "5"
                        "paginaInicial" => "1457"
                        "paginaFinal" => "1463"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9780268"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Les facteurs re risque de leptospirose em France&#58; une &#233;tude c&#227;s-t&#233;moins nationale&#40;1999&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "A&#46; Nardone"
                            1 => "C&#46; Campese"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "M&#233;d Mal Infect"
                        "fecha" => "2001"
                        "volumen" => "31"
                        "numero" => "Suppl 2"
                        "paginaInicial" => "285"
                        "paginaFinal" => "287"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hemorragies intra-alveolaires patentes et occultes au cours des leptospiroses"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "L&#46; Du Couedic"
                            1 => "J&#46;P&#46; Courtin"
                            2 => "P&#46; Poubeau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Revue de Maladies Respiratoires"
                        "fecha" => "1998"
                        "volumen" => "15"
                        "numero" => "1"
                        "paginaInicial" => "61"
                        "paginaFinal" => "67"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hipotension&#44; renal failure and pulmonary complications in leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "K&#46; Niwattayakul"
                            1 => "J&#46; Howivijitkul"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Renal Failure"
                        "fecha" => "2002"
                        "volumen" => "24"
                        "numero" => "3"
                        "paginaInicial" => "297"
                        "paginaFinal" => "305"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12166696"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudo do lavado broncoalveolar em pacientes com comprometimento pulmonar na leptospirose"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "J&#46;E&#46; Manh&#227;es de Carvalho"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bras Pneumol"
                        "fecha" => "2004"
                        "volumen" => "30"
                        "numero" => "2"
                        "paginaInicial" => "134"
                        "paginaFinal" => "139"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis presenting as Diffuse Alveolar Hemorrhage-Case Report and Literature Review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "M&#46;A&#46; Lucks"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2003"
                        "volumen" => "123"
                        "numero" => "2"
                        "paginaInicial" => "639"
                        "paginaFinal" => "643"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12576395"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Manifestations pulmonaires predominantes au cours de leptospiroses icteroh&#233;morragiques"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "P&#46;H&#46; Carr&#233;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Revue de Maladies Respiratoire"
                        "fecha" => "1985"
                        "volumen" => "2"
                        "numero" => "6"
                        "paginaInicial" => "343"
                        "paginaFinal" => "349"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis associated with severe pulmonary haemorrhage in Far North Queensland"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "F&#46;G&#46; Simpson"
                            1 => "K&#46;A&#46; Green"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Medical Journal of Australia"
                        "fecha" => "1998"
                        "volumen" => "169"
                        "numero" => "3"
                        "paginaInicial" => "151"
                        "paginaFinal" => "153"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9734512"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung lesions in human leptospirosis&#58; microscopic&#44; immunohistochemical and ultrastructural features related to thrombocytopenia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "A&#46;C&#46; Nicodemo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "American Journal of Tropical Medicine and Hygiene"
                        "fecha" => "1997"
                        "volumen" => "56"
                        "numero" => "2"
                        "paginaInicial" => "181"
                        "paginaFinal" => "187"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9080878"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary Capillaritis and Alveolar Hemorrhage&#8211;Update on Diagnosis and Management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "R&#46;J&#46; Green"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1996"
                        "volumen" => "110"
                        "numero" => "5"
                        "paginaInicial" => "1305"
                        "paginaFinal" => "1316"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8915239"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Manifestations Pulmonaires au cors de leptospiroses icteroh&#233;morragiques severes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Ragnaud"
                            1 => "M&#46; Dupon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Annales de Medicine Interne"
                        "fecha" => "1987"
                        "volumen" => "138"
                        "numero" => "4"
                        "paginaInicial" => "282"
                        "paginaFinal" => "286"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comprometimento pulmonar na leptospirose"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Manh&#227;es de Carvalho"
                            1 => "E&#46; Marchiori"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Revista da Sociedade Brasileira de Medicina Tropical"
                        "fecha" => "1992"
                        "volumen" => "25"
                        "numero" => "1"
                        "paginaInicial" => "21"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1308063"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis as a cause of Acute Respiratory Failure&#58; Clinical Features and Outcome in 35 critical care patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;R&#46;R&#46; Vieira"
                            1 => "J&#46;S&#46; Brauner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "The Brazilian Journal of Infectious Diseases"
                        "fecha" => "2002"
                        "volumen" => "6"
                        "numero" => "3"
                        "paginaInicial" => "135"
                        "paginaFinal" => "139"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12144750"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#201;tats de Choc au cours de Leptospiroses ictero-h&#233;morragiques Quatre observations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "G&#46; Guivarch"
                            1 => "J&#46;R&#46; Le Gall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "La Nouvelle Presse Medicale"
                        "fecha" => "1982"
                        "volumen" => "11"
                        "numero" => "11"
                        "paginaInicial" => "837"
                        "paginaFinal" => "839"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7070975"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Massive pulmonary hemorrhage due to leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Allen"
                            1 => "S&#46; Raffery"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Intensive Care Medicine"
                        "fecha" => "1989"
                        "volumen" => "15"
                        "numero" => "5"
                        "paginaInicial" => "322"
                        "paginaFinal" => "324"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2768647"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary manifestations of leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "K&#46;M&#46; O&#8216;Neil"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Review of Infectious Diseases"
                        "fecha" => "1991"
                        "volumen" => "13"
                        "numero" => "4"
                        "paginaInicial" => "705"
                        "paginaFinal" => "709"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib35"
              "etiqueta" => "35&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis of the lung&#58; radiographic findings in 58 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;G&#46; Im"
                            1 => "K&#46;M&#46; Yeon"
                            2 => "M&#46;C&#46; Han"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.152.5.955"
                      "Revista" => array:7 [
                        "tituloSerie" => "AJR"
                        "fecha" => "1989"
                        "volumen" => "152"
                        "numero" => "5"
                        "paginaInicial" => "955"
                        "paginaFinal" => "959"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2705352"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib36"
              "etiqueta" => "36&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirose icteroh&#233;morragique avec syndrome de detresse respiratoire aigu&#234; et hemorragie pulmonaire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "T&#46;K&#46; Vuong"
                            1 => "J&#46;P&#46; Laaban"
                            2 => "A&#46; Rabbat"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Revue de Maladies Respiratoires"
                        "fecha" => "1991"
                        "volumen" => "8"
                        "numero" => "2"
                        "paginaInicial" => "256"
                        "paginaFinal" => "257"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib37"
              "etiqueta" => "37&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hemorragie intra-alveolaire f&#233;brile isole&#233; r&#233;velant une leptospirose"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:4 [
                            0 => "M&#46;J&#46; Labalme"
                            1 => "S&#46; Chaabane-Masmoudi"
                            2 => "L&#46; Mathieu"
                            3 => "M&#46; Perol"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "R&#233;vue de Maladies Respiratoire"
                        "fecha" => "1996"
                        "volumen" => "13"
                        "numero" => "3"
                        "paginaInicial" => "310"
                        "paginaFinal" => "312"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib38"
              "etiqueta" => "38&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hemoptysis and the Adult Respiratory Distress Syndrome as the cause of death in leptospirosis&#58; changes in the clinical and anatomicopathological patterns"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "A&#46;J&#46;R&#46; Gon&#231;alves"
                            1 => "J&#46;E&#46;M&#46; Carvalho"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Revista Sociedade Brasileira de Medicina Tropical"
                        "fecha" => "1992"
                        "volumen" => "54"
                        "paginaInicial" => "382"
                        "paginaFinal" => "392"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib39"
              "etiqueta" => "39&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchoalveolar lavage in rapid diagnosis of leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "Paganin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1996"
                        "volumen" => "347"
                        "paginaInicial" => "1483"
                        "paginaFinal" => "1484"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8676650"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib40"
              "etiqueta" => "40&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chest Radiograph abnormalities in patients hospitalized with leptospirosis in the City of Salvador&#44; Bahia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;D&#46; Matos"
                            1 => "E&#46; Costa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Brazil&#46; The Brazilian Journal of Infectious Diseases"
                        "fecha" => "2001"
                        "volumen" => "5"
                        "numero" => "2"
                        "paginaInicial" => "73"
                        "paginaFinal" => "77"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib41"
              "etiqueta" => "41&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The chest radiograph in leptospirosis in Jamaica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "R&#46;E&#46; Lee"
                            1 => "S&#46;I&#46; Terry"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1259/0007-1285-54-647-939"
                      "Revista" => array:7 [
                        "tituloSerie" => "British Journal of Radiology"
                        "fecha" => "1981"
                        "volumen" => "54"
                        "numero" => "647"
                        "paginaInicial" => "939"
                        "paginaFinal" => "943"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7306765"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib42"
              "etiqueta" => "42&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary involvement in leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "M&#46;A&#46; Martinez Garcia"
                            1 => "A&#46;D&#46; de Diego"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "European Journal of Clinical Microbiology and Infectious Diseases"
                        "fecha" => "2000"
                        "volumen" => "19"
                        "numero" => "6"
                        "paginaInicial" => "471"
                        "paginaFinal" => "474"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib43"
              "etiqueta" => "43&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary haemorrhage as a predominant cause of death in leptospirosis in Seychelles"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:4 [
                            0 => "C&#46; Yersin"
                            1 => "P&#46; Bovet"
                            2 => "F&#46; Merien"
                            3 => "J&#46; Clement"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Transactions of the Royal Society of Tropical Medicine and Hygiene"
                        "fecha" => "2000"
                        "volumen" => "94"
                        "numero" => "1"
                        "paginaInicial" => "71"
                        "paginaFinal" => "76"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10748905"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib44"
              "etiqueta" => "44&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Clinicopathological and Immunohistochemical features of the severe pulmonary form of leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:4 [
                            0 => "J&#46;S&#46;P&#46; Silva"
                            1 => "M&#46;O&#46; Dalston"
                            2 => "J&#46;E&#46; Manh&#227;es de Carvalho"
                            3 => "S&#46; Set&#250;bal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Revista da Sociedade Brasileira de Medicina Tropical"
                        "fecha" => "2002"
                        "volumen" => "35"
                        "numero" => "4"
                        "paginaInicial" => "395"
                        "paginaFinal" => "399"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12170336"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib45"
              "etiqueta" => "45&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis of the lung&#58; high resolution computed tomography findings in five patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Marchiori"
                            1 => "N&#46;L&#46; Muller"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Journal of Thoracic Imaging"
                        "fecha" => "2002"
                        "volumen" => "17"
                        "numero" => "2"
                        "paginaInicial" => "151"
                        "paginaFinal" => "153"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11956365"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib46"
              "etiqueta" => "46&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sinais Radiol&#243;gicos da Doen&#231;a Tor&#225;cica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#252;ller"
                            1 => "Fraser"
                            2 => "Par&#233;&#46; Colman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "In Diagn&#243;stico Radiol&#243;gico das Doen&#231;as do T&#243;rax&#46; Primeira Edi&#231;&#227;o"
                        "fecha" => "2003"
                        "editorial" => "Guanabara Koogan"
                        "editorialLocalizacion" => "Rio de Janeiro"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib47"
              "etiqueta" => "47&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Doen&#231;as Pulmonares Difusas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "Naidich"
                            1 => "Webb"
                            2 => "Muller"
                            3 => "Krinsky"
                            4 => "Zerhouni"
                            5 => "Siegelman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "In Tomografia Computadorizada e Resson&#226;ncia Magn&#233;tica do T&#243;rax&#46; Terceira Edi&#231;&#227;o"
                        "fecha" => "2001"
                        "editorial" => "Guanabara Koogan"
                        "editorialLocalizacion" => "Rio de Janeiro"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib48"
              "etiqueta" => "48&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute lung injury in leptospirosis&#58; clinical and laboratory features outcome and factors associated with mortality"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46;C&#46; Marotto"
                            1 => "C&#46;M&#46; Nascimento"
                            2 => "J&#46; Eluf Neto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1086/313501"
                      "Revista" => array:7 [
                        "tituloSerie" => "Clinical Infectious Diseases"
                        "fecha" => "1999"
                        "volumen" => "29"
                        "numero" => "6"
                        "paginaInicial" => "1561"
                        "paginaFinal" => "1563"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10585813"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib49"
              "etiqueta" => "49&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Massive pulmonary haemorrhage caused by leptospirosis successfully treated with nitric oxide inhalation and haemofiltration"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "A&#46; Borer"
                            1 => "I&#46; Metz"
                            2 => "J&#46; Gilad"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Journal of Infection"
                        "fecha" => "1999"
                        "volumen" => "38"
                        "numero" => "1"
                        "paginaInicial" => "42"
                        "paginaFinal" => "45"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10090507"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib50"
              "etiqueta" => "50&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hemorragie alveolaire diffuse et myosite au cours d&#8216;une leptospirose ictero-hemorragique Contr&#244;le rapide par un seul bolus du corticoids"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;P&#46; Courtin"
                            1 => "P&#46; Carre"
                            2 => "P&#46; Poubeau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Revue de Maladies Respiratoires"
                        "fecha" => "1994"
                        "volumen" => "11"
                        "paginaInicial" => "601"
                        "paginaFinal" => "603"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib51"
              "etiqueta" => "51&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A case of Weil&#39;s Disease requiering steroid therapy for thrombocytopenia and bleeding"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;B&#46; Kahn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Trop Med Hyg"
                        "fecha" => "1982"
                        "volumen" => "31"
                        "paginaInicial" => "1213"
                        "paginaFinal" => "1216"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7149105"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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Article information
ISSN: 21735115
Original language: Portuguese
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