array:24 [
  "pii" => "S2173511508703166"
  "issn" => "21735115"
  "doi" => "10.1016/S2173-5115(08)70316-6"
  "estado" => "S300"
  "fechaPublicacion" => "2008-11-01"
  "aid" => "70316"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2008"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Pneumol. 2008;14:887-91"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3318
    "formatos" => array:3 [
      "EPUB" => 221
      "HTML" => 1980
      "PDF" => 1117
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173511508703178"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(08)70317-8"
    "estado" => "S300"
    "fechaPublicacion" => "2008-11-01"
    "aid" => "70317"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2008;14:893-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3727
      "formatos" => array:3 [
        "EPUB" => 237
        "HTML" => 2131
        "PDF" => 1359
      ]
    ]
    "pt" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Enfisema lobar congénito: Relato de caso"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "893"
          "paginaFinal" => "896"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Congenital lobar emphysema: Study of a case"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Marcelo Cunha Fatureto, Daniel Pinheiro Ferreira, Danilo Amaro Ferraz, João Paulo Vieira dos Santos, Samantha Andrade Maia, Virmondes Rodrigues Junior"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Marcelo"
              "apellidos" => "Cunha Fatureto"
            ]
            1 => array:2 [
              "nombre" => "Daniel"
              "apellidos" => "Pinheiro Ferreira"
            ]
            2 => array:2 [
              "nombre" => "Danilo"
              "apellidos" => "Amaro Ferraz"
            ]
            3 => array:2 [
              "nombre" => "João Paulo"
              "apellidos" => "Vieira dos Santos"
            ]
            4 => array:2 [
              "nombre" => "Samantha"
              "apellidos" => "Andrade Maia"
            ]
            5 => array:2 [
              "nombre" => "Virmondes"
              "apellidos" => "Rodrigues Junior"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511508703178?idApp=UINPBA00004E"
    "url" => "/21735115/0000001400000006/v1_201305151501/S2173511508703178/v1_201305151501/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173511508703154"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(08)70315-4"
    "estado" => "S300"
    "fechaPublicacion" => "2008-11-01"
    "aid" => "70315"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2008;14:881-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 7065
      "formatos" => array:3 [
        "EPUB" => 243
        "HTML" => 4884
        "PDF" => 1938
      ]
    ]
    "pt" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Embolia séptica pulmonar – A propósito de um caso clínico"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "881"
          "paginaFinal" => "885"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Septic pulmonary embolism – Case report"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Luís Coentrão, Jorge Oliveira, Doutor Paulo Bettencourt"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Luís"
              "apellidos" => "Coentrão"
            ]
            1 => array:2 [
              "nombre" => "Jorge"
              "apellidos" => "Oliveira"
            ]
            2 => array:2 [
              "nombre" => "Doutor"
              "apellidos" => "Paulo Bettencourt"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511508703154?idApp=UINPBA00004E"
    "url" => "/21735115/0000001400000006/v1_201305151501/S2173511508703154/v1_201305151501/pt/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "titulo" => "Leptospirosis of the lung presenting with crazy-paving pattern: Correlation between the high-resolution CT and pathological findings"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "887"
        "paginaFinal" => "891"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Edson Marchiori, Taisa Davaus Gasparetto, Dante L. Escuissato, Gláucia Zanetti, Hilton Koch"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "Edson"
            "apellidos" => "Marchiori"
            "email" => array:1 [
              0 => "edmarchiori@gmail.com"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">6</span>"
                "identificador" => "aff0030"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Taisa"
            "apellidos" => "Davaus Gasparetto"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Dante L&#46;"
            "apellidos" => "Escuissato"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">3</span>"
                "identificador" => "aff0015"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">5</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Gl&#225;ucia"
            "apellidos" => "Zanetti"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Hilton"
            "apellidos" => "Koch"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">7</span>"
                "identificador" => "aff0035"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:7 [
          0 => array:3 [
            "entidad" => "Professor Titular e Chefe do Departamento de Radiologia da Universidade Federal Fluminense &#40;UFF&#41;&#46; Coordenador Adjunto do Curso de P&#243;s-Gradua&#231;&#227;o em Radiologia da Universidade Federal do Rio de Janeiro &#40;UFRJ&#41; &#47; Full Professor&#44; Head&#44; Department of Radiology of the University Fluminense &#40;UFF&#41;&#46; Associate Coordinator&#44; Post-Graduate Course in Radiology&#44; University of Rio de Janeiro &#40;UFRJ&#41;"
            "etiqueta" => "<span class="elsevierStyleSup">1</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "M&#233;dica P&#243;s-Graduanda do Departamento de Radiologia da UFF &#47; Post-Graduate Doctor&#44; Department of Radiology&#44; UFF"
            "etiqueta" => "<span class="elsevierStyleSup">2</span>"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Professor Adjunto de Radiologia da Universidade Federal do Paran&#225;&#44; Curitiba&#44; Brasil &#47; Associate Professor of Radiology&#44; University of Paran&#225;&#44; Brazil"
            "etiqueta" => "<span class="elsevierStyleSup">3</span>"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Doutoranda em Radiologia da UFRJ &#47; PhD in Radiology&#44; UFRJ"
            "etiqueta" => "<span class="elsevierStyleSup">4</span>"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Departamento de Radiologia da Universidade Federal do Paran&#225;&#44; Curitiba&#44; Brasil&#46; Director&#58; Prof&#46; Dante L&#46; Escuissato&#46; Rua General Carneiro&#44; 181&#46; CEP 80&#46;000-000&#46; Curitiba&#44; Paran&#225;&#44; Brasil"
            "etiqueta" => "<span class="elsevierStyleSup">5</span>"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Departamento de Radiologia da Universidade Federal Fluminense &#40;UFF&#41; Director &#58; Prof&#46; Edson Marchiori Av&#46; Marqu&#234;s do Paran&#225;&#44; 330&#46; Centro&#46; Niter&#243;i &#8211; Rio de Janeiro &#8211; Brasil"
            "etiqueta" => "<span class="elsevierStyleSup">6</span>"
            "identificador" => "aff0030"
          ]
          6 => array:3 [
            "entidad" => "Servi&#231;o de Radiodiagn&#243;stico do Hospital Universit&#225;rio Clementino Fraga Filho &#40;HUCFF&#41;&#44; da Universidade Federal do Rio de Janeiro &#40;UFRJ&#41;&#46; Av&#46; Brigadeiro Trompowsky&#44; s&#47;n&#46; Ilha do Fund&#227;o&#46; Rio de Janeiro &#8211; Brasil"
            "etiqueta" => "<span class="elsevierStyleSup">7</span>"
            "identificador" => "aff0035"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence address&#47;Correspond&#234;ncia&#58; Edson Marchiori &#8211; Rua Thomaz Cameron&#44; 438&#46; Valparaiso&#46; CEP 25685&#46;120&#44; Petr&#243;polis&#44; Rio de Janeiro&#44; Brasil&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Padr&#227;o de <span class="elsevierStyleItalic">crazy-paving</span> na leptospirose pulmonar&#58; Correla&#231;&#227;o entre a tomografia computadorizada de alta resolu&#231;&#227;o e os achados anatomopatol&#243;gicos"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2007-12-27"
    "fechaAceptado" => "2008-07-24"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec159842"
          "palabras" => array:4 [
            0 => "Leptospirosis"
            1 => "pulmonary haemorrhage"
            2 => "crazy-paving pattern"
            3 => "high resolution CT"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec159841"
          "palabras" => array:4 [
            0 => "Leptospirose"
            1 => "hemorragia pulmonar"
            2 => "padr&#227;o de crazy-paving"
            3 => "tomografia computadorizada de alta resolu&#231;&#227;o"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors present the high-resolution CT findings of a patient with diffuse pulmonary hemorrhage due to leptospirosis&#46; The main finding consisted of extensive ground-glass opacities super imposed on mild interlobular septal thickening&#44; resulting in the appearance termed &#8220;crazy- paving&#8221;&#46; The patient died and the necropsy showed extensive haemorrhage filling the airspace and blood infiltrating the interlobular septa&#46; The correlation between the high-resolution CT and pathological findings is emphasised&#46;</p>"
      ]
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam os aspectos na tomografia computadorizada de alta resolu&#231;&#227;o de um doente com hemorragia pulmonar difusa por leptospirose&#46; O achado predominante consistiu de opacidades em vidro despolido difusas&#44; com espessamento de septos interlobulares sobrepostos&#44; resultando no padr&#227;o de crazy-paving&#46; O doente morreu&#44; e na necr&#243;psia foi observada extensa hemorragia alveolar&#44; com sangue infiltrando os septos interlobulares&#46; &#201; real&#231;ada a correla&#231;&#227;o entre os achados anatomopatol&#243;gicos e na tomografia computadorizada de alta resolu&#231;&#227;o&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis presenting as diffuse alveolar hemorrhage&#58; case report and literature review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;M&#46; Luks"
                            1 => "S&#46; Lakshminarayanan"
                            2 => "J&#46;V&#46; Hirsch mann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "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"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leptospirosis&#58; a case report of a patient with pulmonary haemorrhage successfully managed with extra corporeal membrane oxygenation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46; Arokianathan"
                            1 => "K&#46; Trower"
                            2 => "S&#46; Pooboni"
                            3 => "A&#46; Sosnowski"
                            4 => "P&#46; Moss"
                            5 => "H&#46; Thaker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jinf.2004.09.010"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Infect"
                        "fecha" => "2005"
                        "volumen" => "50"
                        "numero" => "2"
                        "paginaInicial" => "158"
                        "paginaFinal" => "162"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15667919"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary compromisse in leptospirosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;E&#46; Carvalho"
                            1 => "E&#46;S&#46; Marchiori"
                            2 => "J&#46;B&#46; Guedes e Silva"
                            3 => "B&#46;A&#46; Souza Netto"
                            4 => "W&#46; Tavares"
                            5 => "A&#46;V&#46; Paula"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Rev Soc Bras Med Trop"
                        "fecha" => "1992"
                        "volumen" => "25"
                        "numero" => "4"
                        "paginaInicial" => "21"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1308063"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#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" => "J Thorac 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"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#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:6 [
                            0 => "J&#46;G&#46; Im"
                            1 => "K&#46;M&#46; Yeon"
                            2 => "M&#46;C&#46; Han"
                            3 => "C&#46;W&#46; Kim"
                            4 => "W&#46;R&#46; Webb"
                            5 => "J&#46;S&#46; Lee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "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"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computed tomography appearances of pulmonary alveolar proteinosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;R&#46; Murch"
                            1 => "D&#46;H&#46; Carr"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Radiol"
                        "fecha" => "1989"
                        "volumen" => "40"
                        "numero" => "3"
                        "paginaInicial" => "240"
                        "paginaFinal" => "243"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2752679"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Crazy paving appearance at thin-section CT&#58; spectrum of disease and pathologic findings"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Johkoh"
                            1 => "H&#46; Itoh"
                            2 => "N&#46;L&#46; M&#252;ller"
                            3 => "K&#46; Ichikado"
                            4 => "H&#46; Nakamura"
                            5 => "J&#46; Ikezoe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.211.1.r99ap10155"
                      "Revista" => array:7 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1999"
                        "volumen" => "211"
                        "numero" => "1"
                        "paginaInicial" => "155"
                        "paginaFinal" => "160"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10189465"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Crazy paving appearance on high resolution CT in various diseases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Murayama"
                            1 => "J&#46; Murakami"
                            2 => "H&#46; Yabuuchi"
                            3 => "H&#46; Soeda"
                            4 => "K&#46; Masuda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "J Comput Assist Tomogr"
                        "fecha" => "1999"
                        "volumen" => "23"
                        "numero" => "5"
                        "paginaInicial" => "749"
                        "paginaFinal" => "752"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10524860"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung lesions in human leptospirosis&#58; microscopic&#44; immunohistochemical&#44; and ultrastructural features related to thrombocytopenia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46;C&#46; Nicodemo"
                            1 => "M&#46;I&#46; Duarte"
                            2 => "V&#46; Alves"
                            3 => "C&#46;F&#46;H&#46; Takakura"
                            4 => "R&#46;T&#46;M&#46; Santos"
                            5 => "E&#46;L&#46; Nicodemo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Trop Med Hyg"
                        "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"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The pathologic anatomy and pathogenesis of fatal human leptospirosis &#40;Weil&#39;s disease&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "V&#46;M&#46; Arean"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Pathol"
                        "fecha" => "1962"
                        "volumen" => "40"
                        "paginaInicial" => "393"
                        "paginaFinal" => "423"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13862141"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735115/0000001400000006/v1_201305151501/S2173511508703166/v1_201305151501/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9550"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Report&#47;Caso Cl&#237;nico"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001400000006/v1_201305151501/S2173511508703166/v1_201305151501/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511508703166?idApp=UINPBA00004E"
]
Share
Journal Information
Vol. 14. Issue 6.
Pages 887-891 (November - December 2008)
Share
Share
Download PDF
More article options
Vol. 14. Issue 6.
Pages 887-891 (November - December 2008)
Full text access
Leptospirosis of the lung presenting with crazy-paving pattern: Correlation between the high-resolution CT and pathological findings
Padrão de crazy-paving na leptospirose pulmonar: Correlação entre a tomografia computadorizada de alta resolução e os achados anatomopatológicos
Visits
1063
Edson Marchiori1,6,
Corresponding author
edmarchiori@gmail.com

Correspondence address/Correspondência: Edson Marchiori – Rua Thomaz Cameron, 438. Valparaiso. CEP 25685.120, Petrópolis, Rio de Janeiro, Brasil.
, Taisa Davaus Gasparetto2, Dante L. Escuissato3,5, Gláucia Zanetti4, Hilton Koch7
1 Professor Titular e Chefe do Departamento de Radiologia da Universidade Federal Fluminense (UFF). Coordenador Adjunto do Curso de Pós-Graduação em Radiologia da Universidade Federal do Rio de Janeiro (UFRJ) / Full Professor, Head, Department of Radiology of the University Fluminense (UFF). Associate Coordinator, Post-Graduate Course in Radiology, University of Rio de Janeiro (UFRJ)
2 Médica Pós-Graduanda do Departamento de Radiologia da UFF / Post-Graduate Doctor, Department of Radiology, UFF
3 Professor Adjunto de Radiologia da Universidade Federal do Paraná, Curitiba, Brasil / Associate Professor of Radiology, University of Paraná, Brazil
4 Doutoranda em Radiologia da UFRJ / PhD in Radiology, UFRJ
5 Departamento de Radiologia da Universidade Federal do Paraná, Curitiba, Brasil. Director: Prof. Dante L. Escuissato. Rua General Carneiro, 181. CEP 80.000-000. Curitiba, Paraná, Brasil
6 Departamento de Radiologia da Universidade Federal Fluminense (UFF) Director : Prof. Edson Marchiori Av. Marquês do Paraná, 330. Centro. Niterói – Rio de Janeiro – Brasil
7 Serviço de Radiodiagnóstico do Hospital Universitário Clementino Fraga Filho (HUCFF), da Universidade Federal do Rio de Janeiro (UFRJ). Av. Brigadeiro Trompowsky, s/n. Ilha do Fundão. Rio de Janeiro – Brasil
This item has received
Article information
Abstract
Bibliography
Download PDF
Statistics
Abstract

The authors present the high-resolution CT findings of a patient with diffuse pulmonary hemorrhage due to leptospirosis. The main finding consisted of extensive ground-glass opacities super imposed on mild interlobular septal thickening, resulting in the appearance termed “crazy- paving”. The patient died and the necropsy showed extensive haemorrhage filling the airspace and blood infiltrating the interlobular septa. The correlation between the high-resolution CT and pathological findings is emphasised.

Key-words:
Leptospirosis
pulmonary haemorrhage
crazy-paving pattern
high resolution CT
Resumo

Os autores apresentam os aspectos na tomografia computadorizada de alta resolução de um doente com hemorragia pulmonar difusa por leptospirose. O achado predominante consistiu de opacidades em vidro despolido difusas, com espessamento de septos interlobulares sobrepostos, resultando no padrão de crazy-paving. O doente morreu, e na necrópsia foi observada extensa hemorragia alveolar, com sangue infiltrando os septos interlobulares. É realçada a correlação entre os achados anatomopatológicos e na tomografia computadorizada de alta resolução.

Palavras-chave:
Leptospirose
hemorragia pulmonar
padrão de crazy-paving
tomografia computadorizada de alta resolução
Full text is only aviable in PDF
Bibliography
[1.]
A.M. Luks, S. Lakshminarayanan, J.V. Hirsch mann.
Leptospirosis presenting as diffuse alveolar hemorrhage: case report and literature review.
Chest, 123 (2003), pp. 639-643
[2.]
D. Arokianathan, K. Trower, S. Pooboni, A. Sosnowski, P. Moss, H. Thaker.
Leptospirosis: a case report of a patient with pulmonary haemorrhage successfully managed with extra corporeal membrane oxygenation.
J Infect, 50 (2005), pp. 158-162
[3.]
J.E. Carvalho, E.S. Marchiori, J.B. Guedes e Silva, B.A. Souza Netto, W. Tavares, A.V. Paula.
Pulmonary compromisse in leptospirosis.
Rev Soc Bras Med Trop, 25 (1992), pp. 21-30
[4.]
E. Marchiori, N.L. Muller.
Leptospirosis of the lung: high-resolution computed tomography findings in five patients.
J Thorac Imaging, 17 (2002), pp. 151-153
[5.]
J.G. Im, K.M. Yeon, M.C. Han, C.W. Kim, W.R. Webb, J.S. Lee, et al.
Leptospirosis of the lung: radiographic findings in 58 patients.
AJR, 152 (1989), pp. 955-959
[6.]
C.R. Murch, D.H. Carr.
Computed tomography appearances of pulmonary alveolar proteinosis.
Clin Radiol, 40 (1989), pp. 240-243
[7.]
T. Johkoh, H. Itoh, N.L. Müller, K. Ichikado, H. Nakamura, J. Ikezoe, et al.
Crazy paving appearance at thin-section CT: spectrum of disease and pathologic findings.
[8.]
S. Murayama, J. Murakami, H. Yabuuchi, H. Soeda, K. Masuda.
Crazy paving appearance on high resolution CT in various diseases.
J Comput Assist Tomogr, 23 (1999), pp. 749-752
[9.]
A.C. Nicodemo, M.I. Duarte, V. Alves, C.F.H. Takakura, R.T.M. Santos, E.L. Nicodemo.
Lung lesions in human leptospirosis: microscopic, immunohistochemical, and ultrastructural features related to thrombocytopenia.
Am J Trop Med Hyg, 56 (1997), pp. 181-187
[10.]
V.M. Arean.
The pathologic anatomy and pathogenesis of fatal human leptospirosis (Weil's disease).
Am J Pathol, 40 (1962), pp. 393-423
Copyright © 2008. Sociedade Portuguesa de Pneumologia
Download PDF
Pulmonology
Article options
Tools

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