array:24 [
  "pii" => "S0873215915302956"
  "issn" => "08732159"
  "doi" => "10.1016/S0873-2159(15)30295-6"
  "estado" => "S350"
  "fechaPublicacion" => "2008-11-01"
  "aid" => "13"
  "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
  "copyrightAnyo" => "2008"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Rev Port Pneumol. 2008;14:887-91"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3254
    "formatos" => array:3 [
      "EPUB" => 233
      "HTML" => 2155
      "PDF" => 866
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0873215915302968"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30296-8"
    "estado" => "S350"
    "fechaPublicacion" => "2008-11-01"
    "aid" => "14"
    "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Rev Port Pneumol. 2008;14:893-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2595
      "formatos" => array:3 [
        "EPUB" => 248
        "HTML" => 1584
        "PDF" => 763
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico&#47;Case Report</span>"
      "titulo" => "Enfisema lobar cong&#233;nito&#58; 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&#58; 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, Jo&#227;o Paulo Vieira dos Santos, Samantha Andrade Maia"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Marcelo Cunha"
              "apellidos" => "Fatureto"
            ]
            1 => array:2 [
              "nombre" => "Daniel Pinheiro"
              "apellidos" => "Ferreira"
            ]
            2 => array:2 [
              "nombre" => "Danilo Amaro"
              "apellidos" => "Ferraz"
            ]
            3 => array:2 [
              "nombre" => "Jo&#227;o Paulo Vieira dos"
              "apellidos" => "Santos"
            ]
            4 => array:2 [
              "nombre" => "Samantha Andrade"
              "apellidos" => "Maia"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302968?idApp=UINPBA00004E"
    "url" => "/08732159/0000001400000006/v1_201509151433/S0873215915302968/v1_201509151433/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0873215915302944"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30294-4"
    "estado" => "S350"
    "fechaPublicacion" => "2008-11-01"
    "aid" => "12"
    "copyright" => "Sociedade Portuguesa de Pneumologia&#47;SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Rev Port Pneumol. 2008;14:881-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3023
      "formatos" => array:3 [
        "EPUB" => 234
        "HTML" => 1705
        "PDF" => 1084
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico&#47;Case Report</span>"
      "titulo" => "Embolia s&#233;ptica pulmonar &#8211; A prop&#243;sito de um caso cl&#237;nico"
      "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 &#8211; Case report"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Lu&#237;s Coentr&#227;o, Jorge Oliveira"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Lu&#237;s"
              "apellidos" => "Coentr&#227;o"
            ]
            1 => array:2 [
              "nombre" => "Jorge"
              "apellidos" => "Oliveira"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302944?idApp=UINPBA00004E"
    "url" => "/08732159/0000001400000006/v1_201509151433/S0873215915302944/v1_201509151433/pt/main.assets"
  ]
  "pt" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico&#47;Case Report</span>"
    "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"
    "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&#46; Escuissato, Gl&#225;ucia Zanetti"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Edson"
            "apellidos" => "Marchiori"
            "email" => array:1 [
              0 => "edmarchiori&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cr0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Taisa Davaus"
            "apellidos" => "Gasparetto"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "af0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Dante L&#46;"
            "apellidos" => "Escuissato"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">3</span>"
                "identificador" => "af0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Gl&#225;ucia"
            "apellidos" => "Zanetti"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "af0020"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          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; <span class="elsevierStyleItalic">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;&#46;</span>"
            "etiqueta" => "1"
            "identificador" => "af0005"
          ]
          1 => array:3 [
            "entidad" => "M&#233;dica P&#243;s-Graduanda do Departamento de Radiologia da UFF &#47; <span class="elsevierStyleItalic">Post-Graduate Doctor&#44; Department of Radiology&#44; UFF&#46;</span>"
            "etiqueta" => "2"
            "identificador" => "af0010"
          ]
          2 => array:3 [
            "entidad" => "Professor Adjunto de Radiologia da Universidade Federal do Paran&#225;&#44; Curitiba&#44; Brasil &#47; <span class="elsevierStyleItalic">Associate Professor of Radiology&#44; University of Paran&#225;&#44; Brazil&#46;</span>"
            "etiqueta" => "3"
            "identificador" => "af0015"
          ]
          3 => array:3 [
            "entidad" => "Doutoranda em Radiologia da UFRJ &#47; <span class="elsevierStyleItalic">PhD in Radiology&#44; UFRJ&#46;</span>"
            "etiqueta" => "4"
            "identificador" => "af0020"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cr0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "<span class="elsevierStyleBold">Correspond&#234;ncia &#47; Correspondence address&#58;</span> 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"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Leptospirosis of the lung presenting with crazy-paving pattern&#58; Correlation between the high-resolution CT and pathological findings"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2007-12-27"
    "fechaAceptado" => "2008-07-24"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec570078"
          "palabras" => array:4 [
            0 => "Leptospirose"
            1 => "hemorragia pulmonar"
            2 => "padr&#227;o de <span class="elsevierStyleItalic">crazy-paving</span>"
            3 => "tomografia computadorizada de alta resolu&#231;&#227;o"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec570079"
          "palabras" => array:4 [
            0 => "Leptospirosis"
            1 => "pulmonary haemorrhage"
            2 => "crazy-paving pattern"
            3 => "high resolution CT"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" 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 <span class="elsevierStyleItalic">crazy-paving&#46;</span> 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><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008&#59; XIV &#40;6&#41;&#58; 887-891</span></p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" 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 superimposed 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><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008&#59; XIV &#40;6&#41;&#58; 887-891</span></p></span>"
      ]
    ]
    "lecturaRecomendada" => array:1 [
      0 => array:3 [
        "vista" => "all"
        "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliography</span>"
        "seccion" => array:1 [
          0 => array:2 [
            "vista" => "all"
            "bibliografiaReferencia" => array:10 [
              0 => array:3 [
                "identificador" => "bb0005"
                "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; Hirschmann"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "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" => "bb0010"
                "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" => "bb0015"
                "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" => "bb0020"
                "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" => "bb0025"
                "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" => "bb0030"
                "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:8 [
                          "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"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S0093775407002436"
                            "estado" => "S300"
                            "issn" => "00937754"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              6 => array:3 [
                "identificador" => "bb0035"
                "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" => "bb0040"
                "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" => "bb0045"
                "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:8 [
                          "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"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S0210569113000181"
                            "estado" => "S300"
                            "issn" => "02105691"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              9 => array:3 [
                "identificador" => "bb0050"
                "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&#8217;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:7 [
                          "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"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S1053077010005021"
                            "estado" => "S300"
                            "issn" => "10530770"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08732159/0000001400000006/v1_201509151433/S0873215915302956/v1_201509151433/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9580"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Casos cl&#237;nicos"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001400000006/v1_201509151433/S0873215915302956/v1_201509151433/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302956?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)
Caso Clínico/Case Report
Open Access
Padrão de crazy-paving na leptospirose pulmonar: Correlação entre a tomografia computadorizada de alta resolução e os achados anatomopatológicos
Leptospirosis of the lung presenting with crazy-paving pattern: Correlation between the high-resolution CT and pathological findings
Visits
7143
Edson Marchiori1,
Corresponding author
edmarchiori@gmail.com

Correspondência / Correspondence address: Edson Marchiori – Rua Thomaz Cameron, 438. Valparaiso. CEP 25685.120, Petrópolis, Rio de Janeiro, Brasil
, Taisa Davaus Gasparetto2, Dante L. Escuissato3, Gláucia Zanetti4
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.
This item has received

Under a Creative Commons license
Article information
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.

Rev Port Pneumol 2008; XIV (6): 887-891

Palavras-chave:
Leptospirose
hemorragia pulmonar
padrão de crazy-paving
tomografia computadorizada de alta resolução
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 superimposed 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.

Rev Port Pneumol 2008; XIV (6): 887-891

Key-words:
Leptospirosis
pulmonary haemorrhage
crazy-paving pattern
high resolution CT
Full text is only aviable in PDF
Bibliography
[1.]
A.M. Luks, S. Lakshminarayanan, J.V. Hirschmann.
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/SPP
Download PDF
Pulmonology
Article options
Tools

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