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Vela Colmenero, M.D. Pola Gallego de Guzmán, M.C. Molina de la Torre" "autores" => array:3 [ 0 => array:2 [ "nombre" => "R.M." "apellidos" => "Vela Colmenero" ] 1 => array:2 [ "nombre" => "M.D." "apellidos" => "Pola Gallego de Guzmán" ] 2 => array:2 [ "nombre" => "M.C." 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Blake, D. Collins, E. O’Connor, C. Bergin, A.M. McLaughlin, I. Martin-Loeches" "autores" => array:6 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Blake" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Collins" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "O’Connor" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Bergin" ] 4 => array:2 [ "nombre" => "A.M." "apellidos" => "McLaughlin" ] 5 => array:2 [ "nombre" => "I." "apellidos" => "Martin-Loeches" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572720301958?idApp=WMIE" "url" => "/21735727/0000004400000009/v1_202012080704/S2173572720301958/v1_202012080704/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Spontaneous pneumothorax and pneumomediastinum in bilateral pneumonia due to COVID-19" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "591" "paginaFinal" => "592" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "R.M. Vela Colmenero, M.D. Pola Gallego de Guzmán, M.C. Molina de la Torre" "autores" => array:3 [ 0 => array:4 [ "nombre" => "R.M." "apellidos" => "Vela Colmenero" "email" => array:1 [ 0 => "rosa_vela@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M.D." "apellidos" => "Pola Gallego de Guzmán" ] 2 => array:2 [ "nombre" => "M.C." "apellidos" => "Molina de la Torre" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Intensiva, Complejo Hospitalario de Jaén, Jaén, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumomediastino y neumotórax espontáneo en neumonía bilateral por COVID-19" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1261 "Ancho" => 1625 "Tamanyo" => 152892 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure 2." "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 65-year-old diabetic male with non-seasonal asthma treated with inhaled corticosteroids was admitted to the Intensive Care Unit diagnosed with bilateral pneumonia due to COVID-19 and hypoxemic acute respiratory failure with the administration of high-flow nasal oxygen. The physical examination revealed subcutaneous emphysema predominantly located in the right side of the neck; emergency CT with contrast administration was thus requested, revealing important pneumomediastinum mainly in the anterior zone (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), with no apparent underlying cause; mild apical pneumothorax at the periphery of the left lung (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>); and a ground-glass pattern of bilateral peripheral predominance associated to areas of consolidation and air bronchogram (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Vela Colmenero RM, Pola Gallego de Guzmán MD, Molina de la Torre MC. Neumomediastino y neumotórax espontáneo en neumonía bilateral por COVID-19. Med Intensiva. 2020;155:591–592.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1331 "Ancho" => 1625 "Tamanyo" => 118690 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure 1." "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1261 "Ancho" => 1625 "Tamanyo" => 152892 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure 2." 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