{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T02:00:34Z","timestamp":1790301634720,"version":"4.1.0"},"reference-count":6,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100018165","name":"Chandrakasem Rajabhat University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018165","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Secondary spontaneous pneumothorax (SSP), a complication of chronic obstructive pulmonary disease (COPD), recurs more frequently in underweight patients. This case report describes a 63\u2010year\u2010old malnourished man with COPD presenting with recurrent left\u2010sided SSP shortly after hospital discharge for a previous episode. Following chest tube reinsertion and complete lung re\u2010expansion, chemical pleurodesis was performed using 1000\u2009mg doxycycline in saline. Transient pleuritic pain was controlled with intravenous ketorolac and intrapleural lidocaine. No other immediate or delayed adverse events occurred. In parallel, pulmonary rehabilitation, including breathing exercises, posture correction, moderate\u2010intensity endurance and inspiratory muscle training, was initiated alongside nutritional repletion with a respiratory\u2010specific oral nutritional supplement. Over a 22\u2010month follow\u2010up, the patient remained free of SSP recurrence, with improved functional capacity and weight gain. This report describes a long\u2010term recurrence\u2010free outcome after doxycycline pleurodesis combined with pulmonary rehabilitation and nutritional support in an underweight patient with COPD.<\/jats:p>","DOI":"10.1002\/rcr2.70675","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T10:05:36Z","timestamp":1787911536000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Recurrence\u2010Free Outcome After Doxycycline Pleurodesis With Pulmonary Rehabilitation and Nutritional Support in an Underweight Patient With\n                    <scp>COPD<\/scp>\n                    : A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8211-9977","authenticated-orcid":false,"given":"Kemas Rakhmat","family":"Notariza","sequence":"first","affiliation":[{"name":"Department of Pulmonology and Respiratory Medicine Faculty of Medicine Universitas Indonesia\u2014Persahabatan Hospital National Respiratory Center  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasenohadi","family":"Pradono","sequence":"additional","affiliation":[{"name":"Department of Pulmonology and Respiratory Medicine Faculty of Medicine Universitas Indonesia\u2014Persahabatan Hospital National Respiratory Center  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0889-7740","authenticated-orcid":false,"given":"Siti Chandra","family":"Widjanantie","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Faculty of Medicine Universitas Indonesia\u2014Persahabatan Hospital National Respiratory Center  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elfina","family":"Rachmi","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition Faculty of Medicine Universitas Indonesia\u2014Persahabatan Hospital National Respiratory Center  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agus Dwi","family":"Susanto","sequence":"additional","affiliation":[{"name":"Department of Pulmonology and Respiratory Medicine Faculty of Medicine Universitas Indonesia\u2014Persahabatan Hospital National Respiratory Center  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Global Strategy for the Prevention, Diagnosis and Management of Chronic Obstructive Pulmonary Disease: 2025 Report","author":"Global Initiative for Chronic Obstructive Lung Disease","year":"2024"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/thorax\u20102022\u2010219784"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/ejhpharm\u20102017\u2010001465"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00150314"},{"key":"e_1_2_10_6_1","first-page":"90","article-title":"Reference Equation for Prediction of a Total Distance During Six\u2010Minute Walk Test Using Indonesian Anthropometrics","volume":"46","author":"Nusdwinuringtyas N.","year":"2014","journal-title":"Acta Medica Indonesiana"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.108.2.452"}],"container-title":["Respirology Case 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