<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492020000500303</article-id>
<article-id pub-id-type="doi">10.31134/ap.91.5.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Parotiditis tuberculosa: una presentación poco frecuente de una enfermedad reemergente]]></article-title>
<article-title xml:lang="en"><![CDATA[Tuberculous parotitis: an uncommon presentation of a reemerging disease]]></article-title>
<article-title xml:lang="pt"><![CDATA[Parotidite tuberculosa: uma apresentação rara de uma doença reemergente]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galiana]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giachetto]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Pediatría]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Pediatría]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UDELAR Facultad de Medicina Sector Infecto-contagiosos]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,UDELAR Facultad de Medicina Depto. Pediatría.]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>91</volume>
<numero>5</numero>
<fpage>303</fpage>
<lpage>308</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492020000500303&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492020000500303&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492020000500303&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  en Uruguay en los últimos años se ha observado un aumento de la incidencia de la enfermedad en niños. El diagnóstico de TB infantil representa un desafío, la infección suele cursar con manifestaciones clínicas inespecíficas y muchas veces en forma asintomática.  Objetivo:  describir el caso clínico de un niño con parotiditis tuberculosa.  Caso clínico:  5 años, varón, sano, hacinamiento, dos adultos convivientes con TB pulmonar en tratamiento. Vacunas vigentes. Consulta por tumoración de cuello derecha de tres días de evolución, adelgazamiento, subfebril. Diagnóstico al ingreso, adenoflemón de probable etiología bacteriana. Tratamiento con antibióticos, mala evolución, persiste febril y no se modifica tamaño de tumoración. Ecografía de partes blandas: glándula parotídea derecha aumentada de tamaño. Prueba tuberculínica: 14 mm. Velocidad de eritrosedimentación: 75 mm/h. Con planteo de TB parotídea se realiza punción de la glándula, obteniéndose material purulento. Se confirma bacteriológicamente la infección por métodos moleculares y cultivo. Se inicia tratamiento para TB. Recibe nueve meses de tratamiento con resolución completa y sin complicaciones.  Conclusiones:  las formas de presentación extrapulmonares son más frecuentes en niños que en adultos, su diagnóstico no es sencillo. Es fundamental recordar que el diagnóstico de un caso de TB en un niño representa un evento sanitario centinela de la transmisión reciente a partir de adulto bacilífero que habitualmente convive y debe ser diagnosticado y tratado adecuadamente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  according to the World Health Organization (WHO), Childhood tuberculosis (TB) occurs in children under 15 years of age. An increase in the incidence of this disease was detected in children in recent years. The diagnosis of childhood TB is a challenge because of its non-specific clinical manifestations.  Objective:  describe a case of a child with tuberculous parotitis.  Case report:  5-year-old healthy male living with 2 adults with pulmonary TB under treatment. Vaccination according to his age. Consultation regarding a neck tumor of 3 days of evolution, patient showed weight loss and no history of fever. Diagnosis at admission was cervical adenitis probably with bacterial etiology. Antibiotic treatment, poor evolution, fever persisted and tumor size remained unchanged. Soft tissue ultrasound: enlarged right parotid gland. Tuberculin test: 14mm. Erythrosedimentation rate 75mm / h. With a parotid tuberculosis approach, we performed a gland puncture and obtained purulent material. The infection was bacteriologically confirmed by molecular methods and culture. Treatment for tuberculosis began. Patient received treatment for 9 months and showed complete resolution and no complications.  Conclusions:  although tuberculosis is a reemerging disease and extra-pulmonary presentation forms are more frequent in children than in adults, diagnosis remains a challenge. It is essential to remember that the TB diagnosis in children usually shows a sentinel health event of recent transmission from a bacilliferous adult who usually lives with the child and must be properly diagnosed and treated.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  segundo a Organização Mundial da Saúde (OMS), a tuberculose infantil (TB) ocorre em crianças menores de 15 anos de idade. Nos últimos anos houve um aumento na incidência desta doença em crianças. O diagnóstico da TB infantil é um desafio devido às suas manifestações clínicas inespecíficas.  Objetivo:  descrever o caso duma criança com parotidite tuberculosa.  Relato de caso:  menino de 5 anos, saudável, morava com 2 adultos com TB pulmonar em tratamento. Vacinas de acordo com sua idade. Consulta referente a tumor cervical com 3 dias de evolução, paciente apresentava emagrecimento, sem febre. O diagnóstico na admissão foi adenite cervical de etiologia provavelmente bacteriana. Tratamento antibiótico, má evolução, persistência de febre e tamanho do tumor inalterado. Ultrassom de partes moles: glândula parótida direita aumentada. Teste tuberculínico: 14mm. Taxa de eritrosedimentação 75 mm / h. Com abordagem de tuberculose parotídea, realizou-se punção da glândula e obteve-se material purulento. A infecção foi confirmada bacteriologicamente por métodos moleculares e cultura. Começou-se tratamento para a tuberculose, o paciente recebeu tratamento por 9 meses e apresentou resolução completa e sem complicações.  Conclusões:  embora a tuberculose seja uma doença reemergente e as formas de apresentação extrapulmonar sejam mais frequentes em crianças do que em adultos, o diagnóstico permanece um desafio. É fundamental lembrar que o diagnóstico de um caso de TB na criança representa um evento sentinela de saúde de transmissão recente de um adulto bacilífero que mora com a criança e que deve ser devidamente diagnosticado e tratado.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Parotiditis]]></kwd>
<kwd lng="es"><![CDATA[Tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[Niño]]></kwd>
<kwd lng="en"><![CDATA[Parotitis]]></kwd>
<kwd lng="en"><![CDATA[Tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="pt"><![CDATA[Parotidite]]></kwd>
<kwd lng="pt"><![CDATA[Tuberculose]]></kwd>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pickering]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Baker]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Kimberlin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Long]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Red Book: enfermedades Infecciosas en Pediatría. Informe del Comité de Enfermedades Infecciosas de la American Academy of Pediatrics]]></source>
<year>2010</year>
<edition>28</edition>
<page-range>659-62</page-range><publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kleigman]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Behrman]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Jenson]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Stanton]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nelson tratado de pediatría. 18 ed]]></article-title>
<collab>eds</collab>
<source><![CDATA[Barcelona: Elsevier,]]></source>
<year>2009</year>
<page-range>1240-54</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Tuberculosis]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Ginebra ]]></publisher-loc>
<publisher-name><![CDATA[OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>Ministerio de Salud Pública</collab>
<collab>Comisión Honoraria para la Lucha Antituberculosa y Enfermedades Prevalentes</collab>
<article-title xml:lang=""><![CDATA[Situación de la Tuberculosis en Uruguay, Entre la eliminación y la Re - emergencia]]></article-title>
<source><![CDATA[Teleconferencia Nacional Montevideo]]></source>
<year>2012</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>Comisión honoraria para la lucha antituberculosa y enfermedades prevalentes</collab>
<collab>Universidad de la República</collab>
<collab>Facultad de Medicina</collab>
<collab>Cátedra de enfermedades infecciosas</collab>
<collab>Cátedra de neumología</collab>
<source><![CDATA[Guía Nacional para el manejo de la Tuberculosis]]></source>
<year>2016</year>
<edition>3</edition>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[CHLA-EP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<collab>Comisión honoraria para la lucha antituberculosa y enfermedades prevalentes</collab>
<collab>Universidad de la República</collab>
<collab>Facultad de Medicina</collab>
<collab>Cátedra de enfermedades infecciosas</collab>
<collab>Departamento de Pediatría</collab>
<source><![CDATA[Guía nacional para el manejo de la tuberculosis en situaciones especiales]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[CHLA-EP]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Altet]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Baquero]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Escribano]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnóstico de la tuberculosis en la edad pediátrica]]></article-title>
<source><![CDATA[An Pediatr (Barc)]]></source>
<year>2010</year>
<volume>72</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>283.e1-e14</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prasad]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Sreedharan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chakravarthy]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Prasad]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tuberculosis in the head and neck experience in India]]></article-title>
<source><![CDATA[J Laryngol Otol]]></source>
<year>2007</year>
<volume>121</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>979-85</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Salcedo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tuberculosis ganglionar experiencia en el Instituto Nacional de Enfermedades Respiratorias]]></article-title>
<source><![CDATA[Arch Pediatr Urug]]></source>
<year>2011</year>
<volume>82</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>18-22</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dorronsoro]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Toborra]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Microbiología de la tuberculosis]]></article-title>
<source><![CDATA[Anales Sist San Navarra]]></source>
<year>2007</year>
<volume>30</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>267-85</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Donohue]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Boldent]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tuberculosis of the salivary glands a collective review]]></article-title>
<source><![CDATA[Oral Surg Oral Med Oral Pathol]]></source>
<year>1961</year>
<volume>14</volume>
<page-range>576-88</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tuberculosis of the parotid gland a report of 12 cases]]></article-title>
<source><![CDATA[J Oral Maxillofac Surg]]></source>
<year>1995</year>
<volume>53</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>849-51</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tuberculous parotitis case report and literature review]]></article-title>
<source><![CDATA[Ann Otol Rhinol Laryngol]]></source>
<year>2005</year>
<volume>114</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>547-51</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pedrozo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Aldana]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Herrera]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infecciones por Mycobacterium y Salmonella en pacientes con inmunodeficiencias asociadas al circuito IL-12/IL23 - IFN ã aspectos biológicos y clínicos]]></article-title>
<source><![CDATA[Enf Inf Microbiol]]></source>
<year>2007</year>
<volume>27</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>88-99</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Howlett]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[High resolution ultrasound assessment of the parotid gland]]></article-title>
<source><![CDATA[Br J Radiol]]></source>
<year>2003</year>
<volume>76</volume>
<numero>904</numero>
<issue>904</issue>
<page-range>271-7</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Tuberculosis Diagnostics Xpert MTB/RIF Test. Version on line]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garg]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Verma]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mehra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Srivastawa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Parotid tuberculosis]]></article-title>
<source><![CDATA[Lung India]]></source>
<year>2010</year>
<volume>27</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>253-5</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amaya]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Contrera]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Arrieta]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Montano]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pírez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rendimiento del GeneXpert en el diagnóstico de tuberculosis pulmonar y extrapulmonar en la edad pediátrica]]></article-title>
<source><![CDATA[Arch Pediatr Urug]]></source>
<year>2020</year>
<volume>91</volume>
<numero>S2</numero>
<issue>S2</issue>
<page-range>S12-23</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="book">
<collab>Comisión Honoraria para la Lucha Antituberculosa y Enfermedades Prevalentes</collab>
<source><![CDATA[Nuevas recomendaciones en el diagnóstico de tuberculosis: rol del Xpert/MTB/RIF]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[CHLA-EP]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
