<?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>S1688-12492020000600370</article-id>
<article-id pub-id-type="doi">10.31134/ap.91.6.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Escombroidosis: intoxicación alimentaria. A propósito de un caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[A clinical case of food poisoning scombroidosis]]></article-title>
<article-title xml:lang="pt"><![CDATA[Escombroidose: envenenamento alimentar. Relato de caso clínico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Goycoechea]]></surname>
<given-names><![CDATA[Maite]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pieroni]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[Noelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Basika]]></surname>
<given-names><![CDATA[Jessica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parodi]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iglesias]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Policial Servicio Pediatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Policial Servicio Pediatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Policial Servicio Pediatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Policial Servicio Pediatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Policial Emergencia Pediátrica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Policial Depto. Pediatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</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>6</numero>
<fpage>370</fpage>
<lpage>374</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492020000600370&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492020000600370&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492020000600370&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: la escombroidosis es la causa más común de ictiotoxicosis en todo el mundo. A menudo se diagnostica erróneamente como alergia al pescado mediada por IgE. Se debe al consumo de pescados de la familia Scombridae y Scomberesocidae, y otros no escómbridos que pierden la cadena adecuada de frío.  Objetivo:  presentar un caso clínico sobre un tipo de intoxicación alimentaria raramente diagnosticada en la población pediátrica de nuestro país, analizando sus manifestaciones clínicas y curso evolutivo.  Caso clínico:  paciente de 12 años que concurrió a emergencia luego de ingesta de atún, con sintomatología compatible a síndrome histaminérgico. Se realizó diagnóstico de intoxicación escombroide, se trató con antihistamínicos y corticoides, presentando buena respuesta clínica, realizamos las notificaciones epidemiológicas correspondientes.  Conclusiones:  patología frecuente, poco diagnosticada. Causada por error en la conservación de la cadena de frío de una variedad de pescado. El diagnóstico se realizó por la clínica y por datos epidemiológicos, en este caso la noción de ingesta de pescado. Son cuadros clínicos autolimitados, con buena evolución, que se tratan con antihistamínicos y corticoides.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  scombroidosis is the most common cause of ichthyotoxic poisoning worldwide. It is often misdiagnosed as an IgE-mediated allergy to fish. It is caused by the consumption of fish of the Scombridae and Scomberesocidae family, and other non-scombridae food item whose cold chain cycle has been stopped.  Objective:  present a clinical case about a type of food poisoning rarely diagnosed in the pediatric population of our country and analyze its clinical manifestations and evolutionary course.  Clinical case:  12-year-old patient who attended the emergency room after eating tuna, showing symptoms compatible with histaminergic syndrome. A diagnosis of scombroid intoxication was made, he was treated with antihistamines and corticosteroids, and presented a positive clinical response. We made the corresponding epidemiological notifications.  Conclusions:  frequent underdiagnosed pathology. Caused by poor preservation of the cold chain of a variety of fish. The clinical diagnosis was made according to epidemiological data of fish intake. These are self-limited clinical cases, with good evolution, which are treated with antihistamines and corticosteroids.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: a intoxicação por escombroide é a causa mais comum de ictiotoxicose no mundo. Frequentemente, é diagnosticada erroneamente como uma alergia a peixes mediada por IgE. Acontece devido ao consumo de peixes da família Scombridae e Scomberesocidae, e de outros não escombrídeos que perdem a cadeia de frio adequada.  Objetivo: apresentar um caso clínico sobre um tipo de intoxicação alimentar raramente diagnosticada na população pediátrica de nosso país e analisar as suas manifestações clínicas e curso evolutivo.  Caso clínico:  paciente de 12 anos que deu entrada no pronto-socorro após ingestão de atum, com quadro compatível com síndrome histaminérgica. Fizemos o diagnóstico de intoxicação escombróide, ele foi tratado com anti-histamínicos e corticoesteróides, apresentando boa resposta clínica, fizemos as notificações epidemiológicas correspondentes.  Conclusões: patologia frequente, pouco diagnosticada. Causada pelo corte da cadeia de frio de diversos peixes. O diagnóstico feito pela clínica esteve baseado nos dados epidemiológicos, no caso, o consumo de peixe. Esses são quadros clínicos autolimitados, com boa evolução, tratados normalmente com anti-histamínicos e corticosteroides.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Envenenamiento]]></kwd>
<kwd lng="es"><![CDATA[Histamínicos]]></kwd>
<kwd lng="en"><![CDATA[Poisoning]]></kwd>
<kwd lng="en"><![CDATA[Agents histamine]]></kwd>
<kwd lng="pt"><![CDATA[Envenenamento]]></kwd>
<kwd lng="pt"><![CDATA[Histaminicos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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