<?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>S1688-12492025000301307</article-id>
<article-id pub-id-type="doi">10.31134/ap.96.24</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Drenaje, antibióticos y trabajo en equipo: superando un absceso hepático en pediatría]]></article-title>
<article-title xml:lang="en"><![CDATA[Drainage, antibiotics and teamwork: overcoming al liver abscess in pediatrics]]></article-title>
<article-title xml:lang="pt"><![CDATA[Drenagem, antibióticos e trabalho em equipe: superando um abscesso hepático em pediatria]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coronado]]></surname>
<given-names><![CDATA[Simara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinzón]]></surname>
<given-names><![CDATA[Hernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lora]]></surname>
<given-names><![CDATA[Jazbleidi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Cartagena  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Infantil Napoleón Franco Pareja  ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>96</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492025000301307&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492025000301307&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492025000301307&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  los abscesos hepáticos en pediatría pueden ser de origen piógeno o amebianos y su manejo oportuno es un pilar importante para mejores resultados clínicos.  Descripción del caso:  se presenta el caso de un paciente de 8 años, procedente de San Marcos, Sucre, que ingresó con fiebre, dolor en el hipocondrio derecho y hepatomegalia. Las imágenes revelaron una lesión hipoecoica en el hígado, diagnosticándose un absceso hepático piógeno vs amebiano. Se inició tratamiento con ceftriaxona y metronidazol, y se realizó drenaje por complicaciones: derrame pleural. El absceso hepático en niños representa un desafío diagnóstico y terapéutico. En este caso, la combinación de imagenología avanzada y un enfoque multidisciplinario fue clave para establecer un diagnóstico preciso y temprano. La decisión de iniciar un tratamiento antibiótico empírico adecuado y la intervención quirúrgica oportuna permitieron manejar eficazmente las complicaciones, como el derrame pleural. Este caso resalta la necesidad de un enfoque colaborativo entre pediatras, infectólogos, gastroenterólogos y cirujanos para optimizar el tratamiento y mejorar el pronóstico en pacientes pediátricos con abscesos hepáticos.  Conclusiones:  el paciente evolucionó favorablemente y fue dado de alta tras 14 días de hospitalización. Este caso destaca la importancia de un enfoque integral en el tratamiento de abscesos hepáticos en niños.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  hepatic abscesses in pediatrics can be of pyogenic or amoebic origin, and timely management is a crucial pillar for better clinical outcomes.  Case Description:  we present the case of an 8-year-old male patient from San Marcos, Sucre, who was admitted with fever, pain in the right hypochondrium, and hepatomegaly. Imaging revealed a hypoechoic lesion in the liver, leading to a diagnosis of pyogenic vs. amoebic hepatic abscess. Treatment with ceftriaxone and metronidazole was initiated, and drainage was performed due to complications: pleural effusion. Hepatic abscess in children represents a diagnostic and therapeutic challenge. In this case, the combination of advanced imaging and a multidisciplinary approach was key to establishing a precise and early diagnosis. The decision to initiate appropriate empirical antibiotic treatment and timely surgical intervention allowed for effective management of complications, such as pleural effusion. This case highlights the need for a collaborative approach among pediatricians, infectologists, gastroenterologists, and surgeons to optimize treatment and improve prognosis in pediatric patients with hepatic abscesses.  Conclusions:  the patient evolved favorably and was discharged after 14 days of hospitalization. This case underscores the importance of a comprehensive approach in the treatment of hepatic abscesses in children.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  os abscessos hepáticos em pediatria podem ser de origem piogênica ou amebiana, e seu manejo oportuno é um pilar importante para obter melhores resultados clínicos.  Descrição do Caso:  apresenta-se o caso de um paciente do sexo masculino de 8 anos, procedente de San Marcos, Sucre, que internou com febre, dor no hipocôndrio direito e hepatomegalia. As imagens revelaram uma lesão hipoecogênica no fígado, diagnosticando-se um abscesso hepático piogênico vs. amebiano. Iniciou-se tratamento com ceftriaxona e metronidazol, e realizou-se drenagem devido a complicações: derrame pleural. O abscesso hepático em crianças representa um desafio diagnóstico e terapêutico. Neste caso, a combinação de imagiologia avançada e uma abordagem multidisciplinar foi chave para estabelecer um diagnóstico preciso e precoce. A decisão de iniciar um tratamento antibiótico empírico adequado e a intervenção cirúrgica oportuna permitiram manejar eficazmente as complicações, como o derrame pleural. Este caso ressalta a necessidade de uma abordagem colaborativa entre pediatras, infectologistas, gastroenterologistas e cirurgiões para otimizar o tratamento e melhorar o prognóstico em pacientes pediátricos com abscessos hepáticos.  Conclusões: o paciente evoluiu favoravelmente e recebeu alta após 14 dias de hospitalização. Este caso destaca a importância de uma abordagem integral no tratamento de abscessos hepáticos em crianças.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Absceso Hepático]]></kwd>
<kwd lng="es"><![CDATA[Pediatría]]></kwd>
<kwd lng="en"><![CDATA[Liver Abscess]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="pt"><![CDATA[Abscesso Hepático]]></kwd>
<kwd lng="pt"><![CDATA[Pediatria]]></kwd>
</kwd-group>
</article-meta>
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