<?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>S1688-12492019000100012</article-id>
<article-id pub-id-type="doi">10.31134/ap.90.1.3</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Celulitis de cara y cuello por Haemophilus influenzae tipo b. A propósito de un caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[A clinical case of face and neck cellulite due to type b Haemophilus influenzae]]></article-title>
<article-title xml:lang="pt"><![CDATA[Caso clínico de celulite de rosto e pescoço por Haemophilus influenzae tipo b]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vomero]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez]]></surname>
<given-names><![CDATA[Ana Inés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delfino]]></surname>
<given-names><![CDATA[Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pírez]]></surname>
<given-names><![CDATA[Catalina]]></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 ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<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>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>90</volume>
<numero>1</numero>
<fpage>12</fpage>
<lpage>17</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492019000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492019000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492019000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Haemophilus influenzae tipo b es una bacteria capsulada gramnegativa de distribución mundial. Es responsable de diferentes formas clinicas de enfermedad invasiva entre las que se encuentran: meningitis, epiglotitis, bacteriemia, artritis séptica, celulitis, osteomielitis y pericarditis. Estas enfermedades son inmunoprevenibles. La celulitis facial por Haemophilus influenzae tipo b es una infección invasiva potencialmente grave que afecta predominantemente a menores de 2 años de edad, dado que es una población inmunológicamente susceptible. Existen elementos clínicos característicos, pero no patognomónicos que permiten sospechar esta infección. Se presenta el caso clínico de un lactante de 8 meses de edad, únicamente calmetizado, que acude al servicio de urgencias con una tumefacción extensa de cara que ingresa a sala de cuidados moderados con planteo clínico de celulitis. Dada la rápida extensión del proceso infeccioso, requiere traslado a unidad de cuidados intensivos. Se realizó analítica de valoración infecciosa y tomografía computada que delimitó el proceso y confirmó la existencia de una colección. Se inició antibioticoterapia empírica y drenaje quirúrgico con lo que se obtuvo una buena evolución clínica. En el hemocultivo se aisló Haemophilus influenzae tipo b. Se destaca la importancia de la vacunación, así como de la vigilancia epidemiológica activa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: Haemophilus influenzae type b is a globally spread Gram-negative encapsulated bacterium. It is responsible for several invasive disease clinical manifestations, such as meningitis, epiglottitis, bacteremia, septic arthritis, cellulitis, osteomyelitis and pericarditis. These are immuno-preventable diseases. Facial cellulitis caused by Haemophilus influenzae type b is a potentially serious invasive infection predominantly affecting children under 2 years of age, since this an immunologically susceptible population. There are characteristic clinical elements, though not pathognomonic, that arise suspicion of this infection. We present a clinical case of an 8-month old infant, immunized with only one dose of BCG vaccine (calmetization), who arrived at the emergency ward with extended swelling of the face and was admitted to the intermediate care unit with a clinical diagnosis of cellulitis. Due to the rapid extension of the infectious process, he had to be transferred to the intensive care unit. Clinical tests to assess the infection and a CT scan were performed, which confirmed the process and the existence of a collection. We started empiric antibiotic therapy and surgical drainage and obtained a good clinical evolution. Haemophilus influenzae type b was isolated in the blood culture. We emphasize the importance of vaccination as well as of an active epidemiological surveillance.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: O Haemophilus influenzae tipo b é uma bactéria encapsulada Gram-negativa de disseminação global. É responsável por várias manifestações clínicas da doença invasiva, como meningite, epiglotite, bacteremia, artrite séptica, celulite, osteomielite e pericardite. Estas são doenças imunopreveníveis. A celulite do rosto causada por Haemophilus influenzae tipo b é uma infecção invasiva potencialmente grave que afeta predominantemente crianças menores de 2 anos de idade, uma vez que é uma população imunológicamente suscetível. Existem elementos clínicos característicos, embora não patognomônicos, que levantam suspeita dessa infecção. Apresentamos um caso clínico de um lactente de 8 meses de idade, imunizado com apenas uma dose da vacina BCG (calmetization), que chegou à sala de emergências com edema prolongado do rosto e foi admitido na unidade de cuidados intermediários com diagnóstico clínico de celulite. Devido à rápida extensão do processo infeccioso, ele teve que ser transferido para a unidade de terapia intensiva. Realizaram-se testes clínicos para avaliar a infecção e uma tomografia computadorizada, o que confirmou o processo e a existência de uma coleção. Iniciamos antibioticoterapia empírica e drenagem cirúrgica e obtivemos boa evolução clínica. O Haemophilus influenzae tipo b foi isolado na hemocultura. Ressaltamos a importância da vacinação e duma vigilância epidemiológica ativa.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Haemophilus influenzae tipo b]]></kwd>
<kwd lng="es"><![CDATA[Bacteriemia]]></kwd>
<kwd lng="es"><![CDATA[Celulitis]]></kwd>
<kwd lng="es"><![CDATA[Cara]]></kwd>
<kwd lng="es"><![CDATA[Cuello]]></kwd>
<kwd lng="en"><![CDATA[Haemophilus influenzae tipo b]]></kwd>
<kwd lng="en"><![CDATA[Bacteremia]]></kwd>
<kwd lng="en"><![CDATA[Cellulitis]]></kwd>
<kwd lng="en"><![CDATA[Face]]></kwd>
<kwd lng="en"><![CDATA[Neck]]></kwd>
<kwd lng="pt"><![CDATA[Haemophilus influenzae tipo b]]></kwd>
<kwd lng="pt"><![CDATA[Bacteriemia]]></kwd>
<kwd lng="pt"><![CDATA[Celulite]]></kwd>
<kwd lng="pt"><![CDATA[Face]]></kwd>
<kwd lng="pt"><![CDATA[Pescoço]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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