<?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>S1688-12492025000101302</article-id>
<article-id pub-id-type="doi">10.31134/ap.96.6</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infección por arcanobacterium haemolyticum en pediatría. Reporte de caso]]></article-title>
<article-title xml:lang="pt"><![CDATA[Infecção por arcanobacterium haemolyticum em pediatria. Relato de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Arcanobacterium haemolyticum infection in pediatrics. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[Emilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rompani]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Varela]]></surname>
<given-names><![CDATA[Adriana]]></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 Clínica Pediátrica. Unidad Académica &#8220;A&#8221;]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Británico  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Británico Área Microbiología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,UDELAR Facultad de Medicina Clínica Pediátrica. Unidad Académica &#8220;A&#8221;]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</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>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492025000101302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492025000101302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492025000101302&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Arcanobacterium haemolyticum es un agente que causa faringitis y exantema, especialmente en adolescentes. La incidencia máxima se da entre los 15 y 18 años, y se sugiere considerar este microorganismo en el diagnóstico de adultos jóvenes con exantema. La presentación típica incluye odinofagia, fiebre y erupción cutánea, siendo similar a la faringitis estreptocócica. Puede causar infección invasiva tanto en individuos inmunocompetentes como inmunodeprimidos, particularmente en aquellos con diabetes mellitus y neoplasias malignas que presentan infección de la piel y los tejidos blandos. Se destaca la dificultad en el diagnóstico debido al crecimiento lento en cultivos, con métodos modernos como la espectrometría de masas facilitando la identificación. Se presenta el caso clínico de un adolescente de 14 años, sano, con odinofagia, cefalea, astenia y erupción cutánea, cuyo cultivo faríngeo reveló A. haemolyticum sensible a penicilina y eritromicina. Tras el tratamiento, hubo mejoría en 24 horas. Se enfatiza en la importancia de considerar este microorganismo en el diagnóstico diferencial de faringitis y exantema, resaltando la escasez de reportes de casos. Se concluye destacando la necesidad de un alto índice de sospecha para abordar infecciones que podrían pasar desapercibidas y evitar complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Arcanobacterium haemolyticum é um agente causador de faringite e erupção cutânea, principalmente em adolescentes. A incidência máxima ocorre entre 15 e 18 anos, sendo sugerido considerar esse microrganismo no diagnóstico de adultos jovens com exantema. A apresentação típica inclui odinofagia, febre e erupção cutânea, sendo semelhante à faringite estreptocócica. Pode causar infecção invasiva em indivíduos imunocompetentes e imunocomprometidos, particularmente naqueles com diabetes mellitus e doenças malignas que se apresentam com infecção de pele e tecidos moles. A dificuldade no diagnóstico é destacada devido ao lento crescimento das culturas, com métodos modernos como a espectrometria de massa facilitando a identificação. É apresentado o caso clínico de um adolescente hígido de 14 anos com odinofagia, cefaleia, astenia e rash cutâneo, cuja cultura faríngea revelou A. haemolyticum sensível à penicilina e eritromicina. Após o tratamento, houve melhora em 24 horas. Ressalta-se a importância de considerar esse microrganismo no diagnóstico diferencial de faringite e exantema, destacando a escassez de relatos de casos. Concluímos destacar a necessidade de um alto índice de suspeição para abordar infecções que poderiam passar despercebidas e evitar complicações.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Arcanobacterium haemolyticum is an agent that causes pharyngitis and rash, especially in adolescents. The maximum incidence occurs between 15 and 18 years of age, and it is suggested to consider this microorganism in the diagnosis of young adults with rash. The typical presentation includes odynophagia, fever and skin rash, being similar to streptococcal pharyngitis. It can cause invasive infection in both immunocompetent and immunocompromised individuals, particularly in those with diabetes mellitus and malignancies with skin and soft tissue infection. The difficulty in its diagnosis is due to slow growth in cultures, with modern methods such as mass spectrometry facilitating identification. We present the clinical case of a healthy 14-year-old adolescent with odynophagia, headache, asthenia and skin rash, whose pharyngeal culture revealed A. haemolyticum sensitive to penicillin and erythromycin. After treatment, there was improvement within 24 hours. The importance of considering this microorganism in the differential diagnosis of pharyngitis and rash is emphasized, highlighting the lack of case reports. We conclude by highlighting the need for a high level of suspicion to address infections that could go unnoticed and, therefore, to be able to avoid complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Arcanobacterium]]></kwd>
<kwd lng="es"><![CDATA[Faringitis]]></kwd>
<kwd lng="es"><![CDATA[Exantema]]></kwd>
<kwd lng="es"><![CDATA[Adolescente]]></kwd>
<kwd lng="pt"><![CDATA[Arcanobacterium]]></kwd>
<kwd lng="pt"><![CDATA[Faringite]]></kwd>
<kwd lng="pt"><![CDATA[Erupção Cutânea]]></kwd>
<kwd lng="pt"><![CDATA[Adolescente]]></kwd>
<kwd lng="en"><![CDATA[Arcanobacterium]]></kwd>
<kwd lng="en"><![CDATA[Pharyngitis]]></kwd>
<kwd lng="en"><![CDATA[Rash]]></kwd>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
</kwd-group>
</article-meta>
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