<?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>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522022000400170</article-id>
<article-id pub-id-type="doi">10.35366/109594</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estado distónico en un paciente con parálisis cerebral y COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Status dystonicus in a patient with cerebral palsy and COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas-Cerón]]></surname>
<given-names><![CDATA[Christian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez-Arboleda]]></surname>
<given-names><![CDATA[Andrés Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arce-Gálvez]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Valle Departamento de Pediatría ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario del Valle &#8220;Evaristo García&#8221; E.S.E  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Valle Departamento de Medicina Física y Rehabilitación ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>89</volume>
<numero>4</numero>
<fpage>170</fpage>
<lpage>172</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522022000400170&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522022000400170&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522022000400170&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el estado distónico (ED) es una condición poco frecuente que se caracteriza por exacerbación generalizada e intensa de contracciones musculares.  Objetivo:  presentar a un paciente pediátrico con ED asociado a COVID-19.  Caso clínico:  masculino de tres años con parálisis cerebral. Ingresa a urgencias por cuadro clínico de cuatro días de evolución con síntomas respiratorios, el cual se acompaña de aumento del tono muscular, distonías generalizadas y crisis convulsivas por fiebre. En exámenes de laboratorio se confirmó COVID-19, así como elevación de creatinfosfocinasa (CPK) en 16,000 U/L. Se establece el diagnóstico de ED, del cual el paciente se recuperó con el manejo médico brindado.  Conclusión:  la ED puede llevar a complicaciones graves, por lo que es fundamental identificar los posibles desencadenantes en pacientes con mayor susceptibilidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  status dystonicus (SD) is a rare condition characterized by generalized and intense exacerbation of muscle contractions.  Objective:  to present a pediatric patient with SD associated with COVID-19.  Case report:  3-year old male with cerebral palsy. He was admitted to the emergency room after four days with respiratory symptoms, which were accompanied by increased muscle tone, generalized dystonia, and febrile seizures. In laboratory tests, COVID-19 was confirmed, as well as an elevation of creatine phosphokinase (CPK), 16,000 U/L. Diagnosis of SD is established, recovering after receiving medical management.  Conclusion:  SD can cause serious complications, so it is essential to identify possible triggers in patients with greater susceptibility.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[estado distónico]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[preescolar]]></kwd>
<kwd lng="es"><![CDATA[parálisis cerebral]]></kwd>
<kwd lng="en"><![CDATA[status dystonicus]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[preschool]]></kwd>
<kwd lng="en"><![CDATA[cerebral palsy]]></kwd>
</kwd-group>
</article-meta>
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