<?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>0186-4866</journal-id>
<journal-title><![CDATA[Medicina interna de México]]></journal-title>
<abbrev-journal-title><![CDATA[Med. interna Méx.]]></abbrev-journal-title>
<issn>0186-4866</issn>
<publisher>
<publisher-name><![CDATA[Edición y Farmacia S.A. de C.V.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-48662017000100132</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Meningitis bacteriana aguda por S. pneumoniae]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute bacterial meningitis due to S. pneumoniae]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Hernández]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cornejo-Juárez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cancerología  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Cancerología Departamento de Infectología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2017</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<fpage>132</fpage>
<lpage>138</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-48662017000100132&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-48662017000100132&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-48662017000100132&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La meningitis bacteriana aguda es una enfermedad infecciosa, considerada una urgencia médica. La mortalidad secundaria alcanza hasta 37% y las secuelas neurológicas se estiman en 52% de los adultos supervivientes. El diagnóstico y tratamiento oportunos tiene una importante repercusión en la evolución de la enfermedad. Comunicamos el caso de un paciente de 33 años de edad, con antecedente de sinusitis crónica, sometido a tratamiento quirúrgico mediante rinoplastia electiva. En el periodo posquirúrgico inició con desorientación, agitación psicomotriz, fiebre, rigidez de la nuca y convulsiones tónico-clónicas generalizadas. Se realizó tomografía de cráneo, que reportó sinusitis etmoidal y esfenoidal. Ingresó a la unidad de cuidados intensivos debido a que requirió apoyo mecánico ventilatorio; recibió tratamiento empírico con esteroides, ceftriaxona y vancomicina. Se le realizó punción lumbar y el análisis del líquido cefalorraquídeo fue sugerente de infección piógena. El cultivo desarrolló Streptococcus pneumoniae sensible a penicilina, por lo que se ajustó el tratamiento antimicrobiano con penicilina G sódica cristalina. El paciente egresó 15 días después, sin secuelas neurológicas. En pacientes con factores de riesgo y un cuadro clínico sugerente de meningitis bacteriana debe iniciarse el tratamiento antibótico lo antes posible, con la finalidad de disminuir la mortalidad y las complicaciones asociadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Acute bacterial meningitis is considered a medical emergency. Mortality is up to 37% and the neurological sequels are estimated at 52% in the survivors. The timely management and diagnosis have a significant impact on the evolution of the disease. This paper reports the case of a 33-year-old male with a history of chronic sinusitis, he was summited to an elective rhinoplasty, and 24 hours after the surgery the patient began with disorientation, psychomotor agitation, fever, neck stiffness and generalized tonic-clonic seizures. Cranial CT showed ethmoidal and sphenoidal sinusitis. Lumbar puncture was done and the cerebrospinal fluid (CFS) analysis was suggestive of pyogenic infection. Patient was admitted to the intensive care unit (ICU) with mechanical ventilation. Empirical treatment with steroids, ceftriaxone and vancomycin was started. The cerebrospinal fluid culture revealed Streptococcus pneumoniae penicillin susceptible. Antimicrobial treatment was adjusted to penicillin G, and after 15 days patient was sent to home without any neurological damage. In patients with risk factors and a clinical picture suggestive of bacterial meningitis treatment should be started as soon as possible, with the aim of reducing the mortality and the associated complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[meningitis bacteriana]]></kwd>
<kwd lng="es"><![CDATA[Streptococcus pneumoniae]]></kwd>
<kwd lng="en"><![CDATA[bacterial meningitis]]></kwd>
<kwd lng="en"><![CDATA[Streptococcus pneumoniae]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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