<?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>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092017000100042</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Falla multiorgánica asociada a síndrome de realimentación]]></article-title>
<article-title xml:lang="en"><![CDATA[Multiple organ failure refeeding syndrome associated]]></article-title>
<article-title xml:lang="pt"><![CDATA[Falência de múltiplos órgãos associada à síndrome de realimentação]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cano Verdugo]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Navarro]]></surname>
<given-names><![CDATA[Nancy Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Rosales]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Christus Muguerza Alta Especialidad  ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>México</country>
</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>31</volume>
<numero>1</numero>
<fpage>42</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092017000100042&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092017000100042&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092017000100042&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El síndrome de realimentación es una entidad clínica subdiagnosticada, de no reconocerse puede causar desenlaces fatales. La literatura sobre la prevalencia de este trastorno es escasa. La presentación clínica es inespecífica y por tanto es de suma importancia la sospecha de esta entidad. Presentamos el caso de una paciente con múltiples factores de riesgo quien, posterior al inicio de nutrición parenteral hipercalórica, desarrolló disfunción orgánica múltiple manifestada con insuficiencia cardiaca aguda, edema agudo de pulmón, encefalopatía y oliguria. Mediante tratamiento de soporte hemodinámico, nutrición parenteral adecuada y corrección electrolítica se obtuvo un desenlace favorable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Refeeding syndrome is a commonly under diagnosed pathology, with potentially fatal outcomes when untreated. Nowadays few data exists about its prevalence. The clinical presentation is unspecific that is the reason why it is so important to recognize this disease. The case presented here is about a multiple risk factor patient who developed multiple organ failure with acute heart failure, acute lung edema, encephalopathy and diminishment of urine output after been treated with a hypercaloric parenteral nutrition. Treatment with hemodynamic support, an adequate parenteral nutrition and electrolyte correction, brought to a favorable clinical outcome.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A síndrome de realimentação é uma entidade clínica subdiagnosticada, o seu não reconhecimento pode ser fatal. A literatura sobre a prevalência dessa difunção é escassa. A apresentação clínica é inespecífica e, portanto, é de suma importância suspeitar desta entidade. Relatamos o caso de uma paciente com múltiplos fatores de risco que, após o início da nutrição parenteral hipercalórica desenvolveu disfunção de múltiplos órgãos manifestado com insuficiência cardíaca aguda, edema agudo pulmonar, encefalopatia e oligúria. Obteve-se um resultado favorável no tratamento com o suporte hemodinâmico, nutrição parenteral adequada e correção electrolítica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de realimentación]]></kwd>
<kwd lng="es"><![CDATA[desnutrición]]></kwd>
<kwd lng="es"><![CDATA[nutrición parenteral]]></kwd>
<kwd lng="es"><![CDATA[falla orgánica múltiple]]></kwd>
<kwd lng="en"><![CDATA[Refeeding syndrome]]></kwd>
<kwd lng="en"><![CDATA[malnutrition]]></kwd>
<kwd lng="en"><![CDATA[parenteral nutrition]]></kwd>
<kwd lng="en"><![CDATA[multiple organ failure]]></kwd>
<kwd lng="pt"><![CDATA[síndrome de realimentação]]></kwd>
<kwd lng="pt"><![CDATA[desnutrição]]></kwd>
<kwd lng="pt"><![CDATA[nutrição parenteral]]></kwd>
<kwd lng="pt"><![CDATA[falência múltipla de órgãos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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