<?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>0028-3746</journal-id>
<journal-title><![CDATA[Neumología y cirugía de tórax]]></journal-title>
<abbrev-journal-title><![CDATA[Neumol. cir. torax]]></abbrev-journal-title>
<issn>0028-3746</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0028-37462023000300183</article-id>
<article-id pub-id-type="doi">10.35366/116817</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Osteomielitis de la articulación esternoclavicular como causa de mediastinitis necrosante descendente]]></article-title>
<article-title xml:lang="en"><![CDATA[Sternoclavicular joint osteomyelitis as a cause of descending necrotizing mediastinitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Ramírez]]></surname>
<given-names><![CDATA[Israel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinoza-Mercado]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corona-Perezgrovas]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Navarrete]]></surname>
<given-names><![CDATA[Eric]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central Militar  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>82</volume>
<numero>3</numero>
<fpage>183</fpage>
<lpage>186</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462023000300183&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462023000300183&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462023000300183&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La mediastinitis necrosante descendente es una entidad poco frecuente y está asociada a una alta mortalidad; las etiologías más frecuentes de origen no quirúrgico son el odontogénico y el absceso cervical. Sin embargo, se han reportado algunas otras causas menos comunes, por afecciones a otras estructuras que, por su cercanía, contaminan el mediastino superior. La articulación esternoclavicular es un sitio inusual de artritis séptica y está involucrada en sólo 0.5-1% de todas las infecciones articulares y en menos de 0.5% de los pacientes inmunocompetentes. Presentamos el caso de una paciente diabética de 76 años de edad con diagnóstico de mediastinitis necrosante descendente y con evidencia de artritis séptica de la articulación esternoclavicular izquierda, la cual falleció a pesar del manejo médico-quirúrgico proporcionado. De igual manera, se realiza una revisión de la literatura reportada debido a la baja frecuencia de esta entidad como causa de mediastinitis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Descending necrotizing mediastinitis is a rare entity with a high morbimortality; the most common non-surgical causes are infections coming from oral or cervical region that spread through cervical fascias to mediastinum. However, there are other uncommon etiologies that affects by proximity mediastinum as sternoclavicular joint infection does; sternoclavicular joint infections (SCJI) constitute less than 1% of all joint infections and even 0.5% in healthy patients. We describe the case of a female 76 years old, diabetic patient with descending necrotizing mediastinitis associated with left SCJI, who unfortunately died, despite treatment provided. Likewise, a review of the current literature is made due to low frequency of this entity as a cause of mediastinitis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mediastinitis necrosante descendente]]></kwd>
<kwd lng="es"><![CDATA[osteomielitis]]></kwd>
<kwd lng="es"><![CDATA[artritis séptica]]></kwd>
<kwd lng="es"><![CDATA[articulación esternoclavicular]]></kwd>
<kwd lng="es"><![CDATA[reporte de caso]]></kwd>
<kwd lng="en"><![CDATA[descending necrotizing mediastinitis]]></kwd>
<kwd lng="en"><![CDATA[osteomyelitis]]></kwd>
<kwd lng="en"><![CDATA[septic arthritis]]></kwd>
<kwd lng="en"><![CDATA[sternoclavicular joint]]></kwd>
<kwd lng="en"><![CDATA[case report]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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