<?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>S0186-48662018000100015</article-id>
<article-id pub-id-type="doi">10.24245/mim.v34i1.1448</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Actinomicetoma torácico con afección pulmonar. Tratamiento con carbapenémico y aminoglucósido]]></article-title>
<article-title xml:lang="en"><![CDATA[Thoracic actinomycetoma with lung compromise. Treatment with carbapenem and aminoglycoside.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibarra-Morales]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiroz-García]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arellano-Mendoza]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonifaz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>136</fpage>
<lpage>141</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-48662018000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-48662018000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-48662018000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El actinomicetoma, infección crónica, granulomatosa y progresiva de la piel y tejido celular subcutáneo que afecta más las extremidades inferiores y en especial los pies, se caracteriza por la tríada de trayectos fistulosos, aumento de volumen y granos. La afección en el tórax en México ocupa el segundo lugar en cuanto a frecuencia. Sin embargo, el daño pulmonar es muy raro, afecta menos de 1% de los casos, éste puede ocurrir por continuidad al afectar el tronco, lo que causa tratamientos antimicrobianos prolongados con falta de apego a los mismos, así como aumento de la mortalidad. El objetivo de este artículo es comunicar un caso clínico de actinomicetoma pulmonar, así como la respuesta al tratamiento prescrito a este paciente con base en carbapenémicos, aminoglucósidos y trimetoprim con sulfametoxazol.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Actinomycetoma is a chronic, granulomatous and progressive infection of the skin and subcutaneous cellular tissue that affects the lower limbs and especially the feet, characterized by triad of localized swelling, draining sinuses and grains. The chest condition in Mexico ranks second in frequency. Nevertheless, pulmonary affectation is very rare with less than 1%, this can occur by continuity affecting the trunk leading to prolonged antimicrobial therapy and lack of attachment to it, as well as increased mortality. The aim of this paper is to report a case of pulmonary actinomycetoma as well as response to treatment with carbapenems, aminoglycoside and trimethoprim with sulfamethoxazole.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Micetoma torácico]]></kwd>
<kwd lng="es"><![CDATA[Nocardia sp]]></kwd>
<kwd lng="es"><![CDATA[actinomicetoma pulmonar]]></kwd>
<kwd lng="es"><![CDATA[nocardiosis]]></kwd>
<kwd lng="es"><![CDATA[imipenem]]></kwd>
<kwd lng="es"><![CDATA[tratamiento quirúrgico]]></kwd>
<kwd lng="en"><![CDATA[Thoracic mycetoma]]></kwd>
<kwd lng="en"><![CDATA[Pulmonary actinomycetoma]]></kwd>
<kwd lng="en"><![CDATA[Nocardiosis]]></kwd>
<kwd lng="en"><![CDATA[Imipenem]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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