<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992018000200112</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fascitis necrosante del muslo con afección periférica de la articulación coxofemoral. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Case report: Necrotizing fasciitis of the thigh with peripheral involvement of the hip joint]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacios-Zertuche]]></surname>
<given-names><![CDATA[Jorge Tadeo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salinas-Domínguez]]></surname>
<given-names><![CDATA[Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esparza-González]]></surname>
<given-names><![CDATA[Alondra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zorrilla-Núñez]]></surname>
<given-names><![CDATA[Luis Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canseco-Cavazos]]></surname>
<given-names><![CDATA[José Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-Maldonado]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Nuevo León Hospital Universitario &#8220;Dr. José Eleuterio González&#8221; Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Nuevo León Hospital Universitario &#8220;Dr. José Eleuterio González&#8221; Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma de Nuevo León Hospital Universitario &#8220;Dr. José Eleuterio González&#8221; Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>112</fpage>
<lpage>117</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992018000200112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992018000200112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992018000200112&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: La fascitis necrosante es una infección rara y rápidamente progresiva del tejido subcutáneo y la fascia, caracterizada por necrosis generalizada.  Caso clínico: Mujer de 62 años de edad con diabetes mellitus 2, inicia padecimiento con aumento progresivo de volumen en muslo izquierdo. A la exploración de las extremidades inferiores en el muslo y rodilla izquierda se aprecia aumento de volumen y de temperatura, eritema doloroso a la palpación y enfisema subcutáneo. En las radiografías y TAC se detecta gas en tejido subcutáneo en rodilla, muslo y alrededor de la articulación coxofemoral. Se drena el material purulento, se desbrida el tejido necrosado y se coloca la terapia de presión negativa. Posteriormente se realizan dos nuevos recambios. Se cierra la herida anterior y lateral. Se da de alta al tercer día y comienza terapia de rehabilitación física de forma ambulatoria.  Conclusión: El uso de la terapia de presión negativa proporciona una rápida cicatrización de la herida para realizar un cierre terciario o injerto de piel. Iniciar una rehabilitación y deambulación temprana ayuda a los pacientes a volver a sus actividades cotidianas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: Necrotizing fasciitis is a rare, rapidly progressive infection of subcutaneous tissue and fascia, characterized by widespread fascial necrosis.  Clinical case: A 62-year-old female, with diabetes mellitus. Two week prior to consultation she presents with a progressive perimeter augmentation of the left thigh and fever. In the physical examination of the lower extremities: left thigh and knee with augmentation of the perimeter, erythema, hyperthermia, pain and subcutaneous emphysema. In the &#8220;X&#8221; rays and CT shows gas in the subcutaneous tissue in the knee, thigh and around the hip joint. We drain the accumulated pus, and debride devitalized tissue and placed a negative pressure therapy. Later we performed two more exchanges of the system. We closed the anterior and lateral wound. Three days after the last surgery, we dismissed the patient and was referred to physical rehabilitation.  Conclusion: Negative pressure therapy provides rapid wound healing for a tertiary closing or skin graft. Prompt rehabilitation and early ambulation helps patients return to their daily activities.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fascitis]]></kwd>
<kwd lng="es"><![CDATA[muslo]]></kwd>
<kwd lng="es"><![CDATA[cadera]]></kwd>
<kwd lng="es"><![CDATA[infección de tejidos blandos]]></kwd>
<kwd lng="es"><![CDATA[agentes antibacterianos]]></kwd>
<kwd lng="en"><![CDATA[Fasciitis]]></kwd>
<kwd lng="en"><![CDATA[thigh]]></kwd>
<kwd lng="en"><![CDATA[hip]]></kwd>
<kwd lng="en"><![CDATA[soft tissue infections]]></kwd>
<kwd lng="en"><![CDATA[anti-bacterial agents]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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