<?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>S2448-89092024000200130</article-id>
<article-id pub-id-type="doi">10.35366/116323</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Falla orgánica múltiple por rickettsiosis en una mujer embarazada. Reporte de caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Rickettsiosis associated with multiple organic failure in the context of a pregnant woman. Case report and literature review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Falência múltipla de órgãos devido a infecção por Rickettsia em uma mulher grávida. Relato de caso e revisão da literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortes Badillo]]></surname>
<given-names><![CDATA[Luis David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Velázquez]]></surname>
<given-names><![CDATA[Carlos Humberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Gongora]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gongora Mukul]]></surname>
<given-names><![CDATA[Jimmy José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Degante Castro]]></surname>
<given-names><![CDATA[Raúl Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonso Batún]]></surname>
<given-names><![CDATA[Adriel Ismael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Yucatán/UADY Hospital Agustín O&#8217;Horan ]]></institution>
<addr-line><![CDATA[Mérida Yucatán]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>2</numero>
<fpage>130</fpage>
<lpage>133</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000200130&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000200130&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000200130&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Rickettsia es una bacteria de la familia Rickettsiaceae, cuya presentación clínica se caracteriza por causar fiebre, rash, manchas en la piel y que raramente tiene una evolución grave. Su vector son las garrapatas y en el sur de México su incidencia es relativamente baja comparada con el norte del país.  Presentación del caso:  mujer con embarazo de 37 semanas de gestación que cursó con muerte fetal tardía que evolucionó a choque séptico con falla orgánica múltiple. En México, la incidencia de este padecimiento en población obstétrica es baja; la mayor cantidad de casos se han reportado en el norte del país. El diagnóstico de este tipo de enfermedades infecciosas en la población obstétrica es poco frecuente debido a que comparte clínica con las patologías asociadas a trastornos hipertensivos; la mortalidad reportada en aquellas en las que se diagnostica es alta de 40 a 80%, debido al diagnóstico tardío. En este caso clínico la sintomatología fue compatible con un trastorno hipertensivo del embarazo; sin embargo, su evolución no correspondió al curso de este tipo de padecimientos. Las alteraciones hepáticas, en el sodio y los factores de riesgo que presentaba la paciente establecieron la sospecha para Rickettsia; con la confirmación por laboratorio, se inició manejo antimicrobiano, logrando mejoría clínica, restablecimiento de la función orgánica y su egreso del servicio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Rickettsia is a bacterium of the Rickettsiaceae family. It is characterized by causing fever, rash, spots on the skin and rarely has a serious evolution. Its vector is ticks and in southern Mexico its incidence is relatively low compared to the north of the country.  Case presentation:  a woman with a pregnancy of 37 weeks of gestation with late fetal death that evolved into septic shock with multiple organ failure.In Mexico, the incidence of this disease in the population obstetric is low; The highest number of cases have been reported in northern country. The diagnosis of this type of infectious diseases in the obstetric population is rare because it shares clinical symptoms with pathologies associated with hypertensive disorders; Mortality reported in those who are diagnosed is high at 40 to 80%, due to late diagnosis. In this clinical case, the symptoms were compatible with a hypertensive disorder of pregnancy; however, its evolution did not correspond to the course of this type of condition. Hepatic and sodium alterations and the patient&#8217;s risk factors established the suspicion for Rickettsia; With laboratory confirmation, antimicrobial management was initiated, achieving improvement restoration of organ function and discharge from the service.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A Rickettsia é uma bactéria da família Rickettsiaceae, cuja apresentação clínica é caracterizada por febre, erupção cutânea, manchas na pele e raramente tem uma evolução grave. Seu vetor são os carrapatos e, no sul do México, sua incidência é relativamente baixa em comparação com o norte do país.  Desenho e participante:  Apresentamos um caso clínico de uma mulher com gestação de 37 semanas que desenvolveu morte fetal tardia que evoluiu para choque séptico com falência de múltiplos órgãos. A incidência dessa condição na população obstétrica do México é baixa, com o maior número de casos registrados no norte do país. O diagnóstico desse tipo de doença infecciosa na população obstétrica é raro, pois compartilha características clínicas com patologias associadas a distúrbios hipertensivos, e a taxa de mortalidade relatada naqueles em que é diagnosticada é alta, de 40 a 80%, devido ao diagnóstico tardio. Nesse caso clínico, seus sintomas eram compatíveis com um distúrbio hipertensivo da gravidez, no entanto, sua evolução não correspondia ao curso desse tipo de doença, as alterações hepáticas e de sódio e os fatores de risco apresentados pela paciente levaram à suspeita de Rickettsia, com confirmação laboratorial, foi iniciado o tratamento antimicrobiano, obtendo-se melhora clínica, restauração da função orgânica e alta do serviço.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Rickettsia]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[falla orgánica múltiple]]></kwd>
<kwd lng="es"><![CDATA[trombocitopenia]]></kwd>
<kwd lng="es"><![CDATA[doxiciclina]]></kwd>
<kwd lng="es"><![CDATA[terapia de reemplazo renal continua]]></kwd>
<kwd lng="en"><![CDATA[Rickettsia]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="en"><![CDATA[multiple organ failure]]></kwd>
<kwd lng="en"><![CDATA[thrombocytopenia]]></kwd>
<kwd lng="en"><![CDATA[doxycycline]]></kwd>
<kwd lng="en"><![CDATA[continuous renal replacement therapy]]></kwd>
<kwd lng="pt"><![CDATA[Rickettsia]]></kwd>
<kwd lng="pt"><![CDATA[gravidez]]></kwd>
<kwd lng="pt"><![CDATA[falência de múltiplos órgãos]]></kwd>
<kwd lng="pt"><![CDATA[trombocitopenia]]></kwd>
<kwd lng="pt"><![CDATA[doxiciclina]]></kwd>
<kwd lng="pt"><![CDATA[terapia de substituição renal contínua]]></kwd>
</kwd-group>
</article-meta>
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