<?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>2992-7749</journal-id>
<journal-title><![CDATA[Cirugía de columna (México, Ciudad de México)]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. Columna]]></abbrev-journal-title>
<issn>2992-7749</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirujanos de Columna A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2992-77492026000100052</article-id>
<article-id pub-id-type="doi">10.35366/121959</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfermedad de Pott multirresistente en pediátrico de dos años: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Multidrug-resistant Pott&#8217;s disease in a two-year-old pediatric: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Avilés-García]]></surname>
<given-names><![CDATA[Aarón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Gómez]]></surname>
<given-names><![CDATA[Christian Alan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruíz-Zenteno]]></surname>
<given-names><![CDATA[Gibran Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montalvo-Rodríguez]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad (UMAE) No. 21 ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad (UMAE) No. 21 ]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad (UMAE) No. 21 Servicio de Columna]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad (UMAE) No. 21 Servicio de Columna]]></institution>
<addr-line><![CDATA[Monterrey Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<volume>4</volume>
<numero>1</numero>
<fpage>52</fpage>
<lpage>57</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2992-77492026000100052&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2992-77492026000100052&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2992-77492026000100052&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Este caso clínico describe a un pediátrico de dos años con diagnóstico de Enfermedad de Pott multirresistente que inició con un cuadro clínico inespecífico, el cual progresó a dificultad para la deambulación y una deformidad cifótica en la columna dorsal. Se solicitaron estudios de imagen de columna vertebral donde se observó una fractura patológica de vértebras T12 y L1 y la presencia de un absceso paravertebral de aspecto subdural con contacto de elementos neurales, por lo que se realizó punción del absceso y se solicitó reacción en cadena de polimerasa (PCR) y cultivo de bacilos alcohol-ácido resistentes (BAAR), resultando positivos para Mycobacterium tuberculosis con multirresistencia. Se manejó al inicio con medicamentos antituberculosos, sin embargo, ante la pobre respuesta clínica, se decidió realizar una intervención quirúrgica, obteniendo una evolución favorable a corto plazo, con mejoría del dolor y corrección de la deformidad cifótica, impactando positivamente en la calidad de vida del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: This clinical case describes a two-year-old pediatric patient diagnosed with multidrug-resistant Pott&#8217;s disease. The patient initially presented with nonspecific symptoms that progressed to difficulty walking and the development of kyphotic deformity in the thoracic spine. Spinal imaging studies revealed a pathological fracture of the T12 and L1 vertebrae and the presence of a paravertebral abscess with a subdural appearance, in contact with neural elements. An abscess aspiration was performed, and polymerase chain reaction (PCR) testing along with an acid-fast bacilli (AFB) culture were requested. Both tests confirmed the presence of multidrug-resistant Mycobacterium tuberculosis. The patient was initially treated with anti-tuberculosis medications; however, due to a poor clinical response, surgical intervention was performed. In the short term, the patient showed favorable progress, with pain relief and correction of the kyphotic deformity, ultimately improving the patient&#8217;s quality of life.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pediátrico]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[enfermedad de Pott]]></kwd>
<kwd lng="es"><![CDATA[columna vertebral]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="en"><![CDATA[pediatric]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[Pott disease]]></kwd>
<kwd lng="en"><![CDATA[spinal column]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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