<?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>0186-2391</journal-id>
<journal-title><![CDATA[Acta pediátrica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Acta pediatr. Méx]]></abbrev-journal-title>
<issn>0186-2391</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-23912018000200185</article-id>
<article-id pub-id-type="doi">10.18233/apm39no2pp185-1891578</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome disentérico, insuficiencia cardiaca y anemia grave por tricuriasis. Presentación de un caso y revisión bibliográfica]]></article-title>
<article-title xml:lang="en"><![CDATA[Dysentery syndrome, heart failure, severe anemia by trichuriasis. Case report and review of the literature.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero-Doria]]></surname>
<given-names><![CDATA[Karina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobedo-Chávez]]></surname>
<given-names><![CDATA[Mónica Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sevilla-Bacilio]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moncada-Barrón]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores-Nava]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>.</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Secretaría de Salud  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaría de Salud  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Secretaría de Salud  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Secretaría de Salud  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<fpage>185</fpage>
<lpage>189</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-23912018000200185&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-23912018000200185&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-23912018000200185&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES:   Trichuris trichiura es un parásito que cuando produce infestación masiva en el humano puede complicarse con anemia severa.  OBJETIVO: reportar el caso de una niña con infestación crónica de tricocéfalos que le produjo una anemia severa (cor anémico).  DESCRIPCIÓN DEL CASO:  niña que vive en sitio rural, con alimentación deficiente, geofagia y fecalismo al aire libre. El padecimiento se inició un mes antes de su ingreso con síncopes, astenia y adinamia, disnea progresiva hasta abandonar la escuela y la semana previa al ingreso se agregó diarrea sanguinolenta. En la exploración física: palidez mucocutánea, soplo holosistólico grado V/VI, hepatomegalia, dedos hipocráticos, desnutrición grado II, hemograma con hemoglobina de 2.4 g/dL. Electrocardiograma normal. Radiografía de tórax con cardiomegalia, índice cardiotorácico 0.57. Coproparasitoscópico positivo a huevos de Trichuris trichiura. Recibió tratamiento con transfusión de concentrado eritrocitario, mebendazol, nitazoxanida y tratamiento nutricional. La evolución fue satisfactoria con incremento ponderal, mejoría hemodinámica y coproparasitoscópico de control negativo.  DISCUSIÓN: el diagnóstico de anemia severa (cor anémico) implica investigar la causa; en este caso, ante el antecedente de que la paciente vive en zona rural y por dos cuadros previos de prolapso rectal y uno de diarrea con sangre se solicitaron coproparasitoscópicos con resultado positivo a tricocéfalos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND:   Trichuris trichiura is a parasite when massive infestation in humans occurs may be complicated by severe anemia.  OBJECTIVE: To report the case of a child with chronic infestation of Trichuris trichiura that produced severe anemia and heart failure.  CASE DESCRIPTION:  School girl living in rural areas, with poor nutrition, geophagia and outdoor defecation. She began prior to joining with syncope, fatigue and weakness, progressive dyspnea to leave school and one week prior month bloody diarrhea was added. Physical examination: mucocutaneous pallor, blow holosystolic grade V/VI, hepatomegaly, hippocratic fingers, malnutrition Grade II, hemoglobin 2.4g/dl, electrocardiogram with normal result, chest radiography with cardiomegaly, cardiothoracic ratio 0.57. Coproparasitoscopic positive to Trichuris trichiura eggs. She was treated with concentrated erythrocyte transfusion, mebendazole, nitazoxanide and nutritional management. The evolution was satisfactory with weight gain, and hemodynamic improvement coproparasitoscopic negative control.  DISCUSSION: The diagnosis of severe anemia and heart failure involves investigating the cause, in this case against the background that the patient lives in rural areas and twice rectal prolapse and one of bloody diarrhea was requested coproparasitoscopic Trichuris trichiura positive result.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[anemia]]></kwd>
<kwd lng="es"><![CDATA[Trichuris trichiura]]></kwd>
<kwd lng="es"><![CDATA[parasitosis]]></kwd>
<kwd lng="en"><![CDATA[anemia]]></kwd>
<kwd lng="en"><![CDATA[Trichuris trichiura]]></kwd>
<kwd lng="en"><![CDATA[parasitic diseases]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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