<?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>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412019000200128</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i2.2648</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fascitis necrosante abdominal en puérpera de once días. A propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Abdominal necrotizing fasciitis in a patient of eleven-days pospartum. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torriente-Vizcaíno]]></surname>
<given-names><![CDATA[Leandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuellar-Herrera]]></surname>
<given-names><![CDATA[Danelys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Casales]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Mofumahadi Manapo Mopeli Regional Hospital  ]]></institution>
<addr-line><![CDATA[Phuthaditjhaba Estado Libre]]></addr-line>
<country>Sudáfrica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Mofumahadi Manapo Mopeli Regional Hospital  ]]></institution>
<addr-line><![CDATA[Phuthaditjhaba Estado Libre]]></addr-line>
<country>Sudáfrica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Mofumahadi Manapo Mopeli Regional Hospital  ]]></institution>
<addr-line><![CDATA[Phuthaditjhaba Estado Libre]]></addr-line>
<country>Sudáfrica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>2</numero>
<fpage>128</fpage>
<lpage>132</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019000200128&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019000200128&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019000200128&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: La fascitis necrosante es una infección progresiva poco común, con elevada mortalidad, que puede afectar cualquier parte del cuerpo. En la mayoría de los casos se origina por una infección polimicrobiana, con subsecuente afectación de la fascia superficial, tejido y grasa subcutáneos, nervios, arterias, venas y la fascia profunda.  CASO CLÍNICO:  Paciente de 28 años, obesa, infectada con VIH, que ingresó al servicio de Obstetricia durante el puerperio, con temperatura de 39 °C, escalofríos y dolor abdominal. En la exploración física se observó una lesión negra-azulada, de bordes definidos, de aproximadamente 40 x 20 cm en el área abdominal, alrededor de la herida quirúrgica, con ampollas y olor fétido. Los estudios de laboratorio reportaron hemoglobina 10 g/L, proteína C reactiva 413 y creatinina 110 mg/dL. Se obtuvo una muestra de las ampollas para cultivo. Al día siguiente se repitieron los exámenes de laboratorio y se encontró hemoglobina 8.5 g/L, proteína C reactiva 516 y creatinina 215 mg/dL; el cultivo resultó positivo para Pseudomonas aeruginosa y Staphylococcus aureus. Se prescribió tratamiento endovenoso con antibióticos y la lesión se intervino quirúrgicamente con debridamiento. La evolución de la paciente fue satisfactoria y no reportó secuelas.  CONCLUSIONES: El diagnóstico oportuno de la fascitis necrosante permite su tratamiento temprano y la supervivencia del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Necrotizing fasciitis is an uncommon progressive infection, with high lethality that can affect any part of the body, caused mostly by a polymicrobial infection affecting the superficial fascia, subcutaneous tissue, subcutaneous fat with nerves, arteries, veins and deep fascia.  CLINICAL CASE:  A 28-year-old woman with a history of obesity and HIV, admitted to the Obstetrics Service with fever (39° C), chills and abdominal pain. A black-bluish lesion was observed, with defined edges of approximately 40 x 20 cm in the abdominal area, around the surgical wound, with blisters and great stench. Hematological study was carried out Hb: 10 g/L, C-reactive protein: 413, and Creatinine: 110 mg/dL. Culture sample of the ampoules is taken. The next day the complementary ones are repeated and Hb is observed: 8.5 g/L, C-reactive protein: 516, and Creatinine: 215 mg/dL; the result of the culture positive for Pseudomonas aeruginosa y Staphylococcus aureus. Endovenous treatment with antibiotics and surgical treatment was used. We observed satisfactory evolution of the patient without sequelae.  CONCLUSIONS:  The opportune diagnosis of this pathology allows an early action, with the consequent survival of the patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fascitis necrosante]]></kwd>
<kwd lng="es"><![CDATA[infección polimicrobiana]]></kwd>
<kwd lng="es"><![CDATA[puerperio]]></kwd>
<kwd lng="en"><![CDATA[Necrotizing fasciitis]]></kwd>
<kwd lng="en"><![CDATA[Polymicrobial infection]]></kwd>
<kwd lng="en"><![CDATA[Puerperium]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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