<?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>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522023000500191</article-id>
<article-id pub-id-type="doi">10.35366/115503</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Leptospirosis en paciente en edad escolar]]></article-title>
<article-title xml:lang="en"><![CDATA[Leptospirosis in a school-age patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Obregón-Giraldo]]></surname>
<given-names><![CDATA[Manuela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrientos-Álvarez]]></surname>
<given-names><![CDATA[Laura Stefany]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Henao-Villada]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valencia-Palacio]]></surname>
<given-names><![CDATA[Eduar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trujillo-Honeysberg]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Universitaria Bolivariana  ]]></institution>
<addr-line><![CDATA[Medellín Antioquia]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Pontificia Bolivariana  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2023</year>
</pub-date>
<volume>90</volume>
<numero>5</numero>
<fpage>191</fpage>
<lpage>194</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522023000500191&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522023000500191&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522023000500191&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la leptospirosis es una de las enfermedades zoonóticas de mayor distribución mundial, sin embargo, su diagnóstico puede ser difícil debido a que sus manifestaciones clínicas son diversas. Presentamos un paciente escolar con leptospirosis, con el fin de favorecer un diagnóstico temprano, en casos similares.  Presentación del caso:  masculino de 11 años y nueve meses, con fiebre, astenia, adinamia, cefalea, edema en miembros inferiores, coluria, mialgias en gastrocnemios, así como exantema en tronco y extremidades. Se descartaron infecciones, como dengue, COVID-19, sífilis. Ante la persistencia de la sintomatología por más de siete días, y por el antecedente de contacto con animales domésticos se sospechó de leptospirosis, la cual se confirmó por elevación de anticuerpos IgM específicos para Leptospira y resultado positivo de PCR en orina para Leptospira spp. A las 48 horas de iniciar tratamiento antimicrobiano el paciente empezó a mejorar, hasta alcanzar resolución completa.  Conclusiones:  la leptospirosis es una enfermedad que tiene un curso clínico variable, por lo que siempre se debe considerar como parte del diagnóstico diferencial de pacientes con síndrome febril.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  leptospirosis is one of the most widely distributed zoonotic diseases in the world, however, its diagnosis can be difficult because the clinical manifestations are diverse. We present a school-age patient with leptospirosis, to promote early diagnosis in similar cases.  Case presentation:  11-year-old male patient with fever, asthenia, adynamia, headache, edema in the lower limbs, choluria, myalgia in the gastrocnemius, as well as rash on the trunk and all four extremities. Different infections were ruled out, such as dengue, COVID-19, and syphilis. Given the persistence of symptoms for more than seven days, and due to the history of contact with domestic animals, leptospirosis was suspected. It was confirmed by elevation of specific IgM antibodies for Leptospira and a positive urine PCR result for Leptospira spp. 48 hours after starting antimicrobial treatment, the patient began to improve, reaching complete resolution.  Conclusions:  leptospirosis is a disease that has a variable clinical course, so it should always be considered as part of the differential diagnosis of patients with febrile syndrome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[leptospirosis]]></kwd>
<kwd lng="es"><![CDATA[zoonosis]]></kwd>
<kwd lng="es"><![CDATA[fiebre]]></kwd>
<kwd lng="es"><![CDATA[cefalea]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico diferencial]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="en"><![CDATA[leptospirosis]]></kwd>
<kwd lng="en"><![CDATA[zoonosis]]></kwd>
<kwd lng="en"><![CDATA[fever]]></kwd>
<kwd lng="en"><![CDATA[headache]]></kwd>
<kwd lng="en"><![CDATA[differential diagnosis]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
</kwd-group>
</article-meta>
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