<?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>0028-3746</journal-id>
<journal-title><![CDATA[Neumología y cirugía de tórax]]></journal-title>
<abbrev-journal-title><![CDATA[Neumol. cir. torax]]></abbrev-journal-title>
<issn>0028-3746</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0028-37462022000400249</article-id>
<article-id pub-id-type="doi">10.35366/112954</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Empiema bilateral simétrico y espondilodiscitis: informe de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Symmetrical bilateral effusion and spondylodiscitis: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tovar-Becerra]]></surname>
<given-names><![CDATA[Andrea Itzel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Hernández]]></surname>
<given-names><![CDATA[Jorge A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa-Hernández]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 50 ]]></institution>
<addr-line><![CDATA[San Luis Potosí ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>81</volume>
<numero>4</numero>
<fpage>249</fpage>
<lpage>252</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462022000400249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462022000400249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462022000400249&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el empiema es la acumulación purulenta del espacio pleural, la presentación bilateral y simétrica es rara, no existen algoritmos de abordaje estandarizado. El diagnóstico diferencial es amplio e implica la sospecha de patologías infecciosas o neoplásicas.  Caso clínico:  hombre de 60 años de edad con antecedente de tabaquismo, alcoholismo y exposición a biomasa. Padecimiento de dos meses de evolución con dolor punzante en hemitórax derecho, fiebre, astenia, hiporexia, pérdida ponderal de 10 kg, diaforesis nocturna, tos seca y debilidad de miembros pélvicos, se observó caquéctico y con dificultad para la marcha. La resonancia magnética reportó dos imágenes ovales de interior hipointenso en T1, hiperintenso T2 y comunicación con cuerpo vertebral T11, el cual presenta cambios por espondilodiscitis que condiciona contacto medular. Reporte de líquido pleural de aspecto purulento y fétido, celularidad aumentada por polimorfonucleares, deshidrogenasa láctica 20,376 U/L; fueron negativos el cultivo, estudio histopatológico para células neoplásicas y tinción de Ziehl-Neelsen.  Conclusiones:  se aborda caso por síntomas respiratorios asociado a alteración osteoarticular, relación infrecuente; y con ayuda de información radiológica y epidemiológica se concluye el diagnóstico de tuberculosis ósea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  empyema is defined as a purulent collection in the pleural cavity, its bilateral and symmetrical manifestation is rare, which implies a currently non-existing standardized assessment criterion. Its broad differential diagnoses should consider infectious as well as neoplastic disorders.  Clinical case:  a 60-year-old male with a previous history of tobacco use, alcohol abuse and exposure to biomass fuels. Current complaint of a 2-month history of sharp pain located on right hemithorax, fever, weakness, loss of appetite, weight loss of 10 kg, night sweats and unproductive cough; upon physical examination perceived with cachectic appearance, diminished strength of lower limbs and altered gait. Magnetic resonance imaging showed two T1 hypointense and T2 hyperintense oval lesions extending to the vertebral body of T11, along with manifestations of spondylodiscitis resulting in medullary contact. Analysis of pleural fluid reports a foul-smelling, purulent aspect, increased polymorphonuclear cell count, lactic dehydrogenase 20,376 U/L; culture negative, negative neoplastic histological and cytological typing as well as Ziehl-Neelsen staining negative.  Conclusions:  this case is therefore approached due to respiratory symptoms consistent with a bilateral manifestation empyema associated to a vertebral lesion, an infrequent association, aided by imaging resources to reach a final diagnosis of bone tuberculosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[empiema bilateral simétrico]]></kwd>
<kwd lng="es"><![CDATA[espondilodiscitis]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis extrapulmonar]]></kwd>
<kwd lng="en"><![CDATA[symmetrical bilateral effusion]]></kwd>
<kwd lng="en"><![CDATA[spondylodiscitis]]></kwd>
<kwd lng="en"><![CDATA[extrapulmonary tuberculosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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