<?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>2448-9190</journal-id>
<journal-title><![CDATA[Revista alergia México]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. alerg. Méx.]]></abbrev-journal-title>
<issn>2448-9190</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Inmunología Clínica y Alergia A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-91902017000300381</article-id>
<article-id pub-id-type="doi">10.29262/ram.v64i3.261</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Alteración laboratorial que precede a las manifestaciones clínicas de infección estafilocócica postrasplante intestinal]]></article-title>
<article-title xml:lang="en"><![CDATA[Laboratorial alteration preceding staphylococcal infection clinical manifestations after intestinal transplantation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Forte]]></surname>
<given-names><![CDATA[Wilma Carvalho Neves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galvan]]></surname>
<given-names><![CDATA[Alliny Oliveira Carvalho]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salem-Molino]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Roque]]></surname>
<given-names><![CDATA[Thais]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mosca]]></surname>
<given-names><![CDATA[Tainá]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soler]]></surname>
<given-names><![CDATA[Wangles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Santa Casa de San Pablo Facultad de Ciencias Médicas Departamento de Ciencias Patológicas]]></institution>
<addr-line><![CDATA[San Pablo ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hermandad de la Santa Casa de la Misericordia de San Pablo Grupo de Transplante ]]></institution>
<addr-line><![CDATA[San Pablo ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>64</volume>
<numero>3</numero>
<fpage>381</fpage>
<lpage>385</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-91902017000300381&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-91902017000300381&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-91902017000300381&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La infección hospitalaria, frecuentemente por Staphylococcus aureus, es una complicación importante en los pacientes con trasplante intestinal.  Caso clínico: Niña de 2 años de edad sometida a trasplante de intestino delgado debido a vólvulo yeyunal. En el primer día del posoperatorio, en la sangre periférica fueron evaluados fenotipo de linfocitos, inmunoglobulinas séricas, actividad quimiotáctica y fagocitaria de neutrófilos. Se identificó disminución de la etapa de ingestión de fagocitosis neutrofílica, en comparación con los resultados de 20 niños saludables. En el segundo día, la paciente presentó fiebre baja y en el tercero, dolor abdominal. Debido a lo anterior fue sometida a laparotomía que reveló ascitis purulenta por Staphylococcus aureus. El tratamiento específico derivó en regresión rápida del cuadro infeccioso y buena evolución.  Conclusiones: La disminución de la etapa de ingestión de la fagocitosis neutrofílica precedió a las manifestaciones clínicas de ascitis purulenta estafilocócica; la evaluación inmunológica contribuyó al diagnóstico y tratamiento precoces de la infección. Creemos que es importante la evaluación de la actividad neutrofílica en pacientes sometidos a trasplante intestinal, con la finalidad de diagnosticar tempranamente posibles infecciones hospitalarias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Hospital-acquired infection, often with Staphylococcus aureus, is an important complication in intestinal transplant.  Clinical case: A 2-year-old girl underwent small bowel transplantation owing to a small bowel volvulus. On the first postoperative day, lymphocyte phenotypes, serum immunoglobulins and chemotactic and phagocytic activity of neutrophils were assessed in peripheral blood. A decrease in the ingestion phase of phagocytosis by neutrophils was identified, in comparison with the results of 20 healthy children. On the second day, the patient had low fever and, on the third, abdominal pain. In view of this, she underwent a laparotomy that revealed purulent ascites due to Staphylococcus aureus. Specific treatment resulted in rapid regression of the infectious condition and good evolution of the patient.  Conclusions: A decrease in the ingestion stage of phagocytosis by neutrophils preceded staphylococcal purulent ascites clinical manifestations, and immunologic assessment contributed to early diagnosis and treatment of the infection. We believe evaluation of neutrophilic activity is important in patients undergoing intestinal transplantation in order for possible hospital-acquired infections to be early diagnosed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neutrófilos]]></kwd>
<kwd lng="es"><![CDATA[Infección nosocomial]]></kwd>
<kwd lng="es"><![CDATA[Staphylococcus aureus]]></kwd>
<kwd lng="es"><![CDATA[Transplante intestinal]]></kwd>
<kwd lng="en"><![CDATA[Neutrophils]]></kwd>
<kwd lng="en"><![CDATA[Nosocomial infection]]></kwd>
<kwd lng="en"><![CDATA[Staphylococcus aureus]]></kwd>
<kwd lng="en"><![CDATA[Intestinal transplant]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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