<?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>S0035-00522023000500187</article-id>
<article-id pub-id-type="doi">10.35366/115502</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tétanos infantil]]></article-title>
<article-title xml:lang="en"><![CDATA[Infant tetanus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-García]]></surname>
<given-names><![CDATA[Miguel Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Loza]]></surname>
<given-names><![CDATA[Roxana Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montaño-Avilán]]></surname>
<given-names><![CDATA[Alondra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Nayarit Unidad Académica de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Civil de Tepic &#8220;Dr. Antonio González Guevara&#8221; Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[Tepic Nayarit]]></addr-line>
<country>México</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>187</fpage>
<lpage>190</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522023000500187&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522023000500187&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522023000500187&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el tétanos es una enfermedad grave, pero poco frecuente en países desarrollados. Presentamos un caso de tétanos en México en una paciente con esquema de vacunación incompleto.  Descripción del caso:  femenino de siete años, quien no tenía vacunación completa por la ideología de sus padres. Desarrolló tétanos, después de un traumatismo en pierna izquierda. El cuadro clínico inicialmente fue localizado, que progresó a ser generalizado, con opistótonos, risa sardónica y trismus. Su manejo fue con sedación, ventilación mecánica, sulfato de magnesio, relajante muscular, tratamiento antimicrobiano sistémico y aplicación de toxoide tetánico. La remisión de los espasmos musculares fue tras 24 días, egresando para manejo ambulatorio con rehabilitación, apoyo psicológico y nutrición.  Conclusiones:  el caso subraya la importancia de completar los esquemas de vacunación universales, a fin de evitar enfermedades prevenibles, como el tétanos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  tetanus is a serious disease, but rare in developed countries. We present a case of tetanus in a Mexican patient with an incomplete vaccination schedule.  Case description:  seven-year-old female, who did not have complete vaccination due to her parents&#8217; ideology. She developed tetanus after trauma to her left leg. The clinical picture was initially localized, which progressed to be generalized, with opisthotonos, sardonic laughter and trismus. Management was with sedation, mechanical ventilation, magnesium sulfate, muscle relaxants, systemic antimicrobial treatment, and application of tetanus toxoid. Remission of the muscle spasms was after 24 days, and she was discharged for outpatient management with rehabilitation, psychological support, and nutrition.  Conclusions:  this case highlights the need to complete universal vaccination schedules, to avoid preventable diseases, such as tetanus.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tétanos]]></kwd>
<kwd lng="es"><![CDATA[opistótonos]]></kwd>
<kwd lng="es"><![CDATA[toxoide tetánico]]></kwd>
<kwd lng="es"><![CDATA[vacunación incompleta]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="en"><![CDATA[tetanus]]></kwd>
<kwd lng="en"><![CDATA[opisthotonos]]></kwd>
<kwd lng="en"><![CDATA[tetanus toxoid]]></kwd>
<kwd lng="en"><![CDATA[incomplete vaccination]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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