<?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>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[Arch méd Camagüey]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552023000100035</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Osteomielitis hematógena del fémur en el adulto]]></article-title>
<article-title xml:lang="en"><![CDATA[Hematogenous osteomielitis of the femur in an adult]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarez-López]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Delgado]]></surname>
<given-names><![CDATA[Maikel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Lorenzo]]></surname>
<given-names><![CDATA[Yenima de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Creagh-García]]></surname>
<given-names><![CDATA[Johenis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Pediátrico Provincial Dr. Eduardo Agramonte Piña Departamento de Ortopedia y Traumatología]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Universitario Manuel Ascunce Domenech Departamento de Ortopedia y Traumatología]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas Policlínico Universitario Tula Aguilera Departamento de Medicina General Integral]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Universitario Manuel Ascunce Domenech Departamento de Anatomía Patológica]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552023000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552023000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552023000100035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las infecciones del tejido óseo por gérmenes patógenos por la vía hematógena son frecuentes en el niño en las zonas metafisarias y columna vertebral en el adulto.  Objetivo: Presentar el caso de una paciente adulta con osteomielitis del fémur por vía hematógena.  Caso clínico: Paciente de 38 años de edad, blanca, femenina sin comorbilidad conocida, la cual acude a la consulta de Ortopedia y Traumatología por referir dolor intenso a nivel del muslo derecho que no remite al tratamiento ambulatorio con analgésicos. Mediante la exploración física se observó ligero aumento de volumen a nivel del muslo distal. A la palpación se detectó hiperestesia cutánea en especial hacia la cara lateral. La tomografía axial computarizada detectó a nivel de la diáfisis distal del fémur derecho, lesión osteolítica con presencia de una hiperdensidad en su interior con densidad ósea. Al tener en cuenta todos los elementos anteriores, se decide llevar la paciente al quirófano, para tratamiento de tipo quirúrgico, donde se realizó incisión quirúrgica lateral en la zona distal del muslo derecho, se avanzó por planos quirúrgicos y se realizó punción ósea con trocar de ocho milímetros donde se observó salida de pus espeso.  Conclusiones: La osteomielitis hematógena es una enfermedad típica del paciente con epífisis abiertas y en la columna vertebral del adulto. La invasión al tejido óseo por la vía hematógena en el adulto que no sea en la columna es muy infrecuente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Infections of the bone tissue by pathogenic germs by hematogenous route are frequent in the child in the metaphyseal zones and in the spine in the adult.  Objective:  To present an adult patient with osteomyelitis of the femur by hematogenous route.  Clinical case:  A 38-year-old white female patient with no known morbidity, clinical record 253853, named MRA, who went to the Orthopedics and Traumatology clinic for reporting severe pain at the level of the right thigh that did not respond to treatment with ambulatory pain relievers. Physical examination revealed a slight increase in volume at the level of the distal thigh. On palpation, skin hyperesthesia was detected, especially towards the lateral aspect of the knee. A computed tomography scan detected an osteolytic lesion at the distal diaphysis of the right femur with the presence of hyperdensity with bone density. Taking all the above elements into account, it was decided to take the patient to the operating room for surgical treatment, where a lateral surgical incision was made in the distal area of the right thigh, surgical plans were performed, and an eight millimeters trocar bone puncture was used to open the bone where thick pus was observed.  Conclusions:  Hematogenous osteomyelitis is a typical entity of the patient with open epiphyses and in the adult spine. Invasion of bone tissue by the hematogenous route in adults other than in the spine is very rare.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[FÉMUR/cirugía]]></kwd>
<kwd lng="es"><![CDATA[OSTEOMIELITIS]]></kwd>
<kwd lng="es"><![CDATA[HIPERESTESIA]]></kwd>
<kwd lng="es"><![CDATA[ADULTO]]></kwd>
<kwd lng="es"><![CDATA[HUESOS/patología]]></kwd>
<kwd lng="en"><![CDATA[FEMUR/surgery]]></kwd>
<kwd lng="en"><![CDATA[OSTEOMYELITIS]]></kwd>
<kwd lng="en"><![CDATA[HYPERESTHESIA]]></kwd>
<kwd lng="en"><![CDATA[ADULT]]></kwd>
<kwd lng="en"><![CDATA[BONE AND BONES/pathology]]></kwd>
</kwd-group>
</article-meta>
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