<?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>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932020000400008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fascitis necrotizante]]></article-title>
<article-title xml:lang="en"><![CDATA[Necrotizing Fasciitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez García]]></surname>
<given-names><![CDATA[Yusleidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa Martínez]]></surname>
<given-names><![CDATA[Luisbel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trevin Licea]]></surname>
<given-names><![CDATA[Maidelis del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gámez Blanco]]></surname>
<given-names><![CDATA[Diana Ivis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital General Docente &#8220;Abel Santamaría Cuadrado&#8221; ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>59</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932020000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932020000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932020000400008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La fascitis necrotizante tiene origen polimicrobiano, se caracteriza por necrosis extensa acompañada de formación gaseosa en el tejido subcutáneo y fascia superficial.  Objetivo: Describir el manejo terapéutico exitoso de dos casos afectos de fascitis necrotizante.  Caso clínico:  Dos pacientes tratados en el Hospital General Docente &#8220;Abel Santamaría Cuadrado&#8221;, mujeres de la tercera y cuarta década de la vida, con área extensa de celulitis y necrosis de progreso rápido, necesidad de tratamiento quirúrgico y cultivos positivos de Pseudomona y Escherichia coli respectivamente, con repercusión clínica sistémica.  Conclusiones:  La fascitis necrotizante es una enfermedad de ascenso rápido y etiología variada, que pone en riesgo la vida del paciente, el diagnóstico debe sospecharse tempranamente ofreciendo intervención oportuna y agresiva, el manejo debe ser multidisciplinario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Necrotizing fasciitis has a polymicrobial origin. It is characterized by extensive necrosis accompanied by gas formation in the subcutaneous tissue and superficial fascia.  Objective:  To describe the successful therapeutic management of two cases with necrotizing fasciitis.  Clinical case:  Two patients treated at Abel Santamaría Cuadrado General Teaching Hospital, women at the third and fourth decades of life, with extensive area of cellulitis and rapidly progressing necrosis, need for surgical treatment and positive cultures of Pseudomonas and Escherichia coli, respectively, with systemic clinical repercussions.  Conclusions: Necrotizing fasciitis is a disease of rapid progression and varied etiology, which puts the patient's life at risk; the diagnosis must be suspected early, offering timely and aggressive intervention, and management must be multidisciplinary.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fascitis necrotizante]]></kwd>
<kwd lng="es"><![CDATA[escherichia coli]]></kwd>
<kwd lng="es"><![CDATA[pseudomona aeruginosa]]></kwd>
<kwd lng="en"><![CDATA[necrotizing fasciitis]]></kwd>
<kwd lng="en"><![CDATA[Escherichia coli]]></kwd>
<kwd lng="en"><![CDATA[Pseudomona aeruginosa]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Frías Sánchez]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Pantoja Garrido]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pantoja Rosso]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Vico de Miguel]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fascitis necrotizante en cicatriz de cesárea. A propósito de un caso]]></article-title>
<source><![CDATA[Ginecol obstet Méx]]></source>
<year>2018</year>
<volume>86</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>554-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz Carrillo]]></surname>
<given-names><![CDATA[HG]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez Consuegra]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Tamayo Pérez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fascitis necrotizante: revisión, conceptos recientes en etiopatogenia y diagnóstico]]></article-title>
<source><![CDATA[Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta]]></source>
<year>2018</year>
<volume>4</volume>
<numero>43</numero>
<issue>43</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moyano Portillo]]></surname>
<given-names><![CDATA[Á]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta Martínez del Valle]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Moya Sánchez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz Carazo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fascitis necrotizante secundaria a úlcera por presión]]></article-title>
<source><![CDATA[Rev Clin Med Fam]]></source>
<year>2019</year>
<volume>12</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>24-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina Díaz]]></surname>
<given-names><![CDATA[OS]]></given-names>
</name>
<name>
<surname><![CDATA[Tejada Montes]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fascitis necrotizante]]></article-title>
<source><![CDATA[Revista Médica Hospital Hipólito Unanue]]></source>
<year>2019</year>
<volume>1</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>50-4</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramón Coca]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[González Raya]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fascitis necrotizante monomicrobiana por Klebsiella pneumoniae]]></article-title>
<source><![CDATA[Rev Panam Enf Inf]]></source>
<year>2018</year>
<volume>1</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>94-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Frías Sánchez]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Pantoja Garrido]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fj]]></surname>
<given-names><![CDATA[Pantoja Rosso]]></given-names>
</name>
<name>
<surname><![CDATA[Vico De Miguel]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fascitis necrotizante en cicatriz de cesárea. Revisión de la literatura]]></article-title>
<source><![CDATA[Prog Obstet Ginecol]]></source>
<year>2018</year>
<volume>61</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>278-82</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Viel Sanchés]]></surname>
<given-names><![CDATA[PY]]></given-names>
</name>
<name>
<surname><![CDATA[Despaigne Salazar]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Mourlot Ruiz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez Arzola]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gangrena de Fournier]]></article-title>
<source><![CDATA[Revista Cubana de Medicina Militar]]></source>
<year>2020</year>
<volume>1</volume>
<numero>49</numero>
<issue>49</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carrillo Córdova]]></surname>
<given-names><![CDATA[LD]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar Aizcorbe]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Farías]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Acevedo García]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Soria Fernández]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Garduño Arteaga]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Escherichia coli productora de betalactamasas de espectro extendido como agente causal de gangrena de Fournier de origen urogenital asociada a mayor mortalidad]]></article-title>
<source><![CDATA[Cirugia y Cirujanos]]></source>
<year>2018</year>
<volume>86</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>327-31</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moyano Portillo]]></surname>
<given-names><![CDATA[Á]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta Martínez del Valle]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Moya Sánchez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz Carazo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fascitis necrotizante secundaria a úlcera por presión]]></article-title>
<source><![CDATA[Rev Clin Med Fam]]></source>
<year>2019</year>
<volume>12</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>24-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Noroña]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Buitrón]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Cajas]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Utilidad de la escala "laboratorio para riesgo de infecciones necrotizantes de tejidos blandos" (LRINEC) en un caso de fascitis necrotizante por Escherichia coli]]></article-title>
<source><![CDATA[Revista Eugenio Espejo]]></source>
<year>2018</year>
<volume>10</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>11-5</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferrer Lozano]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Morejón Trofimova]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fascitis necrosante. Actualización del tema]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2018</year>
<volume>16</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>920-9</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fresnedo Pérez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cabrera Pereira]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez García]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz González]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Albaladejo Magdalena]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infección necrotizante de la pared abdominal: ¿Qué hacer?]]></article-title>
<source><![CDATA[Cirugía y cirujanos]]></source>
<year>2018</year>
<volume>86</volume>
<numero>570-4</numero>
<issue>570-4</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
