<?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>S0034-74932021000200011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Empiema de necesidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Empyema of Necessity]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nazario Dolz]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Fernández]]></surname>
<given-names><![CDATA[Zenén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo Toledo]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miyares Peña]]></surname>
<given-names><![CDATA[María Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garbey Nazario]]></surname>
<given-names><![CDATA[Anabell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Santiago de Cuba Hospital Provincial Docente &#8220;Saturnino Lora&#8221; ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932021000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932021000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932021000200011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El empiema de necesidad o empiema necessitatis (del latín) es un hallazgo raro en la actualidad y la tuberculosis es la causa más común, sobre todo en pacientes inmunodeprimidos.  Objetivo:  Presentar un caso con un empiema de necesidad como complicación de la tuberculosis extrapulmonar  Caso clínico:  Paciente de sexo femenino de 47 años de edad, sin antecedentes de enfermedad conocidos. Ingresa por una neumonía de la base derecha y como complicación un empiema de necesidad de naturaleza tuberculosa. Es tratada de forma médica y quirúrgica, tuvo una evolución favorable.  Conclusiones:  El conocimiento de la epidemiología de la zona donde se diagnosticó la enferma y la medicina personalizada contribuyeron a un diagnóstico rápido y a un tratamiento médico y quirúrgico acorde a los protocolos establecidos para la tuberculosis extrapleural.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Empyema of necessity (or empyema necessitatis) is, at present, a rare finding, of which tuberculosis is the most common cause, especially in immunosuppressed patients.  Objective: To present a case of empyema of necessity as a complication of extrapulmonary tuberculosis.  Clinical case: 47-year-old female patient, without known history of disease, who was admitted due to pneumonia of the right base and, as a complication, an empyema of necessity of a tubercular nature. She was treated medically and surgically, and had a favorable evolution.  Conclusions: Knowledge of the epidemiology of the area where the patient was diagnosed, together with personalized medical care, contributed to a rapid diagnosis, as well as to the medical and surgical treatment provided according to the protocols established for extrapleural tuberculosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[empiema]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[Mycobacterium tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[adulto]]></kwd>
<kwd lng="en"><![CDATA[empyema]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[Mycobacterium tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[adult]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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