<?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>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cubana med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232022000100015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neumomediastino espontáneo en paciente con COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Sponteneous pneumomediastinum in patient with COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández García]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortes Mariscal]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fontecha Gómez]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Hermanos Ameijeiras&#8221;  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232022000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232022000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232022000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El neumomediastino espontáneo o síndrome Hamman es una complicación poco frecuente y rara. Se define como la presencia de aire o gas dentro del mediastino sin una causa identificada.  Objetivo:  Presentar un caso clínico con una complicación poco frecuente, neumomediastino espontáneo, en un paciente con enfermedad por COVID-2019.  Caso clínico:  Paciente de 86 años con cuadro clínico manifestado por fiebre de 38o C y síntomas respiratorios (tos con secreción blanquecina, disnea de moderados esfuerzos). Se realiza prueba de reacción en cadena de polimerasa para enfermedad por coronavirus 2019, esta fue positiva. Al cuarto día de su hospitalización concurre con empeoramiento clínico dentro que lo destaca tos y disnea progresiva acompañado con saturación de oxigeno menor a 91 %. Se realizaron estudios imagenológicos de alta resolución (angiotomografía computarizada de tórax) en la cual se evidencia la presencia de neumomediastino.  Desarrollo:  La pandemia por enfermedad por coronavirus 2019 ha dado lugar a una emergencia de salud pública a nivel mundial, en la que es importante que el personal de la salud esté familiarizados con los síntomas, los resultados de imágenes y con las complicaciones de esta enfermedad, como el neumomediastino encontrado en este caso.  Conclusión . El neumomediastino espontáneo es una complicación poco frecuente que se presenta en la fase inflamatoria de esta enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Spontaneous pneumomediastinum or Hamman syndrome is a rare and infrequent complication. It is defined as the presence of air or gas within the mediastinum without an identified cause.  Objective:  To report a clinical case of spontaneous pneumomediastinum in a patient with COVID-2019, a disease with a rare complication.  Clinical case report:  We report the case of an 86-year-old patient with a clinical condicion of fever of 38o C and respiratory symptoms (cough with whitish secretions, dyspnea on moderate exertion). He underwent a polymerase chain reaction test for coronavirus disease 2019, which resulted positive. On the fourth day of his hospitalization, he his clinical condition worsened, including cough and progressive dyspnea accompanied by oxygen saturation less than 91%. The presence of pneumomediastinum was revealed by high-resolution imaging studies (computed tomography angiography of the chest).  Discussion:  The 2019 coronavirus disease pandemic has given rise to a global public health emergency, which requires health personnel to be familiar with symptoms, imaging results, and complications of this disease, such as pneumomediastinum found in this case.  Conclution:  Spontaneous pneumomediastinum is a rare complication that occurs in the inflammatory phase of this disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad por coronavirus]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[neumomediastino espontaneo]]></kwd>
<kwd lng="en"><![CDATA[coronavirus disease]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[spontaneous pneumomediastinum]]></kwd>
</kwd-group>
</article-meta>
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