<?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>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312022000200013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pancreatitis necrotizante en una paciente de 11 años]]></article-title>
<article-title xml:lang="fr"><![CDATA[Necrotizing pancreatitis in an 11-year-old patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Modia]]></surname>
<given-names><![CDATA[Vanesa Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Belén Ortega]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paz]]></surname>
<given-names><![CDATA[Ezequiel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dei-Cas]]></surname>
<given-names><![CDATA[Pablo Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Interzonal General de Agudos &#8220;Presidente Perón&#8221; Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[ Buenos Aires]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>94</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312022000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312022000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312022000200013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  No existen pautas de diagnóstico basadas en evidencias para pancreatitis en la edad pediátrica. La gravedad de la pancreatitis aguda se define según datos de laboratorio, compromiso de tejidos circundantes, además de complicaciones locales como necrosis pancreática, absceso y pseudoquiste. La pancreatitis grave ocurre en 15 a 20 % de todos los casos.  Objetivo:  Describir el caso de una paciente pediátrica que cursó internación por pancreatitis necrotizante y actualizar acerca del abordaje de esta afección.  Presentación del caso: Se trata de una paciente de 11 años sin antecedentes patológicos, que cursó internación por pancreatitis con evolución inusual con hiperglucemias, disnea, atelectasia, derrame pleural bilateral, ascitis y necrosis pancreática. Respondió favorablemente al tratamiento médico establecido.  Conclusiones: La pancreatitis aguda constituye generalmente una entidad clínica con pronóstico favorable, en ocasiones pueden aparecer complicaciones por lo que resulta fundamental, más allá de su sospecha y la confirmación diagnóstica, iniciar un tratamiento rápido con fluidoterapia agresiva, tratamiento del dolor, alimentación enteral precoz, y de acuerdo a conocimientos actuales, antibioticoterapia de ser necesario con el objetivo de minimizar la aparición de consecuencias indeseables. El abordaje quirúrgico constituye un procedimiento infrecuente en la actualidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  There are no evidence-based diagnostic guidelines for pancreatitis in pediatric age. The severity of acute pancreatitis is defined by laboratory data, involvement of surrounding tissues, in addition to local complications such as pancreatic necrosis, abscess and pseudocyst. Severe pancreatitis occurs in 15 to 20% of all cases.  Objective:  To describe the case of a pediatric patient who was hospitalized for necrotizing pancreatitis and to update on the approach to this condition.  Case presentation:  11-year-old female patient with no pathological history, who was hospitalized due to pancreatitis with unusual evolution with hyperglycemia, dyspnea, atelectasis, bilateral pleural effusion, ascites and pancreatic necrosis. She favorably responded to the established medical treatment.  Conclusions:  Acute pancreatitis is generally a clinical entity with a favorable prognosis ; sometimes complications may appear, so it is essential, beyond its suspicion and diagnostic confirmation, to initiate a rapid treatment with aggressive fluid therapy, pain treatment, early enteral feeding, and according to current knowledge, antibiotic therapy if necessary with the aim of minimizing the appearance of undesirable consequences. The surgical approach is a rare procedure at present.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pancreatitis]]></kwd>
<kwd lng="es"><![CDATA[pancreatitis necrotizante]]></kwd>
<kwd lng="es"><![CDATA[hiperglucemia]]></kwd>
<kwd lng="es"><![CDATA[derrame pleural]]></kwd>
<kwd lng="en"><![CDATA[pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[necrotizing pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[hyperglycemia]]></kwd>
<kwd lng="en"><![CDATA[pleural effusion]]></kwd>
</kwd-group>
</article-meta>
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