<?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>S0034-75312022000500007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Taquicardia auricular macro-reentrante del tipo flutter auricular en paciente de dos meses infectado con SARS-CoV-2]]></article-title>
<article-title xml:lang="en"><![CDATA[Macro-reentrant atrial tachycardia of the atrial flutter type in a 2-month-old patient infected with SARS-CoV-2]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Aguirre]]></surname>
<given-names><![CDATA[Yasmani]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosabal García]]></surname>
<given-names><![CDATA[Yoandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Licea Santos]]></surname>
<given-names><![CDATA[Yazmin Ailen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil Sur &#8220;Antonio María Béguez César&#8221;  ]]></institution>
<addr-line><![CDATA[ Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Infantil Norte Docente &#8220;Juan de la Cruz Martínez Maceira&#8221;  ]]></institution>
<addr-line><![CDATA[ Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>94</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312022000500007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312022000500007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312022000500007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El 11 de marzo de 2020 se confirmaron los primeros casos de la enfermedad en Cuba.  Objeto:  Examinar una complicación de la infección por SARS-CoV-2 infrecuente en edad pediátrica y su tratamiento.  Presentación del caso:  Lactante de 2 meses de edad producto de un parto distócico por cesárea a las 41,5 semanas, procedente de la provincia de Guantánamo. Por condiciones maternas permaneció con su madre en el hospital durante 45 días. Egresa y a los 15 días en casa, consultan por fiebre de 38 &#8451; durante tres días consecutivos. Se constata frecuencia cardiaca muy elevada y estado eutérmico. El test de antígeno y las pruebas de reacción en cadena de la polimerasa con transcriptasa inversa y PCR para SARS-CoV-2 fueron positivas, por lo que se ingresa en terapia intensiva pediátrica con impresión diagnóstica de taquicardia supraventricular que se define finalmente como flutter auricular. El tratamiento aplicado controló la arritmia cardiaca y contribuyó a su favorable evolución posterior.  Conclusiones:  Los hallazgos del examen físico y los datos en la anamnesis permiten realizar el diagnóstico del paciente en su etapa temprana. La fisiopatología de las complicaciones en niños está en la regulación local de la expresión de los receptores ACE2, aumento de la producción de catecolaminas y una mayor incidencia de toxicidad por medicamentos que producen lesión cardíaca aguda y arritmia, síntomas que pueden estar asociados con disfunción del sistema respiratorio y cambios hematológicos o no en la edad pediátrica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  On March 11, 2020, the first cases of COVID-19 were confirmed in Cuba.  Purpose:  To examine a complication of SARS-CoV-2 infection uncommon in pediatric ages and its treatment.  Case presentation:  A 2-month-old infant from Guantánamo province was delivered by cesarean section at 41.5 weeks. Due to maternal conditions, the newborn remained with the mother in the hospital for 45 days. Then the newborn was discharged and after 15 days at home was evaluated due to fever of 38 ° C during three consecutive days. A very high heart rate and euthermic state were observed. The antigen test and reverse transcriptase polymerase chain reaction and PCR tests for SARS-CoV-2 were positive, so the newborn was admitted to the pediatric intensive care unit with diagnostic impression of supraventricular tachycardia that is finally defined as atrial flutter. The treatment applied controlled the cardiac arrhythmia and contributed to its subsequent favorable evolution.  Conclusions:  The findings of the physical examination and the data in the anamnesis allow the diagnosis of the patient in its early stage. The pathophysiology of complications in children is in the local regulation of ACE2 receptor expression, increased catecholamine production and an increased incidence of toxicity by drugs that produce acute cardiac injury and arrhythmia, symptoms that may be associated with dysfunction of the respiratory system and hematological changes or not in pediatric age.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[arritmia]]></kwd>
<kwd lng="es"><![CDATA[taquicardia supraventricular]]></kwd>
<kwd lng="es"><![CDATA[macro-reentrante]]></kwd>
<kwd lng="es"><![CDATA[COVID 19]]></kwd>
<kwd lng="es"><![CDATA[virus SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[arrhythmia]]></kwd>
<kwd lng="en"><![CDATA[supraventricular tachycardia]]></kwd>
<kwd lng="en"><![CDATA[macro-reentrant]]></kwd>
<kwd lng="en"><![CDATA[COVID 19]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2 virus]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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