<?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>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cuban. med. mil.]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572023000100033</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ecografía pulmonar y neumonitis por aspiración de queroseno]]></article-title>
<article-title xml:lang="en"><![CDATA[Lung ultrasound and kerosene aspiration pneumonitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fong Pantoja]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dieguez Matamoros]]></surname>
<given-names><![CDATA[Elizabeth Bárbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Orlando Pantoja Tamayo&#8221;  ]]></institution>
<addr-line><![CDATA[Contramaestre Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>52</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572023000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572023000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572023000100033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La ingestión de queroseno conduce a la aparición de diversas complicaciones. Dada su baja viscosidad, en el sistema respiratorio es capaz de llegar a las vías aéreas distales y provocar lesión pulmonar, lo cual requiere atención urgente. La ecografía pulmonar, en la emergencia médica es un pilar que ha aumentado la capacidad de diagnóstico, guía la toma de decisiones y permite estratificar el pronóstico del paciente.  Objetivo: Presentar un paciente con neumonitis química por aspiración de queroseno, sus características clínicas y procedimiento ecográfico pulmonar empleado.  Caso clínico: Paciente masculino de 68 años de edad con antecedentes de alcoholismo y epilepsia, que hace tratamiento irregular. Asistió al servicio de urgencias con dificultad respiratoria de varios días de evolución y el precedente de ingesta de queroseno, con broncoaspiración. Se le realizó ecografía pulmonar, según el protocolo Bedside Lung Ultrasound in Emergency; se observó síndrome intersticio alveolar grave, engrosamiento de la línea pleural, microconsolidaciones subpleurales y pérdida grave de la aireación pulmonar. Se le instauró tratamiento con ventilación mecánica invasiva y antibiótico terapia; mejoró el puntaje de aireación pulmonar y el paciente se recuperó.  Conclusiones: La insuficiencia respiratoria aguda secundaria a neumonitis química por queroseno, es una entidad clínica compleja en su evaluación; el uso de la ecografía pulmonar constituye una herramienta vital que permite valorar en tiempo real el parénquima pulmonar y la pleura, para tomar decisiones terapéuticas oportunas y precisas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The ingestion of kerosene leads to the appearance of various complications. Given its low viscosity, in the respiratory system, it is capable of reaching the distal airways and causing lung injury, which requires urgent attention. Lung ultrasound, in medical emergencies, is a pillar that has increased diagnostic capacity, guides decision-making and allows stratifying the patient's prognosis.  Objective:  To present a patient with chemical pneumonitis due to aspiration of kerosene, its clinical characteristics and pulmonary ultrasound procedure used.  Clinical case:  68-year-old male patient with a history of alcoholism and epilepsy, which undergoes irregular treatment. He attended Emergency with respiratory distress of several days of evolution and the precedent of ingestion of kerosene, with bronchial aspiration. Lung ultrasound was performed, according to the Bedside Lung Ultrasound in Emergency protocol; severe alveolar interstitial syndrome, thickening of the pleural line, subpleural micro-consolidations, and severe loss of pulmonary aeration were observed. Treatment with invasive mechanical ventilation and antibiotic therapy was established; the pulmonary aeration score improved, and the patient recovered.  Conclusions:  Acute respiratory failure secondary to chemical pneumonitis due to kerosene is a complex clinical entity in its evaluation; the use of lung ultrasound is a vital tool that allows the lung parenchyma and pleura to be assessed in real time, in order to make timely and precise therapeutic decisions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ecografía pulmonar]]></kwd>
<kwd lng="es"><![CDATA[neumonitis por queroseno]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia respiratoria]]></kwd>
<kwd lng="en"><![CDATA[lung ultrasound]]></kwd>
<kwd lng="en"><![CDATA[kerosene pneumonitis]]></kwd>
<kwd lng="en"><![CDATA[respiratory insufficiency]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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