<?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>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602024000100003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neumonía por Pneumocystis jirovecii en niño receptor de trasplante]]></article-title>
<article-title xml:lang="en"><![CDATA[Pneumocystis Jirovecii Pneumonia in a Pedriatric Transplant Recipient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Uriarte Méndez]]></surname>
<given-names><![CDATA[Ariel Efrén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera Romero]]></surname>
<given-names><![CDATA[Leyenis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón Figueroa]]></surname>
<given-names><![CDATA[Yoan Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Universitario Paquito González Cueto  ]]></institution>
<addr-line><![CDATA[ Cienfuegos]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>76</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602024000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602024000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602024000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La neumonía por Pneumocystis jirovecii es una infección oportunista, generalmente muy grave, que se presenta en pacientes con algún tipo de inmunosupresión importante. El diagnóstico se realiza en aquellos pacientes severamente inmunodeprimidos que desarrollan una neumonía caracterizada clínicamente por trabajo respiratorio importante e hipoxemia y, radiológicamente, por un infiltrado pulmonar intersticial bilateral u opacidad en vidrio esmerilado, reticular o nodular.  Desarrollo:  Se presenta el caso clínico de un niño de ocho años que había sido receptor de trasplante hepático y presentó una neumonía grave que requirió cuidados intensivos. El estudio de la muestra obtenida por aspiración traqueal, a través de la técnica de la reacción en cadena de la polimerasa cualitativa, fue positivo a Pneumocystis jirovecii. Por tratarse de una enfermedad infrecuente y como nunca antes se había realizado este diagnóstico en un niño en la provincia de Cienfuegos, los autores decidieron compartir la experiencia.  Conclusiones:  La neumonía por Pneumocystis jirovecii es una afección muy grave que puede provocar la muerte. Produce insuficiencia respiratoria con criterios de síndrome de distrés respiratorio severo y el manejo ventilatorio resulta difícil por la marcada disminución de la compliancia pulmonar y la hipoxemia refractaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Pneumocystis jirovecii pneumonia is an opportunistic infection, typically severe, that occurs in patients with significant immunosuppression. The diagnosis is established in severely immunocompromised patients who develop pneumonia clinically characterized by significant respiratory distress and hypoxemia, and radiologically by bilateral interstitial lung infiltrates or ground-glass opacities with reticular or nodular patterns.  Development:  It is presented the clinical case of an eight-year-old liver transplant recipient who developed severe pneumonia requiring intensive care. The analysis of the tracheal aspirate sample using a qualitative polymerase chain reaction test confirmed the presence of Pneumocystis jirovecii. Given the rarity of this disease and the novelty of this diagnosis in a child in the province of Cienfuegos, the authors decided to share this experience.  Conclusions: Pneumocystis jirovecii pneumonia is a severe condition that can be fatal. It leads to respiratory failure with severe acute respiratory distress syndrome, and ventilation becomes challenging due to marked reduction in lung compliance and refractory hypoxemia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[receptor de trasplante]]></kwd>
<kwd lng="es"><![CDATA[neumonía por Pneumocystic jirovecii]]></kwd>
<kwd lng="es"><![CDATA[inmunodeficiencia]]></kwd>
<kwd lng="es"><![CDATA[síndrome de inmunodeficiencia adquirida]]></kwd>
<kwd lng="es"><![CDATA[infecciones oportunistas]]></kwd>
<kwd lng="en"><![CDATA[transplant recipient]]></kwd>
<kwd lng="en"><![CDATA[Pneumocystis jirovecii pneumonia]]></kwd>
<kwd lng="en"><![CDATA[immunodeficiency]]></kwd>
<kwd lng="en"><![CDATA[acquired immunodeficiency syndrome]]></kwd>
<kwd lng="en"><![CDATA[opportunistic infections]]></kwd>
</kwd-group>
</article-meta>
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