<?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>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552021000400012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bloqueo auriculoventricular de segundo grado por fiebre reumática]]></article-title>
<article-title xml:lang="en"><![CDATA[Atrioventricular block secondary to rheumatic fever]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[La-Fontaine-Terry]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Ortiz]]></surname>
<given-names><![CDATA[Yadira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey. Hospital Pediátrico Dr. Eduardo Agramonte Piña. Servicio de Cardiología.]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey. Policlínico Docente José Martí Pérez. Servicio de Medicina General Integral.]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552021000400012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552021000400012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552021000400012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: la fiebre reumática tiene una incidencia alta en los países en vías de desarrollo. Es un padecimiento inflamatorio que afecta el tejido celular subcutáneo, sistema nervioso, piel y corazón, donde el bloqueo auriculoventricular de segundo grado Mobitz tipo 1 como expresión de una fiebre reumática es poco frecuente. Su diagnóstico constituye un gran desafío.  Objetivo: presentar el caso de un adolescente sin historia de manifestaciones clínicas cardiovasculares de un bloqueo auriculoventricular de segundo grado Mobitz tipo  Presentación del caso:  paciente de 17 años de edad, masculino, sin antecedentes de amigdalitis reciente, al cual se le realizó un electrocardiograma como parte del seguimiento de la hipertensión arterial diagnosticada en el 2016, confirmándose un bloqueo auriculoventricular de segundo grado Mobitz tipo 1 en la consulta de Cardiología, sin manifestaciones clínicas cardiovasculares ni aumento de volumen en las articulaciones.  Conclusiones: se debe sospechar en un paciente con un bloqueo auriculoventricular de segundo grado Mobitz tipo 1 sin manifestaciones clínicas cardiovascular en una carditis subclínica en el paciente pediátrico. Se observó que no hay progresión del bloqueo auriculoventricular de segundo grado Mobitz tipo 1 luego de comenzar con la benzatina.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background : rheumatic fever had a high incidence in developing countries. It is an inflammatory disease that affects the subcutaneous tissues, the central nervous system, the skin and the heart. The atrioventricular block second degree Mobitz type 1 as expression of rheumatic fever is unusual. Its diagnosis is a big challenge today.  Objective : to present the case of a teenager with no previous history of cardiovascular manifestations of atrioventricular block second degree Mobitz type 1.  Case report:  17- years-old male patient, without background of recent tonsillitis, who received an electrocardiogram as part of the checking of hypertension diagnosed in 2016, where atrioventricular of second degree a blockage Mobitz type 1, without clinical manifestations neither increase of volume in the articulations, was diagnosed in Cardiology consult.  Conclusions:  an atrioventricular block Mobitz type 1 without clinical cardiovascular manifestations could be suspected in a subclinical carditis in pediatric patients. The treatment with specific antibiotics avoids the progression of the disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[BLOQUEO ATRIOVENTRICULAR/diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[FIEBRE REUMÁTICA]]></kwd>
<kwd lng="es"><![CDATA[ADOLESCENTE]]></kwd>
<kwd lng="es"><![CDATA[BLOQUEO ATRIOVENTRICULAR/tratamiento farmacológico]]></kwd>
<kwd lng="es"><![CDATA[MIOCARDITIS]]></kwd>
<kwd lng="en"><![CDATA[ATRIOVENTRICULAR BLOCk/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[RHEUMATIC FEVER]]></kwd>
<kwd lng="en"><![CDATA[ADOLESCENT]]></kwd>
<kwd lng="en"><![CDATA[ATRIOVENTRICULAR BLOCk/drug therapy]]></kwd>
<kwd lng="en"><![CDATA[MYOCARDITIS]]></kwd>
</kwd-group>
</article-meta>
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