<?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>S1025-02552021000600010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Amputación de Syme en paciente con pie de Madura]]></article-title>
<article-title xml:lang="en"><![CDATA[Syme&#8217;s amputation in patient with Madura Foot]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pichardo-León]]></surname>
<given-names><![CDATA[Narciso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bringas-Sosa]]></surname>
<given-names><![CDATA[Yenifer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prada-Castillo]]></surname>
<given-names><![CDATA[Carmen María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kelebetse]]></surname>
<given-names><![CDATA[Ivan Kenanao-]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Hospital Provincial Clínico Quirúrgico Docente Amalia Simoni Servicio de Ortopedia y Traumatología]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidad Municipal de Higiene y Epidemiología  ]]></institution>
<addr-line><![CDATA[Ciego de Ávila ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Santiago de Cuba Policlínico Docente Alberto Fernández Montes de Oca Servicio de Dermatología]]></institution>
<addr-line><![CDATA[Santiago De Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Medical Officer. University of Botswana MBBS Letsholathebe II Memorial Hospital Ortho-surgical department]]></institution>
<addr-line><![CDATA[Maun ]]></addr-line>
<country>Botswana</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552021000600010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552021000600010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552021000600010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  el micetoma es una enfermedad infecciosa crónica y progresiva que compromete la piel, partes blandas y el hueso, es causada por bacterias y hongos. Por su clínica se manifiesta como nódulos que se agrupan y forman placas con trayectos fistulosos que drenan material purulento o sero-sanguinolento con gránulos característicos. Afecta con mayor frecuencia a los miembros inferiores.  Objetivo:  presentar el caso de un paciente con pie de Madura, tratado con amputación de Syme.  Presentación del caso: paciente de 42 años de edad, del sexo masculino, raza negra, VIH positivo, con antecedentes de lesión crónica de la piel, partes blandas y huesos metatarsianos del pie izquierdo de más de ocho años de evolución. Se le realizaron estudios de laboratorio, radiológicos e histopatológico que condujeron al diagnóstico de micetoma por Madurella grisea. Debido a los malos resultados obtenidos con las cirugías óseas y antifúngicos utilizados se decidió realizar, como tratamiento definitivo, la amputación de Syme.  Conclusiones:  esta enfermedad es poco frecuente en nuestro medio, se encuentra distribuida en todo el mundo la misma debe considerarse dentro del diagnóstico diferencial de toda lesión supurativa, de evolución crónica en las extremidades inferiores. En el micetoma del pie los mejores resultados se obtienen con técnicas de amputación de la zona afectada como el proceder de Syme, el cual reduce al mínimo las secuelas anatómicas, funcionales y psicoemocionales del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: mycetoma is a chronic and progressive inflammatory disease affecting the skin, soft tissues and bones; it is caused by bacteria and fungi. Clinically it manifests itself as nodules that tend to coalesce and form plaques with fistulous paths, which drain purulent or serosanguineous material with characteristic grains. Lower limbs are most affected.  Objetive: to show a patient with Madura foot, treated by Syme&#8217;s amputation.  Case report: a 42 years-old, black, male, HIV positive patient, with history of chronic lesions of the skin, soft tissues and metatarsals bones of the left foot, with more than eight years of evolution. Laboratory studies, radiological assessment and hysto-pathological examination were done and finally, mycetoma&#8217;s diagnosis by Madurella grisea was confirmed. According to the poor results obtained with other bone surgery and antifungal treatments; Syme&#8217;s amputation, as definitive management was performed.  Conclusions: this disease though rare in our environment, has worldwide prevalence; it should be considered within the differential diagnosis when chronic suppurative lesions are present in the lower limbs. In Madura foot, the best results are obtained with the amputation technique of the affected zone, such as the Syme&#8217;s procedure, which one minimizes the anatomical, functional and psycho-emotional sequel of the patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[MICETOMA/diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[MICETOMA/cirugía]]></kwd>
<kwd lng="es"><![CDATA[AMPUTACIÓN/instrumentación]]></kwd>
<kwd lng="es"><![CDATA[INFORMES DE CASOS]]></kwd>
<kwd lng="es"><![CDATA[VIH]]></kwd>
<kwd lng="en"><![CDATA[MYCETOMA/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[MICETOMA/surgery]]></kwd>
<kwd lng="en"><![CDATA[AMPUTATION/instrumentation]]></kwd>
<kwd lng="en"><![CDATA[CASE REPORTS]]></kwd>
<kwd lng="en"><![CDATA[HIV]]></kwd>
</kwd-group>
</article-meta>
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