<?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[Arch méd Camagüey]]></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>S1025-02552023000100009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Quilotórax congénito en un recién nacido pretérmino extremo]]></article-title>
<article-title xml:lang="en"><![CDATA[Congenital chylothorax in an extreme preterm newborn]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Díaz]]></surname>
<given-names><![CDATA[Lil Katia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Clemades-Méndez]]></surname>
<given-names><![CDATA[Ana Miriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaviano-Rodríguez]]></surname>
<given-names><![CDATA[Seydis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kedisobua-Clemades]]></surname>
<given-names><![CDATA[Eduardo Augusto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Universitario Gineco-Obstétrico Mariana Grajales Servicio de Neonatología]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas Estudiante 4to año de Medicina Facultad de Medicina]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552023000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552023000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552023000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El quilotórax congénito es una rara afección respiratoria, sin embargo, es la causa más frecuente de derrame pleural en recién nacidos vivos.  Objetivo:  Presentar un caso de quilotórax congénito como causa infrecuente de distrés respiratorio en un recién nacido atendido en el Hospital Gineco-Obstétrico de Villa Clara.  Caso clínico:  Paciente masculino, que nació a las 26,2 semanas de edad gestacional, por parto eutócico, con tiempo de rotura de membranas de una hora, líquido amniótico meconial, otorgándose una puntuación de Apgar 7/8 (normal) y peso al nacer de 950 gramos; con diagnóstico de sepsis connatal fue necesario tratar con ventilación mecánica. A los seis días de vida presentó un deterioro clínico, con disminución del murmullo vesicular en el hemitórax derecho y en la radiografía de tórax se observó un pulmón derecho velado. El ultrasonido torácico confirmó el diagnóstico de derrame pleural derecho que fue puncionado y el estudio del líquido drenado mostró características propias del quilotórax. Se le indicó tratamiento conservador (con alimentación parenteral completa: traximín sin aporte lipídico) y luego con leche rica en ácidos grasos de cadenas corta y media (Enfaport® de la firma Nestlé). Se incorporó la leche materna a los 15 días del diagnóstico. Requirió ventilación mecánica prolongada. Con una evolución satisfactoria es egresado del centro hospitalario.  Conclusiones:  Se logró la resolución de esta enfermedad a través del tratamiento conservador, sin la presencia de recidiva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Congenital chylothorax is a rare respiratory disease; however, it is the most common cause of pleural effusion in live newborns.  Objective:  To present a case of congenital chylothorax as an uncommon cause of respiratory distress in a newborn treated at the Gyneco-Obstetric Hospital of Villa Clara.  Case report:  Male patient, who was born at 26.2 weeks of gestational age, by eutocic delivery, with membrane time rupture of an hour, meconium amniotic fluid, to whom was given an Apgar score of 7/8 (normal) and a birth weight of 950 grams; with diagnose of connatal sepsis was necessary to treat with mechanical ventilation. At six days of age presented a clinical deterioration, with decrease of the vesicular murmur in the right hemithorax and at chest X-ray was observed a veiled right lung. The chest ultrasound confirmed a right pleural effusion that was punctured and the study of the drained fluid showed characteristics of a chylothorax. Conservative treatment was indicated (with complete parenteral feeding: traximin without lipid intake) and subsequently with milk rich in short and medium chain fatty acids (Enfaport® from Nestlé Company). Breastmilk was incorporated 15 days after the diagnose. He required prolonged mechanical ventilation. With a satisfactory evolution, he was discharged from the hospital center.  Conclusions:  The resolution of this entity is achieved through conservative treatment, without the presence of recurrence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[QUILOTÓRAX/genética]]></kwd>
<kwd lng="es"><![CDATA[RECIEN NACIDO PREMATURO]]></kwd>
<kwd lng="es"><![CDATA[DERRAME PLEURAL]]></kwd>
<kwd lng="es"><![CDATA[SÍNDROME DE DIFICULTAD RESPIRATORIA DEL RECIÉN NACIDO]]></kwd>
<kwd lng="es"><![CDATA[RESPIRACIÓN ARTIFICIAL]]></kwd>
<kwd lng="en"><![CDATA[CHYLOTHORAX/genetics]]></kwd>
<kwd lng="en"><![CDATA[INFANT, PREMATURE]]></kwd>
<kwd lng="en"><![CDATA[PLEURAL EFFUSION]]></kwd>
<kwd lng="en"><![CDATA[RESPIRATORY DISTRESS SYNDROME, NEWBORN]]></kwd>
<kwd lng="en"><![CDATA[RESPIRATION, ARTIFICIAL]]></kwd>
</kwd-group>
</article-meta>
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