<?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>S1025-02552023000100043</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Actinomicosis pélvica]]></article-title>
<article-title xml:lang="en"><![CDATA[Pelvic actinomycosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piñón-García]]></surname>
<given-names><![CDATA[Karell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida-Esquivel]]></surname>
<given-names><![CDATA[Yudelky]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estopiñán-Cánovas]]></surname>
<given-names><![CDATA[Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco-Alba]]></surname>
<given-names><![CDATA[Mailyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Universitario Manuel Ascunce Domenech Servicio de Anestesiología y Reanimación]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Universitario Manuel Ascunce Domenech Departamento de Anatomía Patológica]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Universitario Manuel Ascunce Domenech Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Camagüey ]]></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=S1025-02552023000100043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552023000100043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552023000100043&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La actinomicosis es una infección bacteriana supurativa crónica, producida por especies de Actinomyces, principalmente Actinomyces israelii. La localización en la pélvica es rara presentando el 3 % de toda la actinomicosis humana.  Objetivo: Describir el caso clínico de una paciente que recibió tratamiento quirúrgico y se le diagnosticó actinomicosis pélvica sin asociación con el uso de dispositivos intrauterinos, lo que contribuye al conocimiento actual sobre una enfermedad poco frecuente.  Caso clínico: Paciente femenina de 22 años de edad, color de la piel blanca, recibió tratamiento quirúrgico urgente por presentar como diagnóstico preoperatorio un absceso tubo-ovárico. Con la aplicación de anestesia general orotraqueal se realizó laparotomía exploradora, salpingooforectomía izquierda y lavado profuso de la cavidad abdominal sin complicaciones y se confirmó por el departamento de Anatomía Patológica el diagnóstico de actinomicosis pélvica. Cumplió tratamiento antimicrobiano por cuatro semanas y siete meses después de la intervención quirúrgica, se mantuvo asintomática.  Conclusiones: La actinomicosis pélvica se debe sospechar en toda paciente con dolor crónico pelviano. Se manifiesta excepcionalmente en mujeres sin antecedente de ser portadoras de dispositivos intrauterinos. La presentación clínica es típicamente insidiosa por lo cual el diagnóstico con frecuencia se hace de forma tardía. Un alto índice de sospecha y una actitud diagnóstica activa son fundamentales para un tratamiento oportuno, seguro y eficaz.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Actinomycosis is a chronic suppurative bacterial infection, produced by Actinomyces species, mainly Actinomyces israelii. Pelvic localization is extremely rare with 3% of all human actinomycosis.  Objective: To describe the clinical case of a patient who received surgical treatment and was diagnosed with pelvic actinomycosis without association with the use of intrauterine devices, which contributes to current knowledge about a rare disease.  Clinical case: A 22-year-old white female patient, received urgent surgical treatment for presenting as a preoperative diagnosis a tube-ovarian abscess. With the application of general orotracheal anesthesia, exploratory laparotomy, left salpingo oophorectomy and profuse washing of the abdominal cavity were performed without complications and the diagnosis of pelvic actinomycosis was confirmed by the Department of Pathological Anatomy. She completed antimicrobial treatment for four weeks and seven months after surgery, she remained asymptomatic.  Conclusions: Pelvic actinomycosis is a disease that should be suspected in all patients with chronic pelvic pain, being an exceptional entity, in women with no history of being carriers of intrauterine devices. The clinical presentation is typically insidious so the diagnosis is often delayed. A high level of suspicion and an active diagnostic attitude are essential for timely, safe and effective treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ACTINOMICOSIS/diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[ACTINOMICOSIS/cirugía]]></kwd>
<kwd lng="es"><![CDATA[DISPOSITIVOS INTRAUTERINOS]]></kwd>
<kwd lng="es"><![CDATA[ABSCESO ABDOMINAL]]></kwd>
<kwd lng="es"><![CDATA[LAPAROTOMÍA]]></kwd>
<kwd lng="en"><![CDATA[ACTINOMYCOSIS/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[ACTINOMYCOSIS/surgery]]></kwd>
<kwd lng="en"><![CDATA[INTRAUTERINE DEVICES]]></kwd>
<kwd lng="en"><![CDATA[ABDOMINAL ABSCESS]]></kwd>
<kwd lng="en"><![CDATA[LAPAROTOMY]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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