<?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>1560-4381</journal-id>
<journal-title><![CDATA[Correo Científico Médico]]></journal-title>
<abbrev-journal-title><![CDATA[ccm]]></abbrev-journal-title>
<issn>1560-4381</issn>
<publisher>
<publisher-name><![CDATA[Universidad Ciencias Médicas de Holguín]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1560-43812019000401195</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de pacientes operados por peritonitis secundaria a fiebre tifoidea. Hospital Central de Huambo, Angola]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of patients operated on due to secondary peritonitis caused by typhoid fever. Huambo Central Hospital, Angola]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solarana Ortiz]]></surname>
<given-names><![CDATA[Joaquín Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Di Makaia]]></surname>
<given-names><![CDATA[Nsungu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Lescay]]></surname>
<given-names><![CDATA[Celso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Pupo]]></surname>
<given-names><![CDATA[Annarelis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Lucía Íñiguez Landín  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central de Huambo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Angola</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Militar Juan Bruno Zayas  ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General Universitario Vladimir Ilich Lenin  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>4</numero>
<fpage>1195</fpage>
<lpage>1209</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1560-43812019000401195&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1560-43812019000401195&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1560-43812019000401195&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: la fiebre tifoidea es una grave infeción aguda bacteriana contagiosa, febril, causada por Salmonella tiphy o Salmonella paratiphy, que inflama la mucosa intestinal y provoca perforación del intestino delgado que exigirá intervención quirúrgica urgente.  Objetivo: caracterizar a los pacientes operados por esta afección en el servicio de Cirugía General del Hospital Regional de Huambo, Angola.  Métodos:  se realizó un estudio descriptivo y prospectivo en pacientes operados por peritonitis secundaria a perforación intestinal por fiebre tifoidea en el servicio de Cirugía General del Hospital Regional de Huambo, Angola, desde enero de 2013 hasta diciembre de 2014. El universo estuvo constituido por 230 pacientes con peritonitis de diferentes causas; la muestra: 86 operados por peritonitis perforativa secundaria a fiebre tifoidea.  Resultados:  predominó el sexo masculino, con 64%; las edades de 10 a 19 años, con el 41,9%, y el 77% de procedencia rural. Durante el acto quirúrgico se encontró una sola perforación más frecuente, por lo que la técnica quirúrgica más realizada resultó la sutura simple de la perforación, con lavado peritoneal y drenaje. La infección de la herida quirúrgica predominó en el 54,3% de los pacientes, así como los fallecidos masculinos.  Conclusiones: la demorada asistencia médica y la distancia por recorrer para lograr atención quirúrgica resultaron factores de importancia que influyeron en el mal estado general biológico con que llegaron los pacientes al ingreso; sin embargo, la mortalidad fue baja y aceptable, si tenemos en cuenta el tiempo de evolución de las perforaciones y la gravedad de las condiciones locales y sistémicas del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: typhoid fever is a serious bacterial acute transmissible infection, caused by Salmonella tiphy or Salmonella paratiphy which produces intestinal mucosa inflammation and perforation of the small bowell, that will need urgent surgical treatment.  Objective: to characterize patients with this condition who have been operated on at the General Surgery service in Huambo Regional Hospital, Angola.  Methods: a prospective and descriptive study of patients who underwent surgery due to secondary peritonitis, that originated from bowel perforation caused by typhoid fever, was carried out at the General Surgery service of Huambo Regional Hospital, Angola, between January 2013 and December 2014. The universe comprised 230 patients with secondary peritonitis originated from different causes; the sample: 86 patients operated on due to secondary perforation peritonitis caused by typhoid fever.  Results:  male patients predominated with 64%; ages from 10 to 19 with 41.9%, and 77% had rural procedence. During surgery only one perforation was more frequently found; so, simple suture of the perforation with peritoneal lavage and drainage was the most used surgical tecnique. Wound infection in 54.3% of the patients, and male patient death were predominant.  Conclusions: delayed medical assistance and the distance travelled to search surgical care were important factors that influenced the general biological deteriorated conditions with which the patients arrived to the hospital; however, mortality was low and reasonable taking into account the evolution time of the perforations, as well as the critical systemic and local conditions of these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[peritonitis]]></kwd>
<kwd lng="es"><![CDATA[infección]]></kwd>
<kwd lng="es"><![CDATA[fiebre tifoidea]]></kwd>
<kwd lng="en"><![CDATA[peritonitis]]></kwd>
<kwd lng="en"><![CDATA[infection]]></kwd>
<kwd lng="en"><![CDATA[typhoid fever]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanhueza Palma]]></surname>
<given-names><![CDATA[NC]]></given-names>
</name>
<name>
<surname><![CDATA[Farías Molina]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Calzadilla Riveras]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hermoso]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fiebre tifoidea: reporte de caso y revisión de la literatura]]></article-title>
<source><![CDATA[Medwave]]></source>
<year>2016</year>
<volume>16</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>6474</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chután De León]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
</person-group>
<source><![CDATA[Caracterización Epidemiológica, Clínica y Terapéutica de pacientes con Fiebre Tifoidea durante elperíodo de 2010 a 2014 en el Hospital de Cobán, A.V]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Guatemala ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Rafael Landívar]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jain]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Meena]]></surname>
<given-names><![CDATA[LN]]></given-names>
</name>
<name>
<surname><![CDATA[Ram]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical management and prognosis of perforation secondary to typhoid fever]]></article-title>
<source><![CDATA[Trop Gastroenterol]]></source>
<year>2016</year>
<volume>37</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>123-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Contini]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Typhoid intestinal perforation in developingcountries: Stillunavoidabledeaths?]]></article-title>
<source><![CDATA[World J Gastroenterol]]></source>
<year>2017</year>
<volume>23</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1925-31</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abba Sheshe]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chukwuemeka Anyanwu]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Mohammad Mohammad]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bala Muhammad]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Obaro]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Typhoid intestinal perforation: Analysis of theoutcome of surgicaltreatment in Kano, Nigeria]]></article-title>
<source><![CDATA[Arch Med Health Sci]]></source>
<year>2018</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>59-63</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González Aguilera]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez Paneque]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predicción de la mortalidad de la peritonitis difusasecundaria con varios índices pronósticos]]></article-title>
<source><![CDATA[Med Intensiva]]></source>
<year>2008</year>
<volume>25</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>6-13</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[George]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Maroli]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Tauro]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Peritonitis secondary to ruptured splenic abscess: A grave complication of typhoid fever]]></article-title>
<source><![CDATA[Asian Pac J Trop Med]]></source>
<year>2012</year>
<volume>5</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1004-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[van Ruler]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Boermeester]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical treatment of secondary peritonitis: A continuing problem]]></article-title>
<source><![CDATA[Chirurg]]></source>
<year>2017</year>
<volume>88</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mena Suárez]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
</person-group>
<source><![CDATA[Peritonitis aguda generalizada posterior a la perforación intestinal de origen tífico]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Colombia ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Técnica de Ambato, Facultad de Ciencias de la Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cordero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Barriga]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ortega]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Moncayo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Segovia]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Malatay]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Tobar]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perforación intestinal por fiebre tifoidea]]></article-title>
<source><![CDATA[Rev Univ Guayaquil]]></source>
<year>2000</year>
<numero>7</numero>
<issue>7</issue>
<page-range>42-5</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mogasale]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Desai]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
<name>
<surname><![CDATA[Mogasale]]></surname>
<given-names><![CDATA[VV]]></given-names>
</name>
<name>
<surname><![CDATA[Park]]></surname>
<given-names><![CDATA[JK]]></given-names>
</name>
<name>
<surname><![CDATA[Ochiai]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Wierzba]]></surname>
<given-names><![CDATA[TF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Case Fatality Rate and Length of Hospital Stay among Patients with Typhoid Intestinal Perforation in Developing Countries: A Systematic Literature Review]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2014</year>
<volume>9</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>93784</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gallego Mariño]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez Batista]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Amado Martínez]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento quirúrgico de la peritonitis por fiebre tifoidea en un hospitalde Mozambique]]></article-title>
<source><![CDATA[Rev Electrónica Dr. Zoilo E. Marinello Vidaurreta]]></source>
<year>2015</year>
<volume>40</volume>
<numero>10</numero>
<issue>10</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Antonio Pacheco González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Barrera Ortega]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Mederos Curbelo]]></surname>
<given-names><![CDATA[ON]]></given-names>
</name>
<name>
<surname><![CDATA[Pacheco Díaz]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Valdés Jiménez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cheng Hung]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Experiencias con el lavadoperitoneal programado en las peritonitis difusas]]></article-title>
<source><![CDATA[Rev Cubana Cir]]></source>
<year>2005</year>
<volume>44</volume>
<page-range>2-3</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez Ramírez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Causas, tratamiento y complicaciones de la peritonitis difusa en un hospital de laperiferia de Luanda]]></article-title>
<source><![CDATA[Medisan]]></source>
<year>2010</year>
<volume>14</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1076-82</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vicioso]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Uffre]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Flgueroa]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Tavarez]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación post-quirúrgica de una población de pacientes con perforación intestinal por fiebre tifoidea]]></article-title>
<source><![CDATA[Rev Médica Dominicana]]></source>
<year>1994</year>
<volume>55</volume>
<numero>3-4</numero>
<issue>3-4</issue>
<page-range>196-8</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Honorio Horna]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Plasencia]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Yan Quiroz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Burgos Chavez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos Domínguez]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo de Morbilidad y Mortalidad en pacientes con Perforación Tífica Ileal]]></article-title>
<source><![CDATA[Rev Gastroenterol Perú]]></source>
<year>2006</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>25-33</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Herrán]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[De Benedetti]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[de los Ríos]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gotuzzo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reaparición de formas graves de Tifoidea: a propósito de un caso de Sangrado Masivo Gastrointestinal]]></article-title>
<source><![CDATA[Rev Gastroenterol]]></source>
<year>2007</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>72-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
