<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942021000300020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Embolismo séptico en paciente con Síndrome de Lemierre]]></article-title>
<article-title xml:lang="en"><![CDATA[Septic embolism in a patient with Lemierre's Syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Clausell]]></surname>
<given-names><![CDATA[Antonio Belaunde]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piñeda]]></surname>
<given-names><![CDATA[José Enrique Ortiz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reinaldo]]></surname>
<given-names><![CDATA[Yanet Romero]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[Roberto Manuel Valdés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de las FAR Hospital Militar Central &#8220;Dr. Carlos J. Finlay&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de las FAR Hospital Militar Central &#8220;Dr. Luis Días Soto&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942021000300020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942021000300020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942021000300020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el síndrome de Lemierre, describe a la flebotrombosis séptica de la vena yugular interna posterior a una infección orofaríngea. Esta enfermedad representa un verdadero reto diagnóstico para el médico practicante. Las complicaciones más temidas son las relacionadas con la embolización a distancia.  Objetivo: describir la evolución clínica de una paciente con síndrome de Lemierre atendida en el Hospital Militar Central &#8220;Dr. Carlos J. Finlay&#8221;.  Caso Clínico: paciente femenina de 24 años de edad, con antecedentes de salud; 12 días antes del ingreso comenzó con fiebre de 39-40&#730;C, asociada a odinofagia y secreciones blanquecinas localizadas sobre ambas amígdalas. Tras recibir antibioticoterapia por vía oral percibe discreta mejoría. Luego de la cual recrudece la fiebre, aparece tos, disnea y dolor en punta de costado en el hemitórax derecho.  Conclusiones: la evolución de la paciente fue satisfactoria luego del drenaje quirúrgico de la colección pleural, el uso de antibióticos específicos y la anticoagulación. La atención de pacientes con síndrome de Lemierre requiere asistencia especializada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Lemierre's Syndrome (LS) describes septic phlebothrombosis of the internal jugular vein following oropharyngeal infection. This entity represents a real diagnostic challenge for the practicing physician. The most alarming complications are those related to distant embolization.  Objective:  to describe the clinical evolution of a patient with Lemierre's Syndrome treated at Dr. Carlos J. Finlay Central Military Hospital.  Case Report: a 24-year-old female patient with a medical history; who 12 days before admission started with fever of 39-40&#730;C, associated with odynophagia and whitish secretions located over both tonsils. After receiving oral antibiotic therapy, she perceived a slight improvement. Subsequently fever intensified, cough, dyspnea and flank pain in the right hemithorax appear.  Conclusions: the evolution of the patient was satisfactory after surgical drainage of the pleural collection, the use of specific antibiotics and anticoagulation. The care of patients with Lemierre's syndrome requires specialized assistance.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[SÍNDROME DE LEMIERRE]]></kwd>
<kwd lng="es"><![CDATA[SEPSIS]]></kwd>
<kwd lng="es"><![CDATA[TROMBOSIS DE LA VENA]]></kwd>
<kwd lng="es"><![CDATA[TROMBOFLEBITIS]]></kwd>
<kwd lng="en"><![CDATA[EMIERRE SYNDROME]]></kwd>
<kwd lng="en"><![CDATA[SEPSIS]]></kwd>
<kwd lng="en"><![CDATA[VENOUS THROMBOSIS]]></kwd>
<kwd lng="en"><![CDATA[THROMBOPHLEBITIS]]></kwd>
</kwd-group>
</article-meta>
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