<?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>S1561-31942023000400020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Gangrena de Fournier en paciente masculino con diabetes mellitus insulinodependiente: reporte de caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Fournier's gangrene in a male patient with insulin-dependent diabetes mellitus: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Córdova Molina]]></surname>
<given-names><![CDATA[Eduardo Fabián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gordillo Arias]]></surname>
<given-names><![CDATA[Ángel Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zúñiga Viteri]]></surname>
<given-names><![CDATA[Roberto Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Regional Autónoma de Los Andes  ]]></institution>
<addr-line><![CDATA[Ambato ]]></addr-line>
<country>Ecuador</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=S1561-31942023000400020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000400020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000400020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[ RESUMEN  Introducción: el dacriocele congénito es una entidad poco frecuente por obstrucción del conducto nasolagrimal.  Presentación del caso:  neonato, del sexo femenino, de 17 días de nacida, producto de un parto eutócico, atérmino, sin antecedentes prenatales de importancia. Acude a los servicios por presentar inflamación en ojo derecho desde el nacimiento, secreciones conjuntivales abundantes e hiperemia conjuntival. A examen físico se constata presencia de un tumor de 8 mm de diámetro en zona del saco lagrimal derecho, no doloroso a la palpación, de coloración azulada. Se indica como complementario imágenes como ecografía. Se determina el diagnóstico de dacriocele congénito. Se decidió tratamiento no quirúrgico. Se indicó compresas tibias en la zona del saco lagrimal afectado por cinco minutos, tres veces al día. Se decide colocar antibioticoterapia con tobramicina + dexametasona en colirio, indicada una gota cada cuatro horas por 10 días. Al cabo del tratamiento se mostró mejoría, sin necesidad de otras intervenciones. Se indicó seguimiento por consulta de oftalmología.  Conclusiones:  el dacriocele congénito constituye una entidad congénita de las vías lagrimales de baja incidencia. Su diagnóstico es clínico, sin embargo, para descartar otras entidades resultan necesarias pruebas de imagen. El tratamiento médico conservador puede llevar a la resolución de la entidad, resultando útil el masaje sumado a terapia antimicrobiana; sin embargo, puede requerirse una intervención quirúrgica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: congenital dacryocele is a rare entity due to nasolacrimal duct obstruction. Case report: female neonate, 17 days old, born after euthyroid delivery, at term, with no significant prenatal history. She presented with swelling of the right eye since birth, abundant conjunctival secretions and conjunctival hyperemia. Physical examination revealed the presence of an 8 mm diameter tumor in the area of the right lacrimal sac, not painful to palpation, bluish color. Complementary images such as ultrasound were indicated. The diagnosis of congenital dacryocele was determined. Non surgical treatment was decided. Warm compresses were indicated in the area of the affected lacrimal sac for five minutes, three times a day. It was decided to apply antibiotic therapy with tobramycin + dexamethasone in eye drops, one drop every four hours for 10 days. At the end of the treatment, the patient showed improvement, without the need of further interventions. Follow-up by ophthalmology was indicated. Conclusions: congenital dacryocele is a congenital entity of the lacrimal ducts of low incidence. Its diagnosis is clinical; however, imaging tests are necessary to rule out other entities. Conservative medical treatment may lead to resolution of the entity, with massage and antimicrobial therapy being useful; however, surgical intervention may be required.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[OBSTRUCCIÓN DEL CONDUCTO LAGRIMAL]]></kwd>
<kwd lng="es"><![CDATA[RECIÉN NACIDO]]></kwd>
<kwd lng="es"><![CDATA[CONGÉNITO]]></kwd>
<kwd lng="es"><![CDATA[PROCEDIMIENTOS QUIRÚRGICOS OPERATIVOS]]></kwd>
<kwd lng="en"><![CDATA[LACRIMAL DUCT OBSTRUCTION]]></kwd>
<kwd lng="en"><![CDATA[INFANT, NEWBORN]]></kwd>
<kwd lng="en"><![CDATA[CONGENITAL]]></kwd>
<kwd lng="en"><![CDATA[SURGICAL PROCEDURES, OPERATIVE.]]></kwd>
</kwd-group>
</article-meta>
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