<?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>1682-0037</journal-id>
<journal-title><![CDATA[Revista Cubana de Angiología y Cirugía Vascular]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Angiol Cir Vasc]]></abbrev-journal-title>
<issn>1682-0037</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1682-00372023000300004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infección por Acinetobacter lwoffii multirresistente en paciente diabético]]></article-title>
<article-title xml:lang="en"><![CDATA[Multidrug-resistant Acinetobacter lwoffii infection in a diabetic patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fabelo Martínez]]></surname>
<given-names><![CDATA[Amirelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueroa Martínez]]></surname>
<given-names><![CDATA[Alain]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Angiología y Cirugía Vascular  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>24</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1682-00372023000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1682-00372023000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1682-00372023000300004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La úlcera del pie diabético es una de las principales complicaciones de los pacientes con diabetes, y se ha convertido en una causa importante de amputación no traumática. El 60 % de las úlceras del pie diabético pueden infectarse con microorganismos y aumentar el riesgo de amputación en un 50 % en comparación con pacientes con úlceras en los pies sin infección. La resistencia a los antimicrobianos (RAM) es un fenómeno mundial que ha alcanzado niveles alarmantes.  Objetivo:  Reportar un caso de un paciente que presentaba úlcera del pie diabético con infección por Acinetobacter lwoffii, al que se le realizó amputación de la extremidad por la multirresistencia del germen.  Presentación de caso:  Se presenta un caso de un paciente con diagnóstico de pie diabético neuroinfeccioso tipo absceso profundo. Al examen bacteriológico se constató presencia de Acinetobacter lwoffii resistente a casi todos los antibióticos excepto doxiciclina. El paciente requirió amputación de la extremidad como terapia definitiva de control de la sepsis.  Conclusión:  La evolución de este germen comenzó muy sensible a los antimicrobianos corrientes; después, tras rápida adaptación, devino primero resistente, luego multirresistente y ahora pandroga resistente, término acuñado exclusivamente para este tipo de germen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Diabetic foot ulcer is one of the main complications of patients with diabetes and has become a major cause of non-traumatic amputation. 60 % of diabetic foot ulcers can become infected with microorganisms, increasing the risk of amputation by 50 % compared to patients with non-infected foot ulcers. Antimicrobial resistance is a global phenomenon that has reached alarming levels.  Objective:  To report a case of amputation of a patient with diabetic foot ulcer and Acinetobacter lwoffi infection.  Case presentation:  It is presented a case of a patient diagnosed with a deep abscess-type neuroinfectious diabetic foot. Bacteriological examination revealed the presence of Acinetobacter lwoffii resistant to almost all antibiotics, except doxycycline. The patient required amputation of the limb as definitive therapy to control sepsis.  Conclusions:  The evolution of this germ began very sensitive to common antimicrobials, but after a rapid adaptation, it became first resistant, then multidrug-resistant and then pandrug resistant, a term coined exclusively for this type of germ.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Acinetobacter lwoffii]]></kwd>
<kwd lng="es"><![CDATA[úlcera del pie diabético]]></kwd>
<kwd lng="es"><![CDATA[amputación]]></kwd>
<kwd lng="en"><![CDATA[Acinetobacter lwoffii]]></kwd>
<kwd lng="en"><![CDATA[diabetic foot ulcer]]></kwd>
<kwd lng="en"><![CDATA[amputation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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