<?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>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272024000200016</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tuberculosis extrapulmonar, ósea e intestinal. Informe de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Extrapulmonary, bone and intestinal tuberculosis. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes Hernández]]></surname>
<given-names><![CDATA[Dianelí Lorely]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mérida López]]></surname>
<given-names><![CDATA[Francisco Rey]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara, Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>18</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272024000200016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272024000200016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272024000200016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la tuberculosis se encuentra dentro de las primeras diez causas principales de muerte en todo el mundo, no solo afecta a los pulmones, también puede tener localizaciones que afectan a tejidos y órganos fuera del parénquima pulmonar. Aunque se diagnóstica clínicamente y se confirma por los estudios bacteriológicos estos, en algunos casos, no son posibles.  Información del paciente:  se presenta un caso con diagnóstico clínico e imagenológico sugestivos de tuberculosis extrapulmonar con afectación ósea e intestinal, sin apoyo de estudios microbiológicos, en el que se logró la resolución después del tratamiento contra la Mycobacterium tuberculosis. Generalmente se informan casos con afectación extrapulmonar de una sola localización, pero en este se involucran dos tejidos diferentes. No se encuentran referencias a esta combinación.  Conclusiones:  este caso, en el que existe la combinación de más de un tejido no respiratorio pertenecientes a diferentes sistemas, con afectación por Mycobacterium tuberculosis, permite alertar a los médicos ante un paciente con tuberculosis extrapulmonar y la posibilidad de que exista esta afectación en más de una localización.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  tuberculosis is among the first ten main causes of death worldwide, it not only affects the lungs, it can also have locations that affect tissues and organs outside the lung parenchyma. Although it is diagnosed clinically and confirmed by bacteriological studies, these, in some cases, are not possible.  Patient information:  a case is presented with a clinical and imaging diagnosis suggestive of extrapulmonary tuberculosis with bone and intestinal involvement, without support from microbiological studies, in which resolution was achieved after treatment against Mycobacterium tuberculosis. Cases with extrapulmonary involvement of a single location are generally reported, but in this case two different tissues are involved. There are no references to this combination.  Conclusions:  this case, in which there is a combination of more than one non-respiratory tissue belonging to different systems, with involvement by Mycobacterium tuberculosis, allows doctors to be alerted to a patient with extrapulmonary tuberculosis and the possibility that this involvement exists in more of a location.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis osteoarticular]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis intestinal]]></kwd>
<kwd lng="es"><![CDATA[mycobacterium tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[osteoarticular tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[intestinal tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[mycobacterium tuberculosis]]></kwd>
</kwd-group>
</article-meta>
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