<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022017000400161</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Shock séptico por Burkholderia pseudomallei]]></article-title>
<article-title xml:lang="en"><![CDATA[Septic Shock by Burkholderia pseudomallei]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Walters-Mais]]></surname>
<given-names><![CDATA[Romein]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acuña-Román]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,aff1  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,romeinw@yahoo.com  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>59</volume>
<numero>4</numero>
<fpage>161</fpage>
<lpage>163</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022017000400161&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022017000400161&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022017000400161&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La melioidosis es una enfermedad endémica del sureste de Asia y el norte de Australia causada por un bacilo Gram negativo llamado Burkholderia pseudomallei. En América Latina se han reportado casos esporádicos en múltiples países y en Costa Rica se han documentado hasta el momento dos casos. Se presenta el caso de una femenina de 17 años que ingresó al centro médico con fiebre, expectoración purulenta, dolor lumbar, disnea, taquicardia, aumento de marcadores de fase aguda y linfopenia, además de una radiografía de tórax que evidenció un infiltrado circunscrito con broncograma aéreo a nivel del lóbulo superior derecho. A las 48 horas de internamiento desarrolló una insuficiencia respiratoria severa y falla circulatoria. Los cultivos de sangre, secreción bronquial y líquido pleural analizados fueron reportados positivos por el agente Burkholderia pseudomallei.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Melioidosis is an endemic disease in Southeast Asia and northern Australia caused by a Gram-negative bacillus called Burkholderia pseudomallei. In Latin America sporadic cases have been reported in multiple countries and in Costa Rica two cases have been documented so far. We present the case of a 17 year old female who entered the medical center with fever, purulent sputum, low back pain, dyspnoea, tachycardia, increased acute phase markers and lymphopenia, as well as a chest x-ray that documented a bronchial circumscribed infiltrate airway at the right upper lobe level. At 48 hours of hospitalization, she developed severe respiratory and circulatory failure. The blood cultures, bronchial secretion and pleural fluid analyzed were reported positive by the agent Burkholderia pseudomallei.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Burkholderia pseudomallei]]></kwd>
<kwd lng="es"><![CDATA[melioidosis]]></kwd>
<kwd lng="es"><![CDATA[shock séptico]]></kwd>
<kwd lng="es"><![CDATA[Costa Rica]]></kwd>
<kwd lng="en"><![CDATA[Burkholderia pseudomallei]]></kwd>
<kwd lng="en"><![CDATA[melioidosis]]></kwd>
<kwd lng="en"><![CDATA[septic shock]]></kwd>
<kwd lng="en"><![CDATA[Costa Rica]]></kwd>
</kwd-group>
</article-meta>
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