<?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>S0001-60022023000400229</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neumonía por Legionella pneumophila: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Legionella pneumophila pneumonia: a case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Carballo]]></surname>
<given-names><![CDATA[Gian Carlo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Marín]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Corrales]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Navarro]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Dr. R. A. Calderón Guardia Laboratorio Clínico]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Dr. R. A. Calderón Guardia Laboratorio Clínico]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Nacional de Niños Dr. Carlos Luis Sáenz Herrera Laboratorio Clínico]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Costarricense de Acueductos y Alcantarillados Laboratorio Nacional de Aguas Unidad de Investigación en Agua, Ambiente y Salud]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</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>65</volume>
<numero>4</numero>
<fpage>229</fpage>
<lpage>232</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022023000400229&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022023000400229&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022023000400229&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta el caso de un paciente masculino de 70 años, hipertenso y extabaquista que fue hospitalizado por disnea, malestar general, fiebre y dolor abdominal. Tras el abordaje inicial con nifuroxazida y cefotaxime no presentó mejoría y, al realizar más estudios, fue diagnosticado con neumonía por L. pneumophila. Tras el diagnóstico y recibir terapia con levofloxacina, mostró mejoría y se recuperó de los síntomas iniciales, por lo que fue dado de alta. Se discuten las dificultades diagnósticas, de abordaje y la situación nacional para la detección de L. pneumophila en Costa Rica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract We present the case of a 70-year-old male patient, hypertensive and ex-smoker who was hospitalized for dyspnea, malaise, fever and abdominal pain. After the initial approach with nifuroxazide and cefotaxime, he showed no improvement and, upon further study, he was diagnosed with L. pneumophila pneumonia. After the diagnosis and receiving therapy with levofloxacin, he showed improvement and recovered from the initial symptoms, for which he was discharged. Diagnostic and approach difficulties and the national situation for the detection of L. pneumophila in Costa Rica are discussed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermedad de los Legionarios]]></kwd>
<kwd lng="es"><![CDATA[Legionella pneumophila]]></kwd>
<kwd lng="es"><![CDATA[neumonía]]></kwd>
<kwd lng="es"><![CDATA[monitoreo del agua.]]></kwd>
<kwd lng="en"><![CDATA[Legionnaires&#8217; Disease]]></kwd>
<kwd lng="en"><![CDATA[Legionella pneumophila]]></kwd>
<kwd lng="en"><![CDATA[pneumonia]]></kwd>
<kwd lng="en"><![CDATA[water monitoring.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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