<?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>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492025000100088</article-id>
<article-id pub-id-type="doi">10.18004/anales/2025.058.01.88</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tuberculosis extrapulmonar en paciente joven, reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Extrapulmonary tuberculosis, in a young patient, about a case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alcaraz Brítez]]></surname>
<given-names><![CDATA[Adriana Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez Orrego]]></surname>
<given-names><![CDATA[Adriana Magalí]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Facultad de Ciencias Médicas Medicina Interna]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>58</volume>
<numero>1</numero>
<fpage>88</fpage>
<lpage>94</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492025000100088&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492025000100088&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492025000100088&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El Mycobacterium tuberculosis es un bacilo intracelular, agente causal de la tuberculosis pulmonar y extrapulmonar. La tuberculosis extrapulmonar representa el 20-25% de los casos de enfermedad tuberculosa, es importante un alto índice de sospecha para el diagnóstico.  Caso clínico: Paciente de 36 años, sexo masculino, con síntomas de debilidad de hemicuerpo izquierdo, síntomas respiratorios de larga evolución, pérdida de peso e infecciones de vías urinarias a repetición. Inmunocompetente. Resultados de imágenes compatibles con manifestaciones extrapulmonares y pulmonares de tuberculosis. GeneXpert positivo en orina.  Discusión:  En el caso presentado se pudo observar que el paciente presenta varios datos positivos coincidentes con los datos epidemiológicos nacionales, por ejemplo, corresponde al sexo masculino, se encuentra dentro de la edad predominante así como es parte de una población de riesgo (personas privadas de libertad).  Conclusión: Las tasas de diagnóstico erróneo suelen ser altas alrededor del 50-70% incluso en países endémicos de TB, y aún más en pacientes inmunocompetentes, por lo que la sospecha clínica es un factor muy importante ya que la instauración del tratamiento de forma óptima es relevante debido a que el porcentaje de éxito del tratamiento es 84,7%, la recurrencia es de 0 a 14%.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Mycobacterium tuberculosis is an intracellular bacillus, the agent of pulmonary and extrapulmonary tuberculosis. Extrapulmonary tuberculosis represents 20-25% of cases of tuberculous disease, a high index of suspicion is important for diagnosis.  Clinical case:  36-year-old male patient with symptoms of weakness of the left side (arm and leg), long-standing respiratory symptoms, weight loss and repeated urinary tract infections. Immunocompetent. Imaging results compatible with extrapulmonary and pulmonary manifestations of tuberculosis. GeneXpert positive in urine.  Discussion:  In the case presented, it was observed that the patient presents several positive data that coincide with the national epidemiological data, for example, he is male, he is within the predominant age as well as he is part of a risk population (time in prison).  Conclusion:  Misdiagnosis rates are often high, around 50-70%, even in TB-endemic countries, even more on inmunocompetentes patients. Therefore, clinical suspicion is a very important factor, as optimal treatment initiation is important. The treatment success rate is 84.7% and the recurrence rate is 0-14%.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mycobacterium tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[reporte de caso]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis extrapulmonar.]]></kwd>
<kwd lng="en"><![CDATA[case report]]></kwd>
<kwd lng="en"><![CDATA[extrapulmonary tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[Mycobacterium tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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