<?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>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932018000200095</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2018.05(02)95-099</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de choque tóxico en mujer joven en periodo de puerperio]]></article-title>
<article-title xml:lang="en"><![CDATA[Toxic shock syndrome in a young woman in postpartum period]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[Electra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Guartatanga]]></surname>
<given-names><![CDATA[Jennifer María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera Franco]]></surname>
<given-names><![CDATA[Víctor Jonathan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Especialidades Espíritu Santo. Hospital Luis Vernaza. Servicio de Medicina Crítica.]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Especialidades Espíritu Santo. Facultad de Medicina. Postgrado de Medicina Interna.]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>5</volume>
<numero>2</numero>
<fpage>95</fpage>
<lpage>99</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932018000200095&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932018000200095&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932018000200095&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se presenta el caso clínico de una mujer joven, en periodo de puerperio, sin comorbilidades previas, oriunda de Piñas, El Oro. Fue admitida en el Servicio de Medicina Crítica del Hospital Luis Vernaza por presentar choque séptico por infección de partes blandas, con periodo evolutivo de 7 días. Presentaba lesiones eritematosas de bordes definidos con presencia de flictenas distribuidas en miembro superior derecho y ambos miembros inferiores, ocupando un total de 33% de superficie corporal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  We present the clinical case of a young woman in the puerperium period, without previous comorbidities, from Piñas, El Oro. She was admitted to the Critical Medicine Service of the Hospital Luis Vernaza for presenting septic shock due to soft tissue infection, with 7-day evolution period. She presented erythematous lesions of defined borders with the presence of phlyctenas distributed in the right upper limb and both lower limbs, occupying a total of 33% of the body surface.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[choque séptico]]></kwd>
<kwd lng="es"><![CDATA[Streptococcus pyogenes]]></kwd>
<kwd lng="en"><![CDATA[septic shock]]></kwd>
<kwd lng="en"><![CDATA[Streptococcus pyogenes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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