<?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>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742022000200083</article-id>
<article-id pub-id-type="doi">10.18004/rdn2022.dic.02.083.087</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfisema mediastínico como complicación de una crisis asmática en paciente joven con COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Mediastinal emphysema as a complication of asthmatic crisis in a young patient with COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrail Hellman]]></surname>
<given-names><![CDATA[Albert Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Duarte]]></surname>
<given-names><![CDATA[Eva Azucena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Regional de Ciudad del Este Servicio de Medicina Interna]]></institution>
<addr-line><![CDATA[Ciudad del Este ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Regional de Ciudad del Este Servicio de Neumología]]></institution>
<addr-line><![CDATA[Ciudad del Este ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>14</volume>
<numero>2</numero>
<fpage>83</fpage>
<lpage>87</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742022000200083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742022000200083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742022000200083&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El COVID-19 es el virus causante de la pandemia actual, su método de transmisión es aéreo y su tropismo por el aparato respiratorio hace que las personas con patologías de base a nivel pulmonar sean más susceptibles. En este caso produjo una exacerbación del asma bronquial y una complicación rara de éste es el neumomediastino.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT COVID-19 is a virus that caused the current pandemic. Its airborne transmission and tropism for the respiratory system make people with lung-based pathologies more susceptible. In this case, it not only produced an exacerbation of bronchial asthma, but also pneumomediastinum, a rare complication of asthma.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfisema mediastínico]]></kwd>
<kwd lng="es"><![CDATA[estado asmático]]></kwd>
<kwd lng="es"><![CDATA[asma]]></kwd>
<kwd lng="es"><![CDATA[infecciones por coronavirus]]></kwd>
<kwd lng="en"><![CDATA[Mediastinal emphysema]]></kwd>
<kwd lng="en"><![CDATA[status asthmaticus]]></kwd>
<kwd lng="en"><![CDATA[asthma]]></kwd>
<kwd lng="en"><![CDATA[coronavirus infections]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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