<?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>S2312-38932021000200120</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2021.08.02.120</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfermedad intersticial pulmonar secundaria a infección por SARS-CoV-2 en paciente con artritis reumatoide]]></article-title>
<article-title xml:lang="en"><![CDATA[Lung interstitial disease secondary to SARS-CoV-2 infection in a patient with rheumatoid arthritis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrión Merino]]></surname>
<given-names><![CDATA[Stefany Thalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jumbo Jiménez]]></surname>
<given-names><![CDATA[Ariana Priscila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dajaro Castro]]></surname>
<given-names><![CDATA[Leonel Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaramillo Loaiza]]></surname>
<given-names><![CDATA[Enrique Feliciano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quelal Fernández]]></surname>
<given-names><![CDATA[Jefferson Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montenegro Mayorga]]></surname>
<given-names><![CDATA[Silvia Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Rossiski Universitet Druzhby Narodov  ]]></institution>
<addr-line><![CDATA[Moscú ]]></addr-line>
<country>Rusia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Luis Vernaza  ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Francisco Icaza Bustamante  ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Especialidades del Espíritu Santo  ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>8</volume>
<numero>2</numero>
<fpage>120</fpage>
<lpage>128</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932021000200120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932021000200120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932021000200120&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La presentación clínica de COVID-19 es heterogénea, desde casos asintomáticos, hasta síndrome de dificultad respiratoria aguda y muerte. La enfermedad grave puede ocurrir en pacientes con comorbilidades, incluidos pacientes con enfermedades reumáticas sistémicas. El impacto de la artritis reumatoide en pacientes que cursan con COVID-19 aún no está claro. Presentamos el caso de un paciente con antecedente de AR, quien cursó con COVID-19, y reingresó con insuficiencia respiratoria aguda y hallazgos tomográficos de enfermedad intersticial pulmonar de rápida evolución.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The clinical presentation of COVID-19 is heterogeneous. It ranges from asymptomatic cases to acute respiratory distress syndrome and death. Severe disease can occur in patients with comorbidities, including patients with systemic rheumatic diseases. The impact of rheumatoid arthritis in patients with COVID-19 is not yet clear. We present the case of a patient with a history of rheumatoid arthritis who had COVID19 and was readmitted with respiratory difficulties and tomographic findings that showed rapidly evolving interstitial lung disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[infecciones por coronavirus]]></kwd>
<kwd lng="es"><![CDATA[artritis reumatoide]]></kwd>
<kwd lng="es"><![CDATA[enfermedades pulmonares intersticiales]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[coronavirus Infections]]></kwd>
<kwd lng="en"><![CDATA[rheumatoid arthritis]]></kwd>
<kwd lng="en"><![CDATA[interstitial lung diseases.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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