<?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>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912023000100036</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/2023.e5207</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Un caso de paracoccidioidomicosis en la glándula suprarrenal bilateral]]></article-title>
<article-title xml:lang="en"><![CDATA[A case of paracoccidioidomycosis in the bilateral adrenal gland]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Scudeller]]></surname>
<given-names><![CDATA[Brunno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loreiro]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bustios]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Román]]></surname>
<given-names><![CDATA[Sergio Adrián Barreto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Pacífico Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Pedro Juan Caballero - Amambay ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>5</volume>
<fpage>36</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912023000100036&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912023000100036&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912023000100036&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La paracoccidioidomicosis es una micosis profunda. La afectación de la glándula suprarrenal es una forma de presentación rara que se asocia hasta un 10 a 15% de las insuficiencias supra renales y en algunas ocasiones puede ser la primera manifestación clínica de la patología. El objetivo del estudio es describir una presentación atípica de un paciente con diagnóstico de tumoración bilateral de la glándula supra renal, que en primer lugar se sospechó de un proceso tumoral de las glándulas supra renales y con la biopsia con punción guiada por ecografía se llegó al diagnóstico definitivo de paracocciodioidomicosis suprarrenal. Se realiza tratamiento con anfotericina B a una dosis de 50mg/día hasta una dosis acumulativa de 1500mg, con posterior seguimiento con itraconazol de 200 a 400mg/ día por un periodo de 6 a 12 meses.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Paracoccidioidomycosis is an invasive fungal infection. Involvement of the adrenal gland is a rare form of presentation that is associated with up to 10 to 15% of suprarenal insufficiencies and sometimes it can be the first clinical manifestation of the pathology. The objective of the study is to describe an atypical presentation of a patient with a diagnosis of bilateral tumor of the suprarenal gland, that was suspected of a tumor process of the suprarenal glands and the definitive diagnosis with ultrasound-guided puncture biopsy was adrenal paracocciodioidomycosis. Treatment is carried out with amphotericin B at a dose of 50 mg/day up to a cumulative dose of 1500 mg, with subsequent follow-up with itraconazole of 200 to 400 mg/day for a period of 6 to 12 months.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[paracoccidioidomicosis]]></kwd>
<kwd lng="es"><![CDATA[glándulas suprarrenales]]></kwd>
<kwd lng="es"><![CDATA[infecciones fúngicas invasoras]]></kwd>
<kwd lng="en"><![CDATA[paracoccidioidomycosis]]></kwd>
<kwd lng="en"><![CDATA[adrenal glands]]></kwd>
<kwd lng="en"><![CDATA[invasive fungal infections]]></kwd>
</kwd-group>
</article-meta>
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