<?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>1135-7606</journal-id>
<journal-title><![CDATA[Cuadernos de Medicina Forense]]></journal-title>
<abbrev-journal-title><![CDATA[Cuad. med. forense]]></abbrev-journal-title>
<issn>1135-7606</issn>
<publisher>
<publisher-name><![CDATA[Asociación de Médicos Forenses de Andalucía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1135-76062017000100035</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Shock séptico por Streptococcus pyogenes en un niño. ¿Es posible el diagnóstico en patología forense?]]></article-title>
<article-title xml:lang="en"><![CDATA[Septic shock by Streptococcus pyogenes in a child. Is diagnosis possible in forensic pathology?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sibón Olano]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Rodríguez]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrera Pérez]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soriano Maldonado]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Rodríguez]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moro Cárdenas]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Medicina Legal de Cádiz Servicio de Patología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Toxicología y Ciencias Forenses  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Toxicología y Ciencias Forenses Servicio de Histopatología ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>23</volume>
<numero>1-2</numero>
<fpage>35</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1135-76062017000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1135-76062017000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1135-76062017000100035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El shock séptico es el final de numerosos procesos infecciosos que ponen en peligro la vida y que son catalogados como muertes súbitas, de mayor repercusión legal en niños y adultos jóvenes, por lo que son objeto de autopsias forenses. Normalmente son consecuencia de patógenos que en general producen enfermedades leves, pero que en determinadas circunstancias pueden evolucionar a cuadros graves que terminan en el fallecimiento y pueden plantear problemas médico-legales, sobre todo en su detección y diagnóstico. Presentamos el caso de un varón de 20 meses de edad que, tras un cuadro banal de herida en el pie, evolucionó hasta shock séptico y fallecimiento a consecuencia de sepsis por Streptococcus pyogenes, como se evidenció en estudios complementarios especiales post mortem con los que no está familiarizado el patólogo forense]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Septic shock is the final common route of numerous life-threatening infectious processes, which are classified as sudden deaths of major legal repercussion in children and young adults and are the subject of forensic autopsies. They are usually the result of pathogens that usually have mild and banal diseases, but in certain circumstances can evolve into severe conditions that end in death and can pose medical problems, especially in detection and diagnosis. We present the case of a 20-month-old male who, after a common foot injury, evolved to septic shock and death as a consequence of streptococcus pyogenes sepsis, as evidenced in special postmortem studies with which the forensic pathologist is unfamiliar.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Shock séptico]]></kwd>
<kwd lng="es"><![CDATA[Sepsis]]></kwd>
<kwd lng="es"><![CDATA[Streptococcus pyogenes]]></kwd>
<kwd lng="es"><![CDATA[Fascitis necrotizante]]></kwd>
<kwd lng="en"><![CDATA[Septic shock]]></kwd>
<kwd lng="en"><![CDATA[Sepsis]]></kwd>
<kwd lng="en"><![CDATA[Streptococcus pyogenes]]></kwd>
<kwd lng="en"><![CDATA[Necrotizing fascitis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mitchell]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cotran]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trastornos hemodinámicos, trombosis y shock]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Cotran]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Robbins]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Patología humana]]></source>
<year>2004</year>
<edition>7</edition>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pumarola]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Streptococcus]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Pumarola]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Torres]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[García Rodríguez]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Piédrola Angulo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Microbiología y parasitología médica]]></source>
<year>1992</year>
<edition>2</edition>
<publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Masson]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zárate]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Tejada]]></surname>
<given-names><![CDATA[GG]]></given-names>
</name>
<name>
<surname><![CDATA[Tejedor]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sanjur]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedad severa invasiva por estreptococo B hemolítico grupo A]]></article-title>
<source><![CDATA[Pediátr Panamá]]></source>
<year>2005</year>
<volume>34</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>76-81</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cañas]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[González-Castro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Miñambres]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Shock séptico estreptocócico asociado a lesión cutánea aislada]]></article-title>
<source><![CDATA[Revista Chilena de Medicina Intensiva]]></source>
<year>2006</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>83-6</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez Lorenzo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Midón Míguez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Martelo Villar]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome del shock tóxico estreptocócico tras fascitis necrotizante por estreptococo pyogenes]]></article-title>
<source><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></source>
<year>2007</year>
<volume>33</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>25762</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández-Rodríguez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lucena]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Van de Voorde]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Angelini]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ziyade]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[How to optimise the yield of forensic and clinical post-mortem microbiology with an adequate sampling a proposal for standardisation]]></article-title>
<source><![CDATA[Eur J Clin Microbiol Infect Dis]]></source>
<year>2015</year>
<volume>34</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1045-57</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<collab>Ministerio de Justicia</collab>
<article-title xml:lang=""><![CDATA[Orden JUS/1291/2010, de 13 de mayo, por la que se aprueban las normas para la preparación y remisión de muestras objeto de análisis por el Instituto Nacional de Toxicología y Ciencias Forenses]]></article-title>
<source><![CDATA[BOE 2010]]></source>
<year>2010</year>
<numero>122</numero>
<issue>122</issue>
<page-range>43476-80</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
