<?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>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322019000200016</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tos, hipoxemia y dificultad respiratoria en el periodo neonatal. No siempre es lo que parece]]></article-title>
<article-title xml:lang="en"><![CDATA[Cough, respiratory distress and hypoxemia in neonatal period. It is not always what it seems]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díez de los Ríos Quintanero]]></surname>
<given-names><![CDATA[Blanca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rasines Rodríguez]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Movilla]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Malalana Martínez]]></surname>
<given-names><![CDATA[Ana Mª]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martos Sánchez]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Puerta de Hierro MIR-Pediatría ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Puerta de Hierro Unidad de Neonatología Servicio de Pediatría]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Puerta de Hierro Servicio de Pediatría Urgencias Pediátricas]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>21</volume>
<numero>82</numero>
<fpage>e81</fpage>
<lpage>e85</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322019000200016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322019000200016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322019000200016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La dificultad respiratoria en el periodo neonatal tardío constituye un reto pediátrico no solo diagnóstico, sino de tratamiento, ya que a las múltiples causas del cuadro se deben sumar los factores inherentes a la propia vulnerabilidad del niño. En la práctica habitual, la principal causa de estos cuadros son las infecciones (fundamentalmente víricas), aunque se deben tener en cuenta otras etiologías como cardiológicas, digestivas, metabólicas o anatómicas. Presentamos un caso clínico de tos, dificultad respiratoria e hipoxemia en un neonato de 17 días de vida en el que los datos de la anamnesis, la exploración y el cuadro clínico condujeron a la realización de pruebas complementarias específicas que llevaron al diagnóstico de neumonía por Chlamydia . Realizaremos asimismo una revisión sobre el estado actual de la cuestión basándonos en el cuadro clínico que presentaba el recién nacido.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Respiratory distress in the late neonatal period is a challenge for the pediatrician, not only in diagnosis but also in treatment, as the inherent factors of the child´s vulnerability must be added to the multiple possible etiologies. In practice, viral infections are responsible for a high percentage of these conditions. However, other etiologies such as cardiologic, digestive, metabolic or anatomical causes must be taken into account. We introduce a case report of a 17-day-old neonate with cough, respiratory distress and hypoxemia. The anamnesis, physical examination and clinical findings led to specific complementary tests. All these conduced to the diagnosis of pneumonia caused by Chlamydia . We also perform a review of the current state of the knowledge, based on the clinical condition presented on the neonate.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Recién nacido]]></kwd>
<kwd lng="es"><![CDATA[Dificultad respiratoria]]></kwd>
<kwd lng="es"><![CDATA[Neumonía]]></kwd>
<kwd lng="es"><![CDATA[Chlamydia sp]]></kwd>
<kwd lng="es"><![CDATA[Hipoxemia]]></kwd>
<kwd lng="en"><![CDATA[Chlamydia sp]]></kwd>
<kwd lng="en"><![CDATA[Hypoxemia]]></kwd>
<kwd lng="en"><![CDATA[Newborn]]></kwd>
<kwd lng="en"><![CDATA[Pneumonia]]></kwd>
<kwd lng="en"><![CDATA[Respiratory distress]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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