<?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>S1139-76322020000100012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Leishmaniasis cutáneo-visceral, sospecharla para diagnosticarla]]></article-title>
<article-title xml:lang="en"><![CDATA[Leishmaniasis cutaneous-visceral, suspect it to diagnose it]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palomares Gimeno]]></surname>
<given-names><![CDATA[Mª José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segura Navas]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Renau Solaz]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bueno Claros]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud Gran Vía  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Castellón Servicio de Urgencias ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Consultorio Auxiliar Benicasim  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>22</volume>
<numero>85</numero>
<fpage>49</fpage>
<lpage>53</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322020000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322020000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322020000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen En los últimos 25 años se ha producido un aumento global de casos de leishmaniasis. Se postula que el cambio climático, el aumento global de la temperatura, las migraciones masivas del campo a la ciudad y los proyectos agroindustriales (creación de pantanos, sistemas de riego, formación de pozos...) potencian la aparición de reservorios de mosquitos flebotomos, que son los vectores de esta enfermedad. Cabe destacar que en la Comunidad Valenciana, zona endémica, la tasa de incidencia ha sufrido un aumento considerable en los últimos años. Describimos a un paciente de dos años que presenta cuadro clínico y analítico compatible con leishmaniasis visceral (fiebre, esplenomegalia y pancitopenia) con el antecedente, varios meses antes, de leishmaniasis cutánea. Existen pocos casos en la literatura médica que describan una afectación cutánea y visceral concomitante, hecho que otorga importancia a nuestro caso. La inmadurez de la respuesta inmune celular a esa edad podría ser la causa de esta forma de presentación atípica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract In the last 25 years there has been a global increase in cases of leishmaniasis. It is postulated that climate change, global increase in temperature, massive migrations from the countryside to the city and agro-industrial projects (creation of swamps, irrigation systems, water well formation...) enhance the emergence of reservoirs of sand-fly mosquitoes, which are the vectors of this disease. It should be noted that in the Valencian Community, an endemic area, the incidence rate has suffered a considerable increase in recent years. We describe a 2-year-old patient who presented clinical and analytical findings compatible with visceral leishmaniasis (fever, splenomegaly and pancytopenia), with the antecedent, several months before, of a cutaneous leishmaniasis. There are few cases in the literature that describe concomitant cutaneous and visceral leishmaniasis, a fact that gives importance to our case. The immaturity of the cellular immune response at that age could be the cause of this atypical presentation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Leishmaniasis cutánea]]></kwd>
<kwd lng="es"><![CDATA[Leishmaniasis visceral]]></kwd>
<kwd lng="en"><![CDATA[Cutaneous leishmaniasis]]></kwd>
<kwd lng="en"><![CDATA[Visceral leishmaniasis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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