<?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>S1139-76322021000100012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Metahemoglobinemia secundaria a aplicación de un anestésico tópico (EMLA)]]></article-title>
<article-title xml:lang="en"><![CDATA[Methemoglobinemia secondary to application of a topical anesthetic (EMLA)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiñones Coneo]]></surname>
<given-names><![CDATA[Kary Leonisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvajal del Castillo]]></surname>
<given-names><![CDATA[Olga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bello Gutiérrez]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pulido Ovalle]]></surname>
<given-names><![CDATA[Erika]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caro Gutiérrez]]></surname>
<given-names><![CDATA[Mª Dolores]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Rey Juan Carlos Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[Móstoles Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Rey Juan Carlos Servicio de Dermatología ]]></institution>
<addr-line><![CDATA[Móstoles Madrid]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>23</volume>
<numero>89</numero>
<fpage>79</fpage>
<lpage>81</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322021000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322021000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322021000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[ Resumen La metahemoglobinemia es un síndrome clínico que se produce por la oxidación del hierro de la hemoglobina impidiendo su adecuada unión al oxígeno, de forma que existe dificultad por parte de los glóbulos rojos tanto para captar el oxígeno, como para cederlo a los tejidos ocasionando hipoxia tisular. Describimos el caso de una paciente que presentó síntomas neurológicos y metahemoglobinemia como reacción adversa por contacto con crema de anestésico tópico (EMLA).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ Abstract Methemoglobinemia is a clinical syndrome secondary to the oxidation of iron in hemoglobin, preventing its adequate binding to oxygen. Subsequently, red blood cells are unable to appropriately capture oxygen and deliver it to the tissues, causing hypoxia. We describe a case of a patient who presented neurological symptoms in the context of methemoglobinemia as an adverse reaction to the administration of EMLA.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Anestésico local]]></kwd>
<kwd lng="es"><![CDATA[Convulsión]]></kwd>
<kwd lng="es"><![CDATA[Metahemoglobinemia]]></kwd>
<kwd lng="en"><![CDATA[Local anesthetic]]></kwd>
<kwd lng="en"><![CDATA[Methemoglobinemia]]></kwd>
<kwd lng="en"><![CDATA[Seizure]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</back>
</article>
