<?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>0124-0064</journal-id>
<journal-title><![CDATA[Revista de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud pública]]></abbrev-journal-title>
<issn>0124-0064</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-00642023000200013</article-id>
<article-id pub-id-type="doi">10.15446/rsap.v25n2.103211</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sospecha de hipersensibilidad probablemente relacionada con el uso de morfina: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Suspected hypersensitivity probably related to the use of morphine: A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[De las Salas]]></surname>
<given-names><![CDATA[Roxana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Morales]]></surname>
<given-names><![CDATA[Gregorio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borja-González]]></surname>
<given-names><![CDATA[Juana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orta-Visbal]]></surname>
<given-names><![CDATA[Kevin A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarado-Guerra]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[De la Hoz Santander]]></surname>
<given-names><![CDATA[Donaldo E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Norte Departamento de Enfermería ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Norte Departamento de Enfermería ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Norte Departamento de Enfermería ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad del Norte Departamento de Enfermería ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Universidad del Norte Servicio Farmacéutico ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad del Atlántico  ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<volume>25</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-00642023000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-00642023000200013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-00642023000200013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se presenta el caso de un paciente masculino de 46 años. Este ingresó al servicio de urgencias con un cuadro clínico de una hora de evolución caracterizado por dolor torácico opresivo de intensidad 10/10 según la escala análoga del dolor. Después de la valoración y frente a los hallazgos electrocardiográficos y de laboratorio, se diagnosticó al paciente con infarto agudo de miocardio con elevación del ST, además, se sospechó de disección aórtica y de una emergencia hipertensiva a órgano blanco corazón debido al intenso dolor precordial y las cifras tensionales de 230/120 mmHg. Dentro del esquema terapéutico, se indicaron 3 mg de morfina intravenosa diluida en 10 ml de solución salina 0,9%. Después de la administración, el paciente presentó sospecha de hipersensibilidad. Por ende, se realizó una evaluación de sospecha de evento adverso utilizando el algoritmo de Naranjo y se estableció que los efectos de morfina eran plausibles (categoría probable).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The case of a 46-year-old male patient is presented. He was admitted to the emergency department with a clinical picture of oppressive chest pain of 10/10 intensity on the pain analog scale, which had been evolving for one hour. After evaluation and based on electrocardiographic and laboratory findings, the patient was diagnosed with acute myocardial infarction with st elevation. Additionally, aortic dissection and hypertensive emergency with end-organ damage to the heart were suspected due to intense precordial pain and blood pressure readings of 230/120 mmHg. As part of the therapeutic approach, 3 mg of intravenous morphine diluted in 10 ml of 0.9 % saline solution were administered. Following administration, the patient exhibited suspected hypersensitivity. Therefore, a suspected adverse event assessment was performed using the Naranjo algorithm, and it was established that the effects of morphine were plausible (category probable).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Morfina]]></kwd>
<kwd lng="es"><![CDATA[efectos colaterales y reacciones adversas relacionados con medicamentos]]></kwd>
<kwd lng="es"><![CDATA[hipersensibilidad]]></kwd>
<kwd lng="es"><![CDATA[farmacovigilancia (fuente: DeCS, BIREME)]]></kwd>
<kwd lng="en"><![CDATA[Morphine]]></kwd>
<kwd lng="en"><![CDATA[drug-related side effects and adverse reactions]]></kwd>
<kwd lng="en"><![CDATA[hypersensitivity]]></kwd>
<kwd lng="en"><![CDATA[pharmacovigilance (source]]></kwd>
<kwd lng="en"><![CDATA[MeSH, NLM)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</article>
