<?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>0120-8705</journal-id>
<journal-title><![CDATA[CES Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[CES Med.]]></abbrev-journal-title>
<issn>0120-8705</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87052021000200175</article-id>
<article-id pub-id-type="doi">10.21615/cesmedicina.6014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El reto del diagnóstico en síndrome de embolia grasa]]></article-title>
<article-title xml:lang="en"><![CDATA[The challenge of fat embolism syndrome diagnosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sierra-Vargas]]></surname>
<given-names><![CDATA[Elsy Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Rosero]]></surname>
<given-names><![CDATA[Jaime Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pablo Tobón Uribe  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>35</volume>
<numero>2</numero>
<fpage>175</fpage>
<lpage>184</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87052021000200175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87052021000200175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87052021000200175&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El síndrome de embolia grasa es una complicación inusual del trauma ortopédico. Las manifestaciones clínicas son inespecíficas y no hay una prueba diagnóstica de oro, por lo que se debe tener un alto índice de sospecha. Se describen cuatro pacientes quienes, luego de presentar fractura de huesos largos, se complicaron con síndrome de embolia grasa. La manifestación común en todos ellos fue la hipoxemia. Los hallazgos más frecuentes en la tomografía de tórax fueron opacidades en vidrio esmerilado, compromiso del pulmón derecho y de los lóbulos inferiores y derrame pleural laminar. La evolución clínica fue satisfactoria en tres pacientes; el cuarto presentó extenso compromiso pulmonar, requirió ventilación mecánica invasiva y tuvo una hospitalización prolongada. Ningún paciente falleció ni quedó con secuelas. Esta es la primera serie de casos en Colombia que muestra el comportamiento clínico e imagenológico de pacientes con síndrome de embolia grasa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Fat embolism syndrome is an unusual complication of orthopedic trauma. The clinical manifestations are non-specific and there is no gold standard diagnostic test, so a high index of suspicion is required. Four patients are described who after presenting long bone fracture were complicated with fat embolism syndrome. The common manifestation in all of them was hypoxemia. The most frequent findings in chest tomography were ground-glass opacities, involvement of the right lung and lower lobes, and laminar pleural effusion. The clinical evolution was satisfactory in three patients; the fourth had extensive pulmonary involvement, required invasive mechanical ventilation and had a prolonged hospitalization. None of the patients died or had sequelae. This is the first case series in Colombia showing the clinical and imaging behavior of patients with fat embolism síndrome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embolia grasa]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de embolia grasa]]></kwd>
<kwd lng="es"><![CDATA[Hipoxia]]></kwd>
<kwd lng="es"><![CDATA[Traumatismo múltiple.]]></kwd>
<kwd lng="en"><![CDATA[Fat embolism]]></kwd>
<kwd lng="en"><![CDATA[Fat embolism syndrome]]></kwd>
<kwd lng="en"><![CDATA[Hypoxia]]></kwd>
<kwd lng="en"><![CDATA[Multiple trauma]]></kwd>
</kwd-group>
</article-meta>
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