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del tercio medio del antepi&#233;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#44; se confirm&#243; el diagn&#243;stico con una RMN &#40;<a class="elsevierStyleCrossRef" href="#fig0010">fig&#46; 2</a>&#41;&#46; Iniciado el tratamiento antibi&#243;tico con vancomicina desde el primer momento&#44; se realiz&#243; una limpieza quir&#250;rgica al segundo d&#237;a&#44; dren&#225;ndose 12<span class="elsevierStyleHsp" style=""></span>cc de l&#237;quido de aspecto purulento en el que se identific&#243; una cepa silvestre de <span class="elsevierStyleItalic">Staphyloccocus aureus</span>&#44; que coincidi&#243; con los resultados de los hemocultivos&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">La tenosinovitis infecciosa del pie se presenta con mayor frecuencia a nivel de los flexores plantares y se relaciona con la perforaci&#243;n tegumentaria por cuerpos extra&#241;os<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#44; 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adem&#225;s&#44; valorar la existencia de compromiso &#243;seo<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#44;7</span></a>&#46; El tratamiento antibi&#243;tico debe instaurarse ante la sospecha&#44; aunque la duraci&#243;n y v&#237;a de administraci&#243;n es heterog&#233;nea en los escasos reportes de casos similares<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#8211;10</span></a>&#46; En nuestra opini&#243;n el compromiso sist&#233;mico justifica el manejo antibi&#243;tico intravenoso&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Responsabilidades &#233;ticas</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protecci&#243;n de personas y animales</span><p id="par0025" class="elsevierStylePara elsevierViewall">Los autores declaran que para esta investigaci&#243;n no se han realizado experimentos en seres humanos ni en animales&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidencialidad de los datos</span><p id="par0030" class="elsevierStylePara elsevierViewall">Los autores declaran que han seguido los protocolos de su centro de trabajo sobre la publicaci&#243;n de datos de pacientes y que todos los pacientes incluidos en el estudio han recibido informaci&#243;n suficiente y han dado su consentimiento informado por escrito para participar en dicho estudio&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Derecho a la privacidad y consentimiento informado</span><p id="par0035" class="elsevierStylePara elsevierViewall">Los autores han obtenido el consentimiento informado de los pacientes y&#47;o sujetos referidos en el art&#237;culo&#46; 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