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Author Information Corresponding Author: Cristian Alfonso Galarza Snchez Department of Internal Medicine Clnica Abendao, Loja, Ecuador Email: [email protected] Co-Authors: Yulissa Michelle Chocho Gutirrez Department of General Medicine Clnica Sanus, Ecuador Marjorie Salome Cevallos Esparza General Practitioner (Hospital Functions) Solca Hospital, Loja, Ecuador Joel Asdrbal Rodrguez Gutirrez Department of Family Medicine Mexican Institute of Social Security (IMSS, Mxico) Carlos Fernando Chuchuca Pardo General Practitioner (Hospital Functions) Jos Carrasco Arteaga Specialty Hospital, Ecuador Wilman Roberto Uchuari Lalangui General Practitioner Clnica Sanus, Ecuador Authors Contributions Yulissa Michelle Chocho Gutirrez participated in the clinical care of the patient, data collection, and initial drafting of the manuscript

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