Clinical-Laboratory Characteristics of Patients With Extramural Pneumonia Against the Background of Flu A(h1n1)pdm09

Сергеева, И. В.; Demko, Iryna; Korchagin, E.Е.

doi:10.20333/2500136-2017-5-47-53

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…и др. удалось выявить микроорганизмы в мокроте у больных с вирусом гриппа А(H1N1) от 54,8 до 72% в зависимости от тяжести течения заболевания (преобладали S.pneumoniae, S.aureus, S.pyogenies и их ассоциации), а деструкции в ткани легкого были обнаружены у 11,5% [1]. Напротив, Li J. еt al.…”

Section: Introductionunclassified

Antibiotic-associated colitis in patients with COVID-19 – from imaging to diagnosis

Винокуров¹,

Никифорова

Oganesyan

et al. 2021

jour

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The purpose of the study. To identify the main CT signs of colon inflammatory in patients with COVID-19, to correlate the detected signs with clinical manifestations and therapy, as well as to assess the validity of prescribing antibacterial therapy in accordance with Temporary guidelines for the treatment of coronavirus infection.Materials and methods. The data of CT scans of the chest and medical records were analyzed in 30 patients with confirmed coronavirus infection, in whom changes in the colon wall appeared in dynamics at the scanning level during CT. Laboratory data indicators, prescribed therapy, the presence of combined diseases were evaluated.Results. According to CT data, in dynamics in all patients – circular thickening of the colon wall with loss of gaustration, thickening of the submucosal layer in 63,3%, in 93,3% – edema of paracolic fiber. Shifts in the laboratory parameters were noted at admission: leukocytosis in 16.6%, an increase in procalcitonin in 13,3%; leukocyturia, bacteriuria – in 20%. None of the patients had indications of abdominal symptoms at admission, in dynamics at least one abdominal/dyspeptic symptom appeared in 76,6%. Fecal analysis for C.difficile toxins was taken in 50% patients, in 60% the result is positive. All patients were prescribed antibiotics and other therapy in the first 1–3 days of hospitalization. In 53,3%, levofloxacin (per os) was prescribed in combination with protected generation III cephalosporin (intravenously).Conclusions. Shifts in colon with C.difficile colitis in patients with COVID-19 according to CT data are highly likely to reflect the appearance of a pathological process and necessarily require a conclusion. There was a fact of irrational prescription of antibacterial therapy. Clear criteria for prescribing antibiotics against the background of immunosuppressive therapy are needed.

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Section: Introductionunclassified

Antibiotic-associated colitis in patients with COVID-19 – from imaging to diagnosis

Винокуров¹,

Никифорова

Oganesyan

et al. 2021

jour

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Clinical and radiological variants of lung damage in the infection caused by staphylococcus aureus

Винокуров

Сергеевич²,

Smirnova

et al. 2021

Journal of Clinical Practice

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Despite the high level of modern technologies in the field of laboratory methods and imaging of the respiratory system, the problem of early and accurate differential diagnosis of inflammatory lung diseases remains important in practical medicine. It leads to improved treatment results and a reduction in the number of complications (pleural empyema, fistulas, mediastinitis, sepsis, etc.), and in some cases allows to suspect the presence of a primary purulent source in the body, as in the case of septic pulmonary embolism. The review examines the features of S. aureus as a pathogen of lung diseases, relevant epidemiology, pathogenesis, clinical features and imaging diagnostics of various types of inflammatory changes in the lungs with a focus on destruction.

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Clinical-Laboratory Characteristics of Patients With Extramural Pneumonia Against the Background of Flu A(h1n1)pdm09

Cited by 2 publications

References 2 publications

Antibiotic-associated colitis in patients with COVID-19 – from imaging to diagnosis

Antibiotic-associated colitis in patients with COVID-19 – from imaging to diagnosis

Clinical and radiological variants of lung damage in the infection caused by staphylococcus aureus

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