Статья

Community-acquired pneumonia in children in the era of the COVID-19 pandemic. What has changed?

O. Zaytseva, S. Zaytseva, E. Lokshina, D. Khaspekov, N. Tkachenko, N. Sholokhova, E. Kulikova, K. Simonovskaya, A. Tomilova, A. Barkinkhoev, T. Belyaeva,
2021

During COVID-19 pandemic the issue of diagnosis and rational therapy of community-acquired pneumonia in children became acute. This is caused by difficulties in verification of the diagnosis of community-acquired pneumonia in the outpatient department, peculiarities of interpretation of the respiratory system lesions. The article presents clinical cases of communityacquired pneumonia in children admitted to the pulmonology department of a pediatric hospital. Clinical case 1. 5-year-old child, medical history: acutely fell ill, on 28.11.20, had a sore throat and fever up to 39.0 C. Received Kagocel, Miramistin, Nurofen. PCR for COVID-19 on 08.12.20 was positive, on 18.12.2020, 22.12.2020, 20.01.2021 - negative. Immunoassay (ELISA) on 12.23.20: IgM - 4.47, IgG - 255.25. Lung and pleural cavity ultrasound: echo signs of sharply pronounced interstitial syndrome, massive fibrinothorax on both sides, indirect signs of bronchopleural fistulas; lung radiography: bilateral polysegmental pneumonia, bilateral hydrothorax, bilateral fibrinothorax, with no marked progression; CT scan with IV contrast: CT picture of hydrothorax on the left, hydropneumothorax on the right, pleurisy on both sides, compression atelectasis of lower lobe segments of both lungs. With no marked progression. Treatment. Thoracentesis; antibiotic therapy, antimycotics, infusion therapy, immunotherapy, partial parenteral nutrition. Against the background of the therapy, positive dynamics was obtained. Clinical examples are also given: an 8-year-old child with suspected new coronavirus infection and a 5-year-old child with bilateral polysegmental pneumonia.

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  • 1. Version of Record от 2021-01-01

Метаданные

Об авторах
  • O. Zaytseva
    A.I. Yevdokimov Moscow State University of Medicine and Dentistry
  • S. Zaytseva
    A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Federal Medical and Biological Agency
  • E. Lokshina
    A.I. Yevdokimov Moscow State University of Medicine and Dentistry
  • D. Khaspekov
    Children’s State Hospital of St. Vladimir
  • N. Tkachenko
    Children’s State Hospital of St. Vladimir
  • N. Sholokhova
    A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Children’s State Hospital of St. Vladimir
  • E. Kulikova
    A.I. Yevdokimov Moscow State University of Medicine and Dentistry
  • K. Simonovskaya
    A.I. Yevdokimov Moscow State University of Medicine and Dentistry
  • A. Tomilova
    Federal Medical and Biological Agency
  • A. Barkinkhoev
    Children’s State Hospital of St. Vladimir
  • T. Belyaeva
    Children’s State Hospital of St. Vladimir
Название журнала
  • Meditsinskiy Sovet
Том
  • 2021
Выпуск
  • 1
Страницы
  • 214-219
Номер гранта
  • undefined
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC BY
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus