Lavrenyuk Vladimir Valerievich (Postgraduate, FGBOU VO "Pacific Vladivostok Medical University" of Ministry of health of the Russian Federation; Infectious disease doctor, pulmonologist, phthisiatrician, Khorol central regional hospital)
Simakova Anna Ivanovna (Professor, chief freelance infectious disease specialist of the Far Eastern Federal District; Federal State Budgetary Educational Institution of Higher Education "Pacific Vladivostok Medical University" of the Ministry of Health of the Russian Federation)
Li Irina Valerievna (infectious disease physician, Regional State Budgetary Healthcare Institution "Ussuriysk Central City Hospital")
Kovalevskoy Leonid Olegovich (Therapist, Regional State Budgetary Healthcare Institution "Ussuriysk Central City Hospital")
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The article presents a clinical observation of a 60-year-old patient with the development of bilateral pneumonia against the background of a new coronavirus infection COVID-19. The absence of a burdened epidemiological history, repeated negative results when examining a throat swab for SARS-CoV-2 RNA did not allow to determine the presence of COVID-19 infection in the hospital. During outpatient observation of the patient, an increase in the titer of antibodies to SARS-CoV-2, characteristic changes in the lungs according to multispiral computed tomography of the chest cavity organs in combination with the typical clinical picture of the disease made it possible to establish the diagnosis of pneumonia associated with COVID-19. The given clinical observation demonstrates the difficulties of differential diagnosis of pneumonia in real clinical practice and emphasizes the need for further outpatient observation of the patient with regular clinical, laboratory and instrumental monitoring, which in this case made it possible to establish the diagnosis of postponed COVID-19-associated pneumonia.
Keywords:coronavirus, COVID-19, pneumonia, SARS-CoV-2, diagnostics.
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Citation link:
Lavrenyuk V. V., Simakova A. I., Li I. V., Kovalevskoy L. O. Clinical case of diagnosis of pneumonia associated with the new covid‑19 coronavirus infection // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2020. -№12. -С. 198-203 DOI 10.37882/2223-2966.2020.12.15 |
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