Acute intestinal infection of uncertain etiology, complicated by the development of sepsis (clinical case)

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Abstract

A clinical case of acute intestinal infection unspecified etiology complicated by the development of sepsis, multiple organ failure syndrome in a 29-year-old patient is presented. Despite a wide range of diagnostic and treatment options, the problem of acute intestinal infection remains relevant due to high morbidity and significant frequency of severe forms of infection. The gastrointestinal tract plays a central role in the pathogenesis of multiple organ dysfunction. Providing selective permeability, the intestinal barrier limits the systemic absorption of intraluminal microorganisms and it's toxins. Increased permeability of the intestinal barrier can cause generalization of the infectious and inflammatory process. Given the pathophysiology of acute intestinal infections and the development of septic complications, there is a need to use sensitive and non-invasive biomarkers of early disruption of the intestinal barrier in routine clinical practice for timely detection and treatment of patients with intestinal barrier dysfunction at risk of developing multiple organ dysfunction syndrome.

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About the authors

T. A. Igityan

Peoples' Friendship University of Russia named after Patrice Lumumba; Infectious Diseases Clinical Hospital No.1 of the Moscow City Health Department

Email: olgaburgasova@mail.ru
ORCID iD: 0009-0000-4257-3243
SPIN-code: 2608-5422
Russian Federation, Moscow; Moscow

O. A. Burgasova

Peoples' Friendship University of Russia named after Patrice Lumumba; N.F. Gamaleya National Research Center for Epidemiology and Microbiology, Ministry of Health of Russia; Infectious Diseases Clinical Hospital No.1 of the Moscow City Health Department

Author for correspondence.
Email: olgaburgasova@mail.ru
ORCID iD: 0000-0002-5486-0837
SPIN-code: 5103-0451

Professor, MD

Russian Federation, Moscow; Moscow; Moscow

M. G. Kulagina

Russian University of Medicine, Ministry of Health of Russia

Email: olgaburgasova@mail.ru
ORCID iD: 0000-0003-2587-4911
SPIN-code: 1854-8601

Associate Professor, Candidate of Medical Sciences

Russian Federation, Moscow

А. K. Tokmalaev

Peoples' Friendship University of Russia named after Patrice Lumumba

Email: olgaburgasova@mail.ru
ORCID iD: 0000-0001-7046-0799
SPIN-code: 1650-0831

Professor, MD

Russian Federation, Moscow

V. B. Tetova

Peoples' Friendship University of Russia named after Patrice Lumumba

Email: olgaburgasova@mail.ru
ORCID iD: 0000-0002-4007-7622
SPIN-code: 3428-5987

Associate Professor, Candidate of Medical Sciences

Russian Federation, Moscow

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