Сourse features of a new coronavirus infection in a comorbid patient

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The appearance of a new coronavirus infection (COVID-19) in 2020 caused by the SARS-CoV-2 virus set tasks for doctors of various specialties to quickly diagnose, treat, and develop effective rehabilitation measures. The medical community’s knowledge about the respiratory tract lesions pathogenesis course in COVID-19 is going to improve, but the key accents placement in understanding this pathology course continues today. Suspected SARS-CoV-2 virus reference points are as follows: vascular endothelial dysfunction, coagulopathy, thrombosis resembling the antiphospholipid syndrome. Treatment is carried out in accordance with general recommendations aimed at the average patient despite the higher secondary infectious complications risk in patients suffering from cancer and a high severe COVID-19 risk. A successful inpatient treatment experience in patients suffering from comorbid pulmonary pathology and a new coronavirus infection is demonstrated on a separate example. The treatment duration and the complexity of selecting a rehabilitation measures course were due to the patient's history of central squamous cell lung cancer, surgical intervention (bilobectomy), radio- and chemotherapy, as well as complications in the form of pulmonary embolism. The concomitant respiratory pathology was differentiated (chronic obstructive pulmonary disease) during examination and treatment and basic therapy was selected, which made the medical rehabilitation stage more effective. The patient's condition required a more careful selection of combined anti-inflammatory, broncholytic, mucolytic, and antibacterial therapy than in patients without concomitant pathology. Treatment and a complex of rehabilitation measures, normalization of respiratory function, compensation for concomitant bronchopulmonary pathology was possible to be achieves as a result of the diagnosis of concomitant bronchopulmonary pathology. Careful diagnostic search and optimal treatment of all somatic pathology are important factors in the selection of adequate therapy for elderly patients suffering from coronavirus infection with comorbid pulmonary pathology.

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作者简介

Mihail Kharitonov

Military Medical Academy of S.M. Kirov

Email: micjul11@yandex.ru
ORCID iD: 0000-0002-6521-7986
SPIN 代码: 7678-2278

Doctor of Medical Sciences

俄罗斯联邦, Saint Petersburg

Vladimir Ivanov

Military Medical Academy of S.M. Kirov

Email: sea-89@yandex.ru
SPIN 代码: 1736-8285

Candidate of Medical Sciences

俄罗斯联邦, Saint Petersburg

Sergey Grishaev

Military Medical Academy of S.M. Kirov

Email: grishaev_med@mail.ru
ORCID iD: 0000-0002-4830-5220
SPIN 代码: 3854-1566

Doctor of Medical Sciences

俄罗斯联邦, Saint Petersburg

Olga Maltseva

Military Medical Academy of S.M. Kirov

Email: vmeda-nio@mil.ru
ORCID iD: 0000-0002-3131-9204
SPIN 代码: 8699-2511

Pulmonologist

俄罗斯联邦, Saint Petersburg

Elena Bulka

Military Medical Academy of S.M. Kirov

Email: elena.l-saburova@yandex.ru
ORCID iD: 0000-0001-9782-4599
SPIN 代码: 9209-7789

Residency Student

俄罗斯联邦, Saint Petersburg

Kirill Bulka

Military Medical Academy of S.M. Kirov

编辑信件的主要联系方式.
Email: visoret@list.ru
ORCID iD: 0000-0002-8871-0335
SPIN 代码: 2831-2165

Candidate of Medical Sciences

俄罗斯联邦, Saint Petersburg

参考

  1. Zaykovskaya AV, Gladysheva AV, Kartashov MYu, et al. In vitro study of Biological Properties of SARS-CoV-2 Coronavirus Strains Related to Various Genetic Variants. Problems of Particularly Dangerous Infections. 2022;(1):94–100. (In Russ.). doi: 10.21055/0370-1069-2022-1-94-100
  2. Gavrilov DV, Kirilkina AV, Serova LM. Algorithm for forming a suspicion of a new coronavirus infection based on the analysis of symptoms for use in medical decision support systems. Medical Doctor and IT. 2020;(4):51–58. (In Russ.). doi: 10.37690/1811-0193-2020-4-51-58
  3. Kryukov EV, Trishkin DV, Salukhov VV, et al. A Prospective Multicenter Randomized Study State of Humoral Immunity after a New Coronavirus Infection (COVID-19) of a Mild or Asymptomatic Course. Annals of the Russian Academy of Medical Sciences. 2021;76(4):361–367. (In Russ.). doi: 10.15690/vramn1582
  4. Zhdanov KV, Kozlov KV, Bulankov YI, et al. Optimization of diagnosis of SARS-CoV-2 infection using polymerase chain reaction in a large multi-specialty hospital. Bulletin of the Russian Military Medical Academy. 2020;70(2):7–10. (In Russ.). doi: 10.17816/brmma.02
  5. Kryukov EV, Trishkin DV, Ivanov AM, et al. Comparative Cohort Epidemiological Study of Collective Immunity against New Coronavirus Infection among Different Groups of Military Personnel. Annals of the Russian Academy of Medical Sciences. 2021;76(6): 661–668. (In Russ.). doi: 10.15690/vramn1583
  6. Kryukov EV, Shulenin KS, Cherkashin DV, et al. Patogenez i klinicheskie proyavleniya porazheniya serdechno-sosudistoi sistemy u patsientov s novoi koronavirusnoi infektsiei (COVID–19): uchebnoe posobie. Saint Petersburg: Veda Print, 2021. 36 p. (In Russ.).
  7. Ivchenko EV, Kotiv BN, Ovchinnikov DV, Bucenko SA. Results of the work of the Military Medical Academy Research Institute of novel coronavirus infection problems through 2020–2021. Bulletin of the Russian Military Medical Academy. 2021;23(4):93–104. (In Russ.). doi: 10.17816/brmma83094
  8. Salukhov VV, Kryukov EV, Chugunov AA, et al. The role and place of glucocorticosteroids in treatment of COVID-19 pneumonia without hypoxemia. Medical Council. 2021;(12):162–172. (In Russ.). doi: 10.21518/2079-701X-2021-12-162-172
  9. Trishkin DV, Kryukov EV, Frolov DV, et al. Physical rehabilitation of patients with a new coronavirus infection SARS-CoV-2 (COVID-19) in a hospital. Russian Military Medical Journal. 2020;341(9):13–19. (In Russ.). doi: 10.17816/RMMJ82354

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