Differentiated approach to the etiological diagnosis of acute diarrhea in children in the epidemic season 2020: clinical cases


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Background. Observation data on children with a verified diagnosis of COVID-19 indicate a fairly frequent presence of acute diarrhea (AD). Description of the clinical case. The article presents the features of the course and a differentiated approach to the etiological diagnosis of AD in children during the pandemic of the new coronavirus infection COVID-19 using clinical examples. The difficulties of clinical decoding of the etiology of the disease and the importance of laboratory examination of pediatric patients with AD in the current epidemiological season in order to verify the diagnosis and prescribe adequate treatment have been demonstrated. Conclusion. Thus, in the current and possibly in future epidemiological seasons, the problem of differential diagnosis of AD in children is of particular relevance, given the ability of the new SARS-CoV-2 virus to infect not only the respiratory system, but also the gastrointestinal tract. When establishing the etiology of AD in childhood, it is advisable to widely introduce into clinical practice PCR not only for the most common causative agents of AEI, but also for SARS-CoV-2 in feces.

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Sobre autores

Lyudmila Mazankova

Russian Medical Academy of Continuous Professional Education

Email: mazankova@list.ru
Department of Pediatric Infectious Diseases; Dr. Sci. (Med.), Professor, Head. Department of Pediatric Infectious Diseases 2/1, Barrikadnaya str., Moscow 125993, Russian Federation

T. Chebotareva

Russian Medical Academy of Continuous Professional Education

Department of Pediatric Infectious Diseases Moscow, Russia

S. Gorbunov

Russian Medical Academy of Continuous Professional Education

Department of Pediatric Infectious Diseases Moscow, Russia

A. Khamatova

Russian Medical Academy of Continuous Professional Education

Department of Pediatric Infectious Diseases Moscow, Russia

E. Kaurova

Z.A. Bashlyaeva Children's City Clinical Hospital

Moscow, Russia

M. Ermakova

Z.A. Bashlyaeva Children's City Clinical Hospital

Moscow, Russia

E. Rudikova

Z.A. Bashlyaeva Children's City Clinical Hospital

Moscow, Russia

N. Valts

Z.A. Bashlyaeva Children's City Clinical Hospital

Moscow, Russia

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