Coronaviral infection

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Abstract

Coronavirus infection (CVI) is a group of acute ubiquitous infectious diseases known since the 60s 19 century. The clinical picture of CVI is characterized by damage to the respiratory system from mild forms of acute respiratory viral infection to the development of a severe acute respiratory syndrome, as well as involvement of other organs in the pathological process of the gastrointestinal tract. For a long time, coronaviruses were not given attention, since it was believed that they were able to cause only mild respiratory diseases. It is known that children and adolescents are less susceptible to infection than adults. In the etiological structure of acute respiratory viral infections among hospitalized children, coronaviruses account for 6–9%. The introduction of multiplex polymerase chain reaction (PCR) with the inclusion of coronaviruses in practice has shown their role in the occurrence of severe diseases of the lower respiratory tract. Since 2002, outbreaks of coronavirus infection caused by previously unknown pathogens (SARS-CoV, MERS-CoV, SARS-CoV-2) have been observed in the world. New coronaviruses have genetic features and are relatively highly resistant in the environment. The diseases they cause are distinguished by the predominance of severe forms with high mortality due to the development of acute respiratory distress syndrome and sepsis. In December 2019, an outbreak of pneumonia caused by the SARS-CoV-2 virus began in China; in February 2020, the disease was called COVID-2019. In connection with the trend towards the global spread of new infections March 11, 2020, the World Health Organization announced a pandemic. The lecture covers the issues of epidemiology, pathogenesis, clinic, diagnosis and treatment of coronavirus infection, taking into account the emergence of new pathogens.

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About the authors

Dmitry O. Ivanov

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: doivanov@yandex.ru

MD, PhD, Dr Med Sci, Professor, Rector

Russian Federation, St. Petersburg

Tatyana M. Chernova

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: t-chernova@mail.ru

MD, PhD, Associate Professor, Department of Infectious Diseases in Children named after Professor M.G. Danilevich

Russian Federation, St. Petersburg

Elena B. Pavlova

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: pavlova.elena.doc@gmail.com

MD, PhD, Associate Professor, Department of Pharmacology and Pharmacoeconomics with a course of clinical pharmacology

Russian Federation, St. Petersburg

Vladimir N. Timchenko

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: timchenko22081953@yandexl.ru

MD, PhD, Dr Med Sci, Professor, Head, Department of Infectious Diseases in Children named after Professor M.G. Danilevich

Russian Federation, St. Petersburg

Elena V. Barakina

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: elenabarakina@mail.ru

MD, PhD, Assistent Professor, Department of Infectious Diseases in Children named after Professor M.G. Danilevich

Russian Federation, St. Petersburg

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Coronavirus structure diagram [21]

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3. Fig. 2. Coronavirus Virion Formation (Electron Microscopy, University of Hong Kong, 2019)

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4. Fig. 3. Changes on the skin with COVID-19 (“covoid fingers”) [2]

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5. Fig. 4. CT of the chest organs – bilateral infiltrates in the lung tissue according to the type of «frosted glass» [5]

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Copyright (c) 2020 Ivanov D.O., Chernova T.M., Pavlova E.B., Timchenko V.N., Barakina E.V.

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