Viruso-bacterial pneumonia, complicated by lightness pulmonary bleeding with death


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Abstract

Despite the significant achievements and successes of medical science, the incidence of influenza, its complications and socio-economic damage do not decrease, remaining at a high level. In the clinic of Mechnikov North-Western State Medical University from December 2018 to February 2019, from 89 hospitalized patients with pneumonia/acute bronchitis viral etiology was determined in 29 (32%). In 27 (97%) patients it was virus A (H1N1), in 2 cases – A (H3N2). 9 (31%) patients were sever and were hospitalized in intensive care unit. The case of severe viral pneumonia caused by A (H3N2) complicated by fulminant pulmonary hemorrhage with a lethal outcome is presented.

About the authors

O. Y. Chizhova

Mechnikov North-Western State Medical University

Email: ruslyakova777dok@gmail.com
ORCID iD: 0000-0002-1716-7654

д.м.н., проф. каф. пропедевтики внутренних болезней, гастроэнтерологии и диетологии им. С.М. Рысса; зав. терапевтическим отд-нием №2 клиники Петра Великого

Russian Federation, Saint Petersburg

I. A. Ruslyakova

Mechnikov North-Western State Medical University

Author for correspondence.
Email: ruslyakova777dok@gmail.com
ORCID iD: 0000-0003-1507-833X

к.м.н., ассистент каф. анестезиологии и реаниматологии им. В.Л. Ваневского, зав. отд-нием реанимации и интенсивной терапии для больных терапевтического профиля №2 клиники Петра Великого

Russian Federation, Saint Petersburg

I. G. Baculin

Mechnikov North-Western State Medical University

Email: ruslyakova777dok@gmail.com
ORCID iD: 0000-0002-6151-2021

д.м.н., проф., зав. каф. пропедевтики внутренних болезней, гастроэнтерологии и диетологии им. С.М. Рысса

Russian Federation, Saint Petersburg

S. A. Vinnichuk

Mechnikov North-Western State Medical University

Email: ruslyakova777dok@gmail.com
ORCID iD: 0000-0002-9590-6678

к.м.н., доц. каф. патологической анатомии; зав. центральным патологоанатомическим отд-нием

Russian Federation, Saint Petersburg

V. I. Sakharov

Mechnikov North-Western State Medical University

Email: ruslyakova777dok@gmail.com
ORCID iD: 0000-0001-5012-0586

клин. ординатор каф. анестезиологии и реаниматологии им. В.Л. Ваневского

Russian Federation, Saint Petersburg

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2. Figure: 1. X-ray of the chest organs in frontal and lateral projection.

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3. Figure: 2. a - the mucous membrane of the trachea and bronchi is swollen, thick, reddish-gray, with multiple hemorrhages; b - the left lung and the lower lobe of the right lung: finely porous, irregular pinkish-red color, with many merging dark red foci, dense consistency, bulging on the cut. A large amount of hemorrhagic fluid flows from the incision surface

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4. Figure: 3. a - purulent-necrotic tracheitis: purulent exudate in the tracheal wall, necrosis of the mucous and submucous layers, colonies of S. ayreus in the mucous layer (staining with hemotoxylineosin, * 100); b - lung tissue with congested vessels of interalveolar septa, hemorrhagic exudate in the lumen of the alveoli (staining with hematoxylin-eosin, * 100)

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5. Figure: 4. a - purulent exudate in the lumen of the alveoli, colonies of S. aureus (staining with gcmatooxycillin-eosin, * 100); b - lung tissue with a focus of destruction, colonies of S. aureus, perifocal purulent inflammation (staining with hematooxicillin-eosin, * 100)

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