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Post a Comment Bronhoadenitis simplex in mycoplasma pneumonia in the child (differential diagnostics and treatment)
- Authors: Orlov A.V.1,2, Pashkevich A.A.2, Gonchar N.V.1,3, Borisenko T.S.2, Babachenko I.V.3, Romanyuk F.P.1
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Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- Children's City Hospital of St. Olga
- Pediatric Research and Clinical Center for Infectious Diseases
- Issue: Vol 11, No 2 (2019)
- Pages: 71-78
- Section: Case report
- URL: https://journals.rcsi.science/vszgmu/article/view/11324
- DOI: https://doi.org/10.17816/mechnikov201911271-78
- ID: 11324
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Abstract
Background. Mycoplasma pneumoniae is included in the group of atypical pathogens of acute respiratory diseases. Mycoplasma pneumoniae is characterized by a tendency to prolonged course with progressive changes in the lungs. Main value in the confirmation of mycoplasma infection has microbiome in biosubstrates selection and serological diagnostics: the determination of specific immunoglobulins IgM or IgG in the dynamics to M. pneumoniae. Antibacterial therapy of mycoplasma pneumonia is prescribed based on the sensitivity of the pathogen to them. The duration of antibiotic treatment of mycoplasma pneumonia is determined by the dynamics of clinical and radiological data.
Materials and methods. The article describes the features of the clinical course of mycoplasma pneumonia in a patient with tubinfection proceeding with bronchoadenitis and obstruction of the bronchus, which necessitated a differential diagnosis with tuberculosis of the intrathoracic lymph nodes and the appointment of repeated courses of antibiotic treatment.
Results. In the described clinical case, the duration of Mycoplasma infection exceeded 3.5 months, during which time the patient received several courses of antibiotics. Mycoplasma pneumonia had a prolonged course, accompanied by bronchoadenitis.
Conclusion. Our observations show the need to study the effectiveness of extended courses of antibiotics from the azalid group in the treatment of prolonged and complicated forms of Mycoplasma pneumonia.
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##article.viewOnOriginalSite##About the authors
Aleksandr V. Orlov
North-Western State Medical University named after I.I. Mechnikov; Children's City Hospital of St. Olga
Email: orlovcf@yandex.ru
ORCID iD: 0000-0002-2069-7111
SPIN-code: 8287-1405
Scopus Author ID: 721638
ResearcherId: O-6746-2014
candidate of medical sciences, associate professor, department of pediatrics and neonatology; manager infectious office No. 3
Russian Federation, 191015, Sankt-Peterburg, Kirochnaya str., d.41; 194156, Sankt-Peterburg, Zemledel`cheskaya str., 2Aleksandr A. Pashkevich
Children's City Hospital of St. Olga
Email: pashkevich_aa@live.ru
ORCID iD: 0000-0002-5151-586X
SPIN-code: 4442-8115
attending physician of infectious office No. 3
Russian Federation, 194156, Sankt-Peterburg, Zemledel`cheskaya str., 2Natal'ya V. Gonchar
North-Western State Medical University named after I.I. Mechnikov; Pediatric Research and Clinical Center for Infectious Diseases
Author for correspondence.
Email: nvgonchar@yandex.ru
ORCID iD: 0000-0002-5938-2934
SPIN-code: 9931-7939
Scopus Author ID: 55813585500
ResearcherId: 0-7896-2014
doctor of medical sciences, professor, department of pediatrics and neonatology; senior research associate, head of department of intestinal infections
Russian Federation, 191015, Sankt-Peterburg, Kirochnaya str., 41; 197022, Sankt-Peterburg, Professora Popova str., 9.Taras S. Borisenko
Children's City Hospital of St. Olga
Email: borisenko_taras@mail.ru
SPIN-code: 8928-3744
attending physician of infectious office No. 3
194156, Sankt-Peterburg, Zemledel`cheskaya str., 2Irina V. Babachenko
Pediatric Research and Clinical Center for Infectious Diseases
Email: babachenko-doc@mail.ru
ORCID iD: 0000-0002-1159-0515
SPIN-code: 4634-1070
Scopus Author ID: 6507755830
doctor of medical sciences, professor, leading researcher, head of the department of respiratory (drip) infections
Russian Federation, 197022, Sankt-Peterburg, Professora Popova str., 9.Fedor P. Romanyuk
North-Western State Medical University named after I.I. Mechnikov
Email: fedor.romanyk@szgmu.ru
SPIN-code: 4446-2428
doctor of medical sciences, professor, head of the department of pediatrics and neonatology
Russian Federation, 191015, Sankt-Peterburg, Kirochnaya str., 41References
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