A PEER-REVIEWED JOURNAL OF RESEARCH AND CLINICAL MEDICINEISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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Community-Acquired Pneumonia and Middle Lobe Abscess Associated with Chronic Obstructive Pulmonary Disease. A Case Study

DOI:10.31550/1727-2378-2021-20-7-73-76
For citation: Bashmakova O.P., Shilova L.N., Cherkesova E.G., Khortieva S.S. Community-Acquired Pneumonia and Middle Lobe Abscess Associated with Chronic Obstructive Pulmonary Disease. A Case Study. Doctor.Ru. 2021; 20(7): 73–76. (in Russian). DOI: 10.31550/1727-2378-2021-20-7-73-76
31 August 00:00

Objective of the Paper: To demonstrate the issues with diagnosis and therapy in complicated community-acquired pneumonia associated with chronic obstructive pulmonary disease (COPD).

Key Points. Community-acquired pneumonia is one of the most common diseases. Of special interest are patients with comorbidities, since they have more risk factors of poor prognosis. This article describes a clinical case of complicated community-acquired pneumonia associated with COPD. Despite an adequate therapy, the patient developed an acute middle lobe abscess requiring surgery, as the patient had confounding factors.

Conclusion. Timely diagnosis and an early adequate therapy allow improving the condition and quality of life of the patient and preventing severe complications.

Contributions: Bashmakova, O.P. — patient examination and management, clinical material collection, text of the article; Shilova, L.N. — approved final article version, review of critically important material, approval of the manuscript for publication; Cherkesova, E.G. — interpretation of clinical and laboratory data, literature review, approved and text of the article; Khortieva, S.S. — review of critically important material, review of thematic publications.

Conflict of interest: The authors declare that they do not have any conflict of interests.

O.P. Bashmakova (Corresponding author) — Volgograd State Medical University (a Federal Government-funded Educational Institution of Higher Education), Russian Federation Ministry of Health; 1 Pavshikh Bortsov Square, Volgograd, Russian Federation 400131. eLIBRARY.RU SPIN: 7232-0450. E-mail: this_is_olga@mail.ru

L.N. Shilova — Volgograd State Medical University (a Federal Government-funded Educational Institution of Higher Education), Russian Federation Ministry of Health; 1 Pavshikh Bortsov Square, Volgograd, Russian Federation 400131. eLIBRARY.RU SPIN: 4950-2391. E-mail: ludshilova@mail.ru

E.G. Cherkesova — Volgograd State Medical University (a Federal Government-funded Educational Institution of Higher Education), Russian Federation Ministry of Health; 1 Pavshikh Bortsov Square, Volgograd, Russian Federation 400131. eLIBRARY.RU SPIN: 8528-8594. E-mail: elena.tcherkesowa@yandex.ru

S.S. Khortieva — Volgograd State Medical University (a Federal Government-funded Educational Institution of Higher Education), Russian Federation Ministry of Health; 1 Pavshikh Bortsov Square, Volgograd, Russian Federation 400131. eLIBRARY.RU SPIN: 2009-0620. E-mail: sskhortieva@volgmed.ru

Доктор.ру

Fig. Lung CT scan: opacity, mixed interstitial alveolar infiltration in lung parenchyma. A — cross sections. B —sagittal plane reconstruction

r10_1.jpg


Received: 29.03.2021

Accepted: 11.05.2021

31 August 00:00
REFERENCES
  1. Pushnikova S.V. Clinical progression and coagulative-thrombocytic hemostasis in patients with metabolic syndrome and community-acquired pneumonia. Candidate of Medicine Thesis. Tyumen State Medical Academy. 2009.(in Russian)
  2. Dvoretskiy L.I. Community-Acquired Pneumonia in patients with chronic obstructive pulmonary disease. Practical Pulmonology. 2015; (2): 17–24. (in Russian)
  3. Semenova R.I, Seydumanov M.T., Mukhambetova R.U. et al. Diagnosis and management of an acute pulmonary abscess (case study). Vestnik KazNMU. 2015; (4): 378–80. (in Russian)
  4. Janapatla R.P., Hsu M.-H., Liao W.-T. et al. Low Serum Fetuin-A as a Biomarker to Predict Pneumococcal Necrotizing Pneumonia and Hemolytic Uremic Syndrome in Children. 2016; 95(13): e3221. DOI: 10.1097/MD.0000000000003221

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