A case of severe pneumonia complicated by sepsis, endocarditis, and prolonged comatose state, with successful rehabilitation

Q4 Medicine Pulmonologiya Pub Date : 2024-02-19 DOI:10.18093/0869-0189-2024-34-1-122-128

N. N. Pribylova, E. A. Shabanov, S. A. Pribylov, K. O. Leonidova, V. S. Pribylov

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Abstract

Sepsis with acute organ dysfunction is an urgent problem of modern healthcare. A clinical case of a 38-year-old young woman with communityacquired severe viral-bacterial pneumonia complicated by sepsis, endocarditis, and multiple organ failure is presented. On the 68th day of her stay in the intensive care unit (ICU), the patient was brought out of comatose state and transferred to the pulmonology department for rehabilitation.The purpose of the work was to demonstrate the significance of this clinical case because of the urgent need to increase the effectiveness of treatment and long-term rehabilitation of patients with this severe comorbid pathology.Conclusion. Early diagnosis is extremely important to select effective treatment. The Quick SOFA (Sepsis-related sequential Organ Failure Assessment) score should be used to identify patients with suspected sepsis outside the ICU. This score is based on simple and accessible clinical characteristics that do not require laboratory analysis of homeostatic parameters. The patient was discharged in satisfactory condition to continue rehabilitation in outpatient settings.

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一例并发脓毒症、心内膜炎和长期昏迷的重症肺炎患者康复成功的病例

败血症并发急性器官功能障碍是现代医疗的一个紧迫问题。本病例是一名 38 岁年轻女性的临床病例，她在社区获得性重症病毒性细菌肺炎，并发败血症、心内膜炎和多器官功能衰竭。在她入住重症监护室（ICU）的第 68 天，患者从昏迷状态中苏醒，并转入肺科进行康复治疗。结论：早期诊断对选择有效治疗极为重要。应使用快速 SOFA（败血症相关器官功能衰竭序列评估）评分来识别重症监护室外的疑似败血症患者。该评分基于简单易懂的临床特征，无需对体内平衡参数进行实验室分析。患者出院时情况令人满意，可以继续在门诊进行康复治疗。

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来源期刊

Pulmonologiya Medicine-Pulmonary and Respiratory Medicine

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： The aim of this journal is to state a scientific position of the Russian Respiratory Society (RRS) on diagnosis and treatment of respiratory diseases based on recent evidence-based clinical trial publications and international consensuses. The most important tasks of the journal are: -improvement proficiency qualifications of respiratory specialists; -education in pulmonology; -prompt publication of original studies on diagnosis and treatment of respiratory diseases; -sharing clinical experience and information about pulmonology service organization in different regions of Russia; -information on current protocols, standards and recommendations of international respiratory societies; -discussion and consequent publication Russian consensus documents and announcement of RRS activities; -publication and comments of regulatory documents of Russian Ministry of Health; -historical review of Russian pulmonology development. The scientific concept of the journal includes publication of current evidence-based studies on respiratory medicine and their discussion with the participation of Russian and foreign experts and development of national consensus documents on respiratory medicine. Russian and foreign respiratory specialists including pneumologists, TB specialists, thoracic surgeons, allergists, clinical immunologists, pediatricians, oncologists, physiologists, and therapeutists are invited to publish article in the journal.