CLINICAL CASES OF LEGIONELLIosis IN THE KRASNODAR REGION DURING THE NEW CORONAVIRUS INFECTION COVID-19 PANDEMIC, DIFFICULTIES IN DIAGNOSIS

M. Avdeeva, Lyudmila P. Blazhnyaya, D. Moshkova, M. I. Kulbuzheva, Ilina Savitskaya, Angelina Podsadnyaya, Natalya Kirilenko, Elena Yakovchuk, Oksana Chernyavskaya, Polina Mamonova
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Abstract

The high incidence of community-acquired pneumonia against the backdrop of continued registration of COVID-19 requires early differential diagnosis, due to different patient management tactics. Among community-acquired pneumonias, legionella diseases deserve special attention. The difficulty of clinical diagnosis of legionellosis during the COVID-19 pandemic leads to untimely prescription of specific antibacterial therapy, which worsens the prognosis of the outcome of the disease. The work provides clinical examples that draw the attention of specialists to the features of clinical, laboratory and radiological manifestations of legionellosis, as well as the important role of epidemiological data for the differential diagnosis of legionellosis from the new coronavirus infection COVID-19.
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克拉斯诺达尔地区在新柯洛纳韦病毒感染 COVID-19 潘病期间发生的结节病临床病例,诊断困难
在 COVID-19 持续注册的背景下,社区获得性肺炎的发病率居高不下,这就需要尽早进行鉴别诊断,因为患者的管理策略各不相同。在社区获得性肺炎中,军团菌病值得特别关注。在 COVID-19 大流行期间,军团菌病的临床诊断困难重重,导致无法及时处方特异性抗菌治疗,从而恶化了疾病的预后。该著作提供的临床实例提请专家注意军团菌病的临床、实验室和放射学表现特征,以及流行病学数据在军团菌病与新型冠状病毒感染 COVID-19 的鉴别诊断中的重要作用。
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