THE IMPACT OF CONFOUNDING FACTORS FOR COMMUNITY-ACQUIRED PNEUMONIA (CASE REPORT)

Author(s):  V.F. Kamenev, Dr., Prof., Pirogov Russian National Research Medical University, Moscow, Russia, Kamenev-49@mail.ru

A.A. Kopelev, candidate of Sciences, associate Professor, Pirogov Russian National Research Medical University, Moscow, Russia, bestseller12@yandex.ru

J.B. Chervyakova, candidate of Sciences, associate Professor, Pirogov Russian National Research Medical University, Moscow, Russia

I.A. Belyaev, S.M. Kirov military-medical Academy (branch), Moscow, Russia

N.I. Obolonkova, candidate of Sciences, associate Professor, Belgorod National Research University, Belgorod , Russia, obolonkova@bsu.edu.ru

Issue:  Volume 42, № 1

Rubric:  Internal diseases

Annotation:  Diagnosis and treatment of community-acquired pneumonia is one of the most relevant problems at the clinic of internal diseases. Aggravating factors for the disease include alcohol abuse, failure to comply with the therapeutic regime, early postnatal discharge from hospital patient, smoking, hypothermia, co-morbidities and background pathology (chronic alcoholic disease, COPD). The above features are able to form a secondary immunodeficiency and have a negative impact on the course and outcome of disease. Confounding factors accounting for community-acquired pneumonia is an important prognostic factor, determining the severity of disease and treatment tactics. For effective therapy of severe community-acquired pneumonia important differentiated assessment of the degree of the lesions of organs and systems using modern scales assess the severity of the disease that to achieves a positive outcome of the disease and improve the forecast. The purpose of this clinical case – to reflect the importance of timely adequate evaluation by medical practitioner criteria for the severity of the pneumonia, factors contributing to disease, identify the key moments of the severe community-acquired pneumonia treatment tactics.

Keywords:  community-acquired pneumonia, pneumonia severity criteria, confounding factors for pneumonia, sepsis, secondary immune deficiency

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