PECULIARITIES OF THE COURSE OF COMMUNITY-ACQUIRED PNEUMONIAS ON THE BACKGROUND OF NON-EPIDEMIC FLU

Abstract

The article describes peculiarities of community-acquired pneumonia on a background of non-epidemic influenza in 218 patients in the period from 2009 to 2016 at the age from 18 to 85 years. The diagnosis of community-acquired pneumonia was verified based on clinical and epidemiological data at the time of admission; radiological and laboratory diagnostic methods. Criteria of severity were: a degree of respiratory failure, severity of the intoxication syndrome, the amount of inflammatory infiltration, presence of complications, decompensation of co-morbidities. Pneumonia on a on the 6th day from onset of disease in women aged 21 to 49 years with premorbid background (overweight, obesity, hypertension, COPD, chronic pyelonephritis). The main clinical manifestations are: acute onset, fever at 38–41 °C, sore throat and pain at swallowing, chest pain, shortness of breath, cyanosis of the skin, decreased breath sounds auscultation. Community-acquired pneumonia on a background of non-epidemic influenza is characterized by unilateral lesion, predominantly in the right lung. Changes in the hemogram depended on the time of admission: leukopenia is diagnosed in the first days of the disease, with a later admission to hospital was dominated by leukocytosis, and thrombocytopenia, on the contrary, was identified at late admission to the inpatient hospital.