ГРАНУЛЕМАТОЗ С ПОЛИАНГИИТОМ (ВЕГЕНЕРА): ОСОБЕННОСТИ ДИАГНОСТИКИ В УСЛОВИЯХ COVID-19 ИНФЕКЦИИ (КЛИНИЧЕСКИЙ СЛУЧАЙ)

Abstract

Background. Multivascular and multiple organ damage in COVID-19 infection poses difficulties in the diagnosis of comorbidities, especially vasculitis. Aim. The goal is to analyze a clinical case of diagnosing granulomatosis with polyangiitis (Wegener) in conditions of COVID-19 infection. Material and methods. An example of the difficulty of diagnosing granulomatosis with polyangiitis (Wegener) in conditions of COVID-19 infection is given. Results. Within three months, the patient received treatment for sinusitis, otitis media. However, against the background of the antibacterial therapy, the state of health did not improve. On the fourth month from the onset of the disease, the patient was admitted to the pulmonology department with a diagnosis of a viral infection caused by SARS Cov-2 (IgM +, IgG-), moderate severity, respiratory failure 0 ?, after the examination, the diagnosis was made: granulomatosis with polyangiitis (Wegener's), acute course, high activity associated with antibodies to Pr-3 (79 n/ml), advanced stage with lesions of ENT organs in the form of exudative otitis media, bilateral mastoiditis. The damage to the lungs in the form of endobronchitis, pulmonary disseminated form (partly with disintegration). respiratory failure 1. Reconvalescent of SARS Cov-2 infection. Conclusions. Based on the given example of this clinical case, the difficulty of diagnosing systemic vasculitis, namely granulomatosis with polyangitis (Wegener's), in conditions of COVID-19 infection is demonstrated.