Abstract
The spread of a new coronavirus infection (COVID-19) forces the whole world to change the conditions for the detection and treatment of other diseases, including tuberculosis. A new coronavirus infection in children with respiratory tuberculosis and latent tuberculosis infection proceeds generally without complications, varying from asymptomatic to moderate. In children, there were also no aggravating factors of the course of COVID-19. This article describes a clinical case of tuberculosis in a 3-year-old child with the debut manifestation of changes in the cardiovascular system after a new coronavirus infection. From the anamnesis of the disease: the girl was sent to the hospital from the children's tuberculosis dispensary, about a tube contact with her father. Contact with a father with tuberculosis, the father was diagnosed with Fibrotic-cavernous pulmonary tuberculosis, was in the first group of dispensary registration, a bacterium separator with multidrug resistance. After a full examination, not only local tuberculosis was detected in the patient, but also pathology of the cardiovascular system, as well as immunoglobulins G were detected during PCR examination, which indicated an asymptomatic course of a new coronavirus infection in the child. The diagnosis was "Primary tuberculosis complex S3 of the right lung in the infiltration phase. Cardiomegaly of the 2nd degree. Insufficiency of the tricuspid valve of the I degree. Expansion of the cavities of the right atrium, right ventricle, trunk of the pulmonary artery. Additional trabeculae in the cavity of the left ventricle. Pulmonary hypertension 0-1 degrees". Thus, we associate the debut of the pathology of the cardiovascular system against the background of the tuberculosis process with a mild coronavirus infection. Each new observation is of interest for understanding the relationship of pathogenesis, clinical features and therapy in this comorbidity.
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