CHARACTERISTICS OF RESPIRATORY MANIFESTATIONS OF COVID-19 AGAINST THE BACKGROUND OF AN ACCOMPANYING ONCOLOGICAL PATHOLOGY IN PEDIATRIC PRACTICE (CASE FROM PRACTICE)

Abstract

Abstract. During the pandemic caused by the spread of a new coronavirus SARS-CoV-2,respiratory symptoms were the most common and decisive in determining the severity ofCOVID19, and in some cases, had a direct causal- consequential mortality impact. Unlikeadults, children had a milder course of coronavirus disease. However, children with thecomorbidities such as diabetes, immunodeficiency, obesity, etc. also had an increased riskof hospitalisation with further required mechanical ventilation.The article presents a clinical case of coronavirus infection in a child with cancer.The patient had a severe course of COVID-19 with signs of post-hospital extralobarviral- bacterial pneumonia complicated by exudative pleurisy, respiratory insufficiencyand exudative pericarditis with a background of initially diagnosed asymptomatic nonHodgkin’s T-cell lymphoma.The complex treatment (oxygen therapy, infusion therapy,combined antibiotic therapy, steroids, diuretics, chest tube drainage) was characterisedby a positive dynamics followed by targeted cancer therapy. The defined patient developedsevere COVID-19 due to cardiovascular complications and formation of an inflammatorycascade due non-Hodgkin’s lymphoma.