Abstract
On an example of a clinical case in a patient with drug addiction, the reviewed clinical and chest X-ray features of community-acquired pneumonia, the diagnostic algorithms and the differential diagnostics are based on the recommendations of the Ukrainian Association of Pulmonology. The treatment strategy of the patient in the conditions of an ambulatory are described. Community-Acquired pneumonia acquired by intravenous drug use is characterized by a severe course, febrile body temperature, severe specific lung disease. On the example of this clinical case, the importance of express diagnostics of pneumonia at the ambulatory stage wasconfirmed to determine the correct tactics of patient management.
Highlights
Particular importance today is given to the problem of so-called «syringe» infections, among which the most frequent infections are HIV, viral hepatitis B and C, bacterial hematogenous infections that cause serious complications: pneumonia, septicemia, bacterial endocarditis [3]
Community-Acquired pneumonia acquired by intravenous drug use is characterized by a severe course, febrile body temperature, severe specific lung disease
On the example of this clinical case, the importance of express diagnostics of pneumonia at the ambulatory stage was confirmed to determine the correct tactics of patient management
Summary
Pneumonia ranks first among the causes of death from infectious diseases, the sixth among all causes of death and the fourth among causes of death in patients older than 65 years [1,2].According to the National Report for 2017 on the Drug Situation in Ukraine in 2016, about three million people (about 14 % of the population of Ukraine) are drug addicts [3].particular importance today is given to the problem of so-called «syringe» infections, among which the most frequent infections are HIV, viral hepatitis B and C, bacterial hematogenous infections that cause serious complications: pneumonia, septicemia, bacterial endocarditis [3].With intravenous drug addiction, after nonsterile and usually unsuccessful attempts to gain access to peripheral veins, proximal and central veins are used to inject the drug, which leads to Butova T. Pneumonia ranks first among the causes of death from infectious diseases, the sixth among all causes of death and the fourth among causes of death in patients older than 65 years [1,2]. According to the National Report for 2017 on the Drug Situation in Ukraine in 2016, about three million people (about 14 % of the population of Ukraine) are drug addicts [3]. Particular importance today is given to the problem of so-called «syringe» infections, among which the most frequent infections are HIV, viral hepatitis B and C, bacterial hematogenous infections that cause serious complications: pneumonia, septicemia, bacterial endocarditis [3]. After nonsterile and usually unsuccessful attempts to gain access to peripheral veins, proximal and central veins are used to inject the drug, which leads to Butova T.
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