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Дифференциальная диагностика при синдроме затяжной пневмонии
Дифференциальная диагностика при синдроме затяжной пневмонии
Зайцев А.А., Синопальников А.И. Дифференциальная диагностика при синдроме затяжной пневмонии. Consilium Medicum. Болезни органов дыхания (Прил.) 2015; c. 58–62.
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Аннотация
В настоящей публикации рассматриваются вопросы дифференциальной диагностики при ведении пациентов с синдромом затяжной пневмонии. Авторами приводится краткая характеристика основных альтернативных патологических процессов, нередко протекающих под маской пневмонии. В их числе острая интерстициальная пневмония, острая эозинофильная пневмония, тромбоэмболия ветвей легочной артерии, системные васкулиты, новообразования и т.п.
Ключевые слова: внебольничная пневмония, синдром затяжной пневмонии, дифференциальная диагностика.
Key words: community-acquired pneumonia, protracted pneumonia syndrome, differential diagnosis.
Ключевые слова: внебольничная пневмония, синдром затяжной пневмонии, дифференциальная диагностика.
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Key words: community-acquired pneumonia, protracted pneumonia syndrome, differential diagnosis.
Полный текст
Список литературы
1. Jr. Mittl RL, Schwab RJ, Duchin JS et al. Radiographic resolution of community-acquired pneumonia. Am J Respir Crit Care Med 1994; 149: 630–5.
2. Mandell LA, Wunderink RG, Anzueto A et al. Infectious Diseases Society of America / American Thoracic Society Consensus Guidelinesonthe Management of Community Acquired Pneumonia in Adults. http://www.thoracic.org/sections/publications/statements/ pages/mtpi/idsaats-cap.html
3. Синопальников А.И., Зайцев А.А. «Трудная» пневмония. Пособие для врачей. М., 2010. / Sinopal'nikov A.I., Zaitsev A.A. «Trudnaia» pnevmoniia. Posobie dlia vrachei. M., 2010. [in Russian]
4. Daifuku R, Movahhed H, Fotheringham N et al. Time to resolution of morbidity: an endpoint for assessing the clinical cure of community-acquired pneumonia. Respir Med 1996; 90: 587–92.
5. Auble TE, Yealy DM, Fine MJ. Assessing prognosis and selecting an initial site of care for adults with community-acquired pneumonia. Infect Dis Clin North Am 1998; 12: 741–59.
6. Bulmer S, Lamb D, McCormack R, Walbaum P. Aetiology of unresolved pneumonia. Thorax 1978; 33: 307–14.
7. Arancibia F, Ewig S, Martinez J et al. Antimicrobial treatment failures in patients with community-acquired pneumonia: causes and prognostic implications. Am J Respir Crit Care Med 2000; 162: 154–60.
8. Primack S, Hartman T, Ikezoe J et al. Acute interstitial pneumonia: radiographic and CT findings in nine patients. Radiology 1993; 188: 817.
9. Allen J, Pacht E, Gadek J. Davis W. Acute eosinophilic pneumonia as a reversible cause of noninfectious respiratory failure. N Engl J Med 1989; 321: 569.
10. Авдеев С.Н. Остро протекающие диффузные паренхиматозные заболевания легких. Consilium Medicum. 2008; 10 (3): 5–11. / Avdeev S.N. Ostro protekaiushchie diffuznye parenkhimatoznye zabolevaniia legkikh. Consilium Medicum. 2008; 10 (3): 5–11. [in Russian]
11. Hartmann I, Hagen P, Melissant C et al. Diagnosing Acute Pulmonary Embolism Effect of Chronic Obstructive Pulmonary Disease on the Performance of D-dimer Testing, Ventilation. Perfusion Scintigraphy, Spiral Computed Tomographic Angiography, and Conventional Angiography. Am J Respir Crit Care Med 2000; 162: 2232–7.
12. Konstantinides S, Torbicki A, Agnelli G. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC 2014). http://www.slideshare.net/SamirRafla/eur-heart-j-2014-esc-guidelines-on-the-diagnosis-and-management...
13. Чучалин А.Г. Первичные системные и легочные васкулиты. Рус. мед. журн. 2001; 21 (9); www.rmj.ru / Chuchalin A.G. Pervichnye sistemnye i legochnye vaskulity. Rus. med. zhurn. 2001; 21 (9); www.rmj.ru [in Russian]
14. Semple D, Keogh J, Forni L, Venn R. Clinical review: Vasculitis on the intesive care unit part 1: diagnosis. Crit Care 2005; 9: 92–7.
15. Cordier J. Criptogenic organising pneumonia. Eur Respir J 2006; 28: 422–46.
16. Гембицкий Е.В., Синопальников А.И., Алексеев В.Г. Аллергический бронхолегочный аспергиллез. Терапевт. арх. 1987; 3: 78–83. / Gembitskii E.V., Sinopal'nikov A.I., Alekseev V.G. Allergicheskii bronkholegochnyi aspergillez. Terapevt. arkh. 1987; 3: 78–83. [in Russian]
17. Ebara H, Ikezoe J, Johkok T et al. Chronic eosinophilic pneumonia: evolution of chest radiograms and CT features. J Comput Assist Tomogr 1994; 18: 737.
18. Чучалин А.Г., Визель А.А., Илькович М.М. и др. Диагностика и лечение саркоидоза: резюме федеральных согласительных клинических рекомендаций. Часть 1: Классификация, этиопатогенез, клиника. Вестн. соврем. клин. медицины. 2014; 7 (4): 62–70. / Chuchalin A.G., Vizel' A.A., Il'kovich M.M. i dr. Diagnostika i lechenie sarkoidoza: reziume federal'nykh soglasitel'nykh klinicheskikh rekomendatsii. Chast' 1: Klassifikatsiia, etiopatogenez, klinika. Vestn. sovrem. klin. meditsiny. 2014; 7 (4): 62–70. [in Russian]
19. Чучалин А.Г., Визель А.А., Илькович М.М. и др. Диагностика и лечение саркоидоза: резюме федеральных согласительных клинических рекомендаций. Часть 2: Диагностика, лечение, прогноз. Вестн. совр. клин. медицины. 2014; 7 (5): 73–81. / Chuchalin A.G., Vizel' A.A., Il'kovich M.M. i dr. Diagnostika i lechenie sarkoidoza: reziume federal'nykh soglasitel'nykh klinicheskikh rekomendatsii. Chast' 2: Diagnostika, lechenie, prognoz. Vestn. sovr. klin. meditsiny. 2014; 7 (5): 73–81. [in Russian]
2. Mandell LA, Wunderink RG, Anzueto A et al. Infectious Diseases Society of America / American Thoracic Society Consensus Guidelinesonthe Management of Community Acquired Pneumonia in Adults. http://www.thoracic.org/sections/publications/statements/ pages/mtpi/idsaats-cap.html
3. Sinopal'nikov A.I., Zaitsev A.A. «Trudnaia» pnevmoniia. Posobie dlia vrachei. M., 2010. [in Russian]
4. Daifuku R, Movahhed H, Fotheringham N et al. Time to resolution of morbidity: an endpoint for assessing the clinical cure of community-acquired pneumonia. Respir Med 1996; 90: 587–92.
5. Auble TE, Yealy DM, Fine MJ. Assessing prognosis and selecting an initial site of care for adults with community-acquired pneumonia. Infect Dis Clin North Am 1998; 12: 741–59.
6. Bulmer S, Lamb D, McCormack R, Walbaum P. Aetiology of unresolved pneumonia. Thorax 1978; 33: 307–14.
7. Arancibia F, Ewig S, Martinez J et al. Antimicrobial treatment failures in patients with community-acquired pneumonia: causes and prognostic implications. Am J Respir Crit Care Med 2000; 162: 154–60.
8. Primack S, Hartman T, Ikezoe J et al. Acute interstitial pneumonia: radiographic and CT findings in nine patients. Radiology 1993; 188: 817.
9. Allen J, Pacht E, Gadek J. Davis W. Acute eosinophilic pneumonia as a reversible cause of noninfectious respiratory failure. N Engl J Med 1989; 321: 569.
10. Avdeev S.N. Ostro protekaiushchie diffuznye parenkhimatoznye zabolevaniia legkikh. Consilium Medicum. 2008; 10 (3): 5–11. [in Russian]
11. Hartmann I, Hagen P, Melissant C et al. Diagnosing Acute Pulmonary Embolism Effect of Chronic Obstructive Pulmonary Disease on the Performance of D-dimer Testing, Ventilation. Perfusion Scintigraphy, Spiral Computed Tomographic Angiography, and Conventional Angiography. Am J Respir Crit Care Med 2000; 162: 2232–7.
12. Konstantinides S, Torbicki A, Agnelli G. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC 2014). http://www.slideshare.net/SamirRafla/eur-heart-j-2014-esc-guidelines-on-the-diagnosis-and-management...
13. Chuchalin A.G. Pervichnye sistemnye i legochnye vaskulity. Rus. med. zhurn. 2001; 21 (9); www.rmj.ru [in Russian]
14. Semple D, Keogh J, Forni L, Venn R. Clinical review: Vasculitis on the intesive care unit part 1: diagnosis. Crit Care 2005; 9: 92–7.
15. Cordier J. Criptogenic organising pneumonia. Eur Respir J 2006; 28: 422–46.
16. Gembitskii E.V., Sinopal'nikov A.I., Alekseev V.G. Allergicheskii bronkholegochnyi aspergillez. Terapevt. arkh. 1987; 3: 78–83. [in Russian]
17. Ebara H, Ikezoe J, Johkok T et al. Chronic eosinophilic pneumonia: evolution of chest radiograms and CT features. J Comput Assist Tomogr 1994; 18: 737.
18. Chuchalin A.G., Vizel' A.A., Il'kovich M.M. i dr. Diagnostika i lechenie sarkoidoza: reziume federal'nykh soglasitel'nykh klinicheskikh rekomendatsii. Chast' 1: Klassifikatsiia, etiopatogenez, klinika. Vestn. sovrem. klin. meditsiny. 2014; 7 (4): 62–70. [in Russian]
19. Chuchalin A.G., Vizel' A.A., Il'kovich M.M. i dr. Diagnostika i lechenie sarkoidoza: reziume federal'nykh soglasitel'nykh klinicheskikh rekomendatsii. Chast' 2: Diagnostika, lechenie, prognoz. Vestn. sovr. klin. meditsiny. 2014; 7 (5): 73–81. [in Russian]
2. Mandell LA, Wunderink RG, Anzueto A et al. Infectious Diseases Society of America / American Thoracic Society Consensus Guidelinesonthe Management of Community Acquired Pneumonia in Adults. http://www.thoracic.org/sections/publications/statements/ pages/mtpi/idsaats-cap.html
3. Синопальников А.И., Зайцев А.А. «Трудная» пневмония. Пособие для врачей. М., 2010. / Sinopal'nikov A.I., Zaitsev A.A. «Trudnaia» pnevmoniia. Posobie dlia vrachei. M., 2010. [in Russian]
4. Daifuku R, Movahhed H, Fotheringham N et al. Time to resolution of morbidity: an endpoint for assessing the clinical cure of community-acquired pneumonia. Respir Med 1996; 90: 587–92.
5. Auble TE, Yealy DM, Fine MJ. Assessing prognosis and selecting an initial site of care for adults with community-acquired pneumonia. Infect Dis Clin North Am 1998; 12: 741–59.
6. Bulmer S, Lamb D, McCormack R, Walbaum P. Aetiology of unresolved pneumonia. Thorax 1978; 33: 307–14.
7. Arancibia F, Ewig S, Martinez J et al. Antimicrobial treatment failures in patients with community-acquired pneumonia: causes and prognostic implications. Am J Respir Crit Care Med 2000; 162: 154–60.
8. Primack S, Hartman T, Ikezoe J et al. Acute interstitial pneumonia: radiographic and CT findings in nine patients. Radiology 1993; 188: 817.
9. Allen J, Pacht E, Gadek J. Davis W. Acute eosinophilic pneumonia as a reversible cause of noninfectious respiratory failure. N Engl J Med 1989; 321: 569.
10. Авдеев С.Н. Остро протекающие диффузные паренхиматозные заболевания легких. Consilium Medicum. 2008; 10 (3): 5–11. / Avdeev S.N. Ostro protekaiushchie diffuznye parenkhimatoznye zabolevaniia legkikh. Consilium Medicum. 2008; 10 (3): 5–11. [in Russian]
11. Hartmann I, Hagen P, Melissant C et al. Diagnosing Acute Pulmonary Embolism Effect of Chronic Obstructive Pulmonary Disease on the Performance of D-dimer Testing, Ventilation. Perfusion Scintigraphy, Spiral Computed Tomographic Angiography, and Conventional Angiography. Am J Respir Crit Care Med 2000; 162: 2232–7.
12. Konstantinides S, Torbicki A, Agnelli G. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC 2014). http://www.slideshare.net/SamirRafla/eur-heart-j-2014-esc-guidelines-on-the-diagnosis-and-management...
13. Чучалин А.Г. Первичные системные и легочные васкулиты. Рус. мед. журн. 2001; 21 (9); www.rmj.ru / Chuchalin A.G. Pervichnye sistemnye i legochnye vaskulity. Rus. med. zhurn. 2001; 21 (9); www.rmj.ru [in Russian]
14. Semple D, Keogh J, Forni L, Venn R. Clinical review: Vasculitis on the intesive care unit part 1: diagnosis. Crit Care 2005; 9: 92–7.
15. Cordier J. Criptogenic organising pneumonia. Eur Respir J 2006; 28: 422–46.
16. Гембицкий Е.В., Синопальников А.И., Алексеев В.Г. Аллергический бронхолегочный аспергиллез. Терапевт. арх. 1987; 3: 78–83. / Gembitskii E.V., Sinopal'nikov A.I., Alekseev V.G. Allergicheskii bronkholegochnyi aspergillez. Terapevt. arkh. 1987; 3: 78–83. [in Russian]
17. Ebara H, Ikezoe J, Johkok T et al. Chronic eosinophilic pneumonia: evolution of chest radiograms and CT features. J Comput Assist Tomogr 1994; 18: 737.
18. Чучалин А.Г., Визель А.А., Илькович М.М. и др. Диагностика и лечение саркоидоза: резюме федеральных согласительных клинических рекомендаций. Часть 1: Классификация, этиопатогенез, клиника. Вестн. соврем. клин. медицины. 2014; 7 (4): 62–70. / Chuchalin A.G., Vizel' A.A., Il'kovich M.M. i dr. Diagnostika i lechenie sarkoidoza: reziume federal'nykh soglasitel'nykh klinicheskikh rekomendatsii. Chast' 1: Klassifikatsiia, etiopatogenez, klinika. Vestn. sovrem. klin. meditsiny. 2014; 7 (4): 62–70. [in Russian]
19. Чучалин А.Г., Визель А.А., Илькович М.М. и др. Диагностика и лечение саркоидоза: резюме федеральных согласительных клинических рекомендаций. Часть 2: Диагностика, лечение, прогноз. Вестн. совр. клин. медицины. 2014; 7 (5): 73–81. / Chuchalin A.G., Vizel' A.A., Il'kovich M.M. i dr. Diagnostika i lechenie sarkoidoza: reziume federal'nykh soglasitel'nykh klinicheskikh rekomendatsii. Chast' 2: Diagnostika, lechenie, prognoz. Vestn. sovr. klin. meditsiny. 2014; 7 (5): 73–81. [in Russian]
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2. Mandell LA, Wunderink RG, Anzueto A et al. Infectious Diseases Society of America / American Thoracic Society Consensus Guidelinesonthe Management of Community Acquired Pneumonia in Adults. http://www.thoracic.org/sections/publications/statements/ pages/mtpi/idsaats-cap.html
3. Sinopal'nikov A.I., Zaitsev A.A. «Trudnaia» pnevmoniia. Posobie dlia vrachei. M., 2010. [in Russian]
4. Daifuku R, Movahhed H, Fotheringham N et al. Time to resolution of morbidity: an endpoint for assessing the clinical cure of community-acquired pneumonia. Respir Med 1996; 90: 587–92.
5. Auble TE, Yealy DM, Fine MJ. Assessing prognosis and selecting an initial site of care for adults with community-acquired pneumonia. Infect Dis Clin North Am 1998; 12: 741–59.
6. Bulmer S, Lamb D, McCormack R, Walbaum P. Aetiology of unresolved pneumonia. Thorax 1978; 33: 307–14.
7. Arancibia F, Ewig S, Martinez J et al. Antimicrobial treatment failures in patients with community-acquired pneumonia: causes and prognostic implications. Am J Respir Crit Care Med 2000; 162: 154–60.
8. Primack S, Hartman T, Ikezoe J et al. Acute interstitial pneumonia: radiographic and CT findings in nine patients. Radiology 1993; 188: 817.
9. Allen J, Pacht E, Gadek J. Davis W. Acute eosinophilic pneumonia as a reversible cause of noninfectious respiratory failure. N Engl J Med 1989; 321: 569.
10. Avdeev S.N. Ostro protekaiushchie diffuznye parenkhimatoznye zabolevaniia legkikh. Consilium Medicum. 2008; 10 (3): 5–11. [in Russian]
11. Hartmann I, Hagen P, Melissant C et al. Diagnosing Acute Pulmonary Embolism Effect of Chronic Obstructive Pulmonary Disease on the Performance of D-dimer Testing, Ventilation. Perfusion Scintigraphy, Spiral Computed Tomographic Angiography, and Conventional Angiography. Am J Respir Crit Care Med 2000; 162: 2232–7.
12. Konstantinides S, Torbicki A, Agnelli G. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC 2014). http://www.slideshare.net/SamirRafla/eur-heart-j-2014-esc-guidelines-on-the-diagnosis-and-management...
13. Chuchalin A.G. Pervichnye sistemnye i legochnye vaskulity. Rus. med. zhurn. 2001; 21 (9); www.rmj.ru [in Russian]
14. Semple D, Keogh J, Forni L, Venn R. Clinical review: Vasculitis on the intesive care unit part 1: diagnosis. Crit Care 2005; 9: 92–7.
15. Cordier J. Criptogenic organising pneumonia. Eur Respir J 2006; 28: 422–46.
16. Gembitskii E.V., Sinopal'nikov A.I., Alekseev V.G. Allergicheskii bronkholegochnyi aspergillez. Terapevt. arkh. 1987; 3: 78–83. [in Russian]
17. Ebara H, Ikezoe J, Johkok T et al. Chronic eosinophilic pneumonia: evolution of chest radiograms and CT features. J Comput Assist Tomogr 1994; 18: 737.
18. Chuchalin A.G., Vizel' A.A., Il'kovich M.M. i dr. Diagnostika i lechenie sarkoidoza: reziume federal'nykh soglasitel'nykh klinicheskikh rekomendatsii. Chast' 1: Klassifikatsiia, etiopatogenez, klinika. Vestn. sovrem. klin. meditsiny. 2014; 7 (4): 62–70. [in Russian]
19. Chuchalin A.G., Vizel' A.A., Il'kovich M.M. i dr. Diagnostika i lechenie sarkoidoza: reziume federal'nykh soglasitel'nykh klinicheskikh rekomendatsii. Chast' 2: Diagnostika, lechenie, prognoz. Vestn. sovr. klin. meditsiny. 2014; 7 (5): 73–81. [in Russian]
Авторы
А.А.Зайцев*1, А.И.Синопальников2
1 ФГКУ Главный военный клинический госпиталь им. акад. Н.Н.Бурденко Минобороны России. 105094, Россия, Москва, Госпитальная пл., д. 3;
2 ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 125993, Россия, Москва, ул. Баррикадная, д. 2/1
*a-zaicev@yandex.ru
1 Burdenko Main Military Clinical Hospital. 105094, Russian Federation, Moscow, Gospital'naia pl., d. 3;
2 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 125993, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1
*a-zaicev@yandex.ru
1 ФГКУ Главный военный клинический госпиталь им. акад. Н.Н.Бурденко Минобороны России. 105094, Россия, Москва, Госпитальная пл., д. 3;
2 ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 125993, Россия, Москва, ул. Баррикадная, д. 2/1
*a-zaicev@yandex.ru
________________________________________________
1 Burdenko Main Military Clinical Hospital. 105094, Russian Federation, Moscow, Gospital'naia pl., d. 3;
2 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 125993, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1
*a-zaicev@yandex.ru
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