Русский
Mycoplasma pneumonia in hospitalized adult patients
DOI: https://dx.doi.org/10.18565/epidem.2021.11.1.30-6
Zhukova L.I., Nezhurin A.V., Popova A.V., Kovalevskaya O.I., Kozyreva E.V.
1) Specialized Clinical Infectious Diseases Hospital, Ministry of Health of the Krasnodar Territory, Krasnodar, Russia; 2) Kuban State Medical University, Ministry of Health of Russia, Krasnodar, Russia
Subjects and methods. The incidence and nature of clinical symptoms of MP confirmed by ELISA were retrospectively analyzed in 98 inpatients of the specialized clinical infectious diseases hospital in Krasnodar.
Results. MP is more common in young males and runs a moderate course in the cold season. The diagnostic signs of the disease are acute onset, wheezing on auscultation, weakness and malaise, nasopharyngeal hyperemia, rales in the lungs, fever, higher C-reactive protein levels, throat irritation, cough with scanty sputum, and enhanced LDH activity. Combination antibiotic therapy or monotherapy is indicated for patients with MP, by taking into account the susceptibility of mycoplasmas after verification of the diagnosis.
Conclusion. The incidence and absence of pathognomonic symptoms of MP make it advisable to include an enzyme immunoassay for anti-mycoplasma pneumoniae antibodies in the algorithm for examination of patients with pneumonia, which will be able to timely clarify the diagnosis and to correct etiotropic therapy.
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About the Autors
Professor Larisa I. Zhukova, MD, Professor, Department of Infectious Diseases and Epidemiology, Faculty for Advanced Training and Professional Retraining of Specialists, Kuban State Medical University, Ministry of Health of Russia; Infectiologist, Specialized Clinical Infectious Diseases Hospital, Ministry of Health of the Krasnodar Territory, Krasnodar, Russia; goukova@mail.ru; http://orcid.org/https://orcid.org/0000-0002-5306-2956
Andrey V. Nezhurin, Resident, Department of Infectious Diseases and Epidemiology, Faculty for Advanced Training and Professional Retraining of Specialists, Kuban State Medical University, Ministry of Health of Russia, Krasnodar, Russia; andrew_nezhurin@mail.ru
Anastasia V. Popova, Resident, Department of Infectious Diseases and Epidemiology, Faculty for Advanced Training and Professional Retraining of Specialists, Kuban State Medical University, Ministry of Health of Russia, Krasnodar, Russia; nastenka1hello@gmail.com
Olga I. Kovalevskaya, Unit Head, Specialized Clinical Infectious Diseases Hospital, Ministry of Health of the Krasnodar Territory, Krasnodar, Russia; olga.kovalevskaya.67@mail.ru
Elena V. Kozyreva, Infectiologist, Specialized Clinical Infectious Diseases Hospital, Ministry of Health of the Krasnodar Territory, Krasnodar, Russia; elenayantar@mail.ru
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