UJCR; 2024, Vol. 4, Issue 3
Subject of the article
Severe case of community-acquired pneumonia complicated by acute respiratory distress syndrome and sepsis (22-24)
Authors
Usmanov BZh
Institution
Samarkand State Medical University
Abstract
Abstract. Acute pneumonia remains a significant global health concern, causing substantial morbidity and mortality. The social component of this problem is that it occurs in childhood and adulthood more and more often. Although this problem has been fairly well studied, there are still a number of questions that need to be answered. In modern literature, there is the concept of atypical pneumonia, which is interpreted differently by different authors and communities. Some authors affirm that this is pneumonia caused by a certain group of pathogens, while others claim that this is a form of pneumonia that is atypically manifested during radiation studies. In addition, there are conclusions that atypical pneumonia is a fast-acting form of pneumonia, leading to organ failure in a short period of time, so to speak, a fulminant form. In this article, we present a clinical case of a young patient without risk factors, in whom signs of community-acquired pneumonia developed within 12 hours before admission to the hospital emergency room and within 24 hours led to sepsis and multiple organ failure. At the time of admission, the patient was diagnosed with acute heart failure, which led primarily to misconception. Hemodynamic instability in this case did not allow routine computed tomography of the chest to be performed to exclude pulmonary pathology. After this observation, we are more inclined to designate the fast-moving form as atypical pneumonia. Such cases are not often encountered in the daily practice of doctors and, unfortunately, comprehensive methods of diagnosis and treatment have not been fully developed.
Key words
atypical pneumonia, fulminant pneumonia, atypical community-acquired pneumonia, community-acquired pneumonia.
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