Инвазивный мукормикоз: проблемы диагностики и лечения

Авторы

  • O.I. Dorosh КНП ЛОС «Западноукраинский специализированный детский медицинский центр», Ukraine
  • L.S. Khimyak КНП ЛОС «Западноукраинский специализированный детский медицинский центр», Ukraine
  • O.V. Kusharska КНП ЛОС «Западноукраинский специализированный детский медицинский центр», Ukraine
  • I.L. Vasyliv КНП ЛОС «Западноукраинский специализированный детский медицинский центр»; Медицинский центр «ОМЕГА», Ukraine
  • I.P. Melko КНП ЛОС «Западноукраинский специализированный детский медицинский центр»; Центр медицинских инноваций NOVO, Ukraine
  • A.M. Mykh КНП ЛОС «Западноукраинский специализированный детский медицинский центр»; Медицинский центр Святой Параскевы, Ukraine

DOI:

https://doi.org/10.15574/SP.2018.96.70

Ключевые слова:

дети, приобретенная тяжелая апластическая анемия, иммуносупрессивная терапия, инвазивный мукормикоз, осложнения

Аннотация

Приведен клинический случай инвазивного мукормикоза у 7-летнего пациента с приобретенной тяжелой апластической анемией, резистентной к иммуносупрессивной терапии, подтвержденый результатами микробиологических исследований, с поражением паренхимы обеих легких, селезенки и перфоративными дефектами диафрагмы. Показаны клинические, микробиологические и радиологические особенности течения инфекции. Также описаны другие инфекционные осложнения, с многообразным спектром возбудителей и локализации, которые наблюдались у пациента в течение 4-месячного применения иммуносупрессивной терапии. Подан краткий обзор литературы.

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Опубликован

2018-12-29

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Клинический случай