Лечащий Врач (Mar 2022)
Re-illness with a new coronavirus infection in a patient with myocardial infarction: a clinical case
Abstract
The high-risk groups for the development of severe forms of a new coronavirus infection include elderly people with concomitant pathology of the respiratory system, cardiovascular system, etc. The report describes a clinical case of recurrent disease with a new coronavirus infection (COVID-19), in a patient aged 74 years, which occurred with lung damage on the background of myocardial infarction. The repeated disease developed in the presence of specific IgG class antibodies in the amount of 3,9 units and proceeded with lung damage (up to 20%) in the form of bilateral polysegmental pneumonia with subpleural changes of the «frosted glass» type, which is typical for patients with COVID-19 complicated by pneumonia. According to the assessment protocol (NEWS) – the patient's condition, at the beginning of the disease and in the following days, of moderate severity. The disease proceeded without respiratory failure, with an oxygen saturation of 96-97%. The etiology of the disease was confirmed in the laboratory by PCR of a pharyngeal smear on SARS-CoV-2 RNA and by the ELISA method. The patient completed the course of treatment with positive dynamics. He was discharged for the outpatient stage of treatment on the 12th day from the onset of the disease in a satisfactory condition with a final diagnosis: COVID-19 coronavirus infection, the virus was identified as a moderate form. Community-acquired bilateral polysegmental pneumonia. Ischemic heart disease, Q-forming myocardial infarction of the lower wall of the region from 21.01.2021 Gravity class according to Killip I. Stenosing atherosclerosis of the coronary arteries. Arterial hypertension is 3 art.risk. Dyslipidemia, Chronic heart failure 1 with a preserved ejection fraction of 58%. Hypertensive crisis from 21.01.2021 We hope that the article will be of interest to doctors of practical healthcare in terms of medical education on the problem of coronavirus infection.
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