Clinical case of diagnosis of pneumonia associated with the new covid‑19 coronavirus infection

Lavrenyuk Vladimir Valerievich, Simakova Anna Ivanovna, Li Irina Valerievna, Kovalevskoy Leonid Olegovich

The article presents a clinical observation of a 60-year-old patient with the development of bilateral pneumonia against the background of a new coronavirus infection COVID-19. The absence of a burdened epidemiological history, repeated negative results when examining a throat swab for SARS-CoV-2 RNA did not allow to determine the presence of COVID-19 infection in the hospital. During outpatient observation of the patient, an increase in the titer of antibodies to SARS-CoV-2, characteristic changes in the lungs according to multispiral computed tomography of the chest cavity organs in combination with the typical clinical picture of the disease made it possible to establish the diagnosis of pneumonia associated with COVID-19. The given clinical observation demonstrates the difficulties of differential diagnosis of pneumonia in real clinical practice and emphasizes the need for further outpatient observation of the patient with regular clinical, laboratory and instrumental monitoring, which in this case made it possible to establish the diagnosis of postponed COVID-19-associated pneumonia.

Keywords:coronavirus, COVID-19, pneumonia, SARS-CoV-2, diagnostics.