PT  - JOURNAL ARTICLE
AU  - Oleksii Bielosludtsev
AU  - Kseniia Bielosludtseva
AU  - Olexander Nazarenko
TI  - "Masks" of severe pneumonia (retrospective analysis of letal severe community-acquired pneumonia (sCAP))
DP  - 2013 Sep 01
TA  - European Respiratory Journal
PG  - P2716
VI  - 42
IP  - Suppl 57
4099  - http://erj.ersjournals.com/content/42/Suppl_57/P2716.short
4100  - http://erj.ersjournals.com/content/42/Suppl_57/P2716.full
SO  - Eur Respir J2013 Sep 01; 42
AB  - For describing such states which often mimic sCAP we have allocated a separate term "mask" of sCAP.Aim: to identify the main causes of hupodiagnostic of sCAP and to separate "masks” of sCAP (main groups of diseases that often mimic sCAP) through retrospective analysis of letal sCAP.Materials and methods: a retrospective analysis of medical documents of 103 letal sCAP during 2011-2012 (age - 49.4±1.4 years, men - 67.9%, women - 32.3%)Results: most powerful risk factors for fatal outcome were terminal state (50.5%), severe comorbidities and asocial lifestyle (72.8%), incorrect or untimely sCAP diagnosis (39.8%), errors of antibiotic therapy (48.5%). Frequency of differences of clinical and pathologic diagnoses was 40%. The most often aggravating factor for diagnostic errors was impaired consciousness (92.3%). In 26 cases sCAP was never verified in vivo but the description and microbiological seeding of lung autopsy material showed its presence. This erroneous clinical diagnoses can be divided into groups.View this table:Conclusion: there are the "masks" of sCAP: "acute neurological pathology", "cardiac" mask, "acute abdomen", the mask of another lung disease, "tuberculosis", "pulmonary embolism".