Difficult diagnosis. Clinical analysis of pneumonia overdiagnosis case.

Authors

  • T. A. Pertseva SE "Dnipropetrovsk medical academy Ministry of Health of Ukraine", Ukraine
  • T. V. Kyreyeva SE "Dnipropetrovsk medical academy Ministry of Health of Ukraine", Ukraine
  • N. K. Kravchenko SE "Dnipropetrovsk medical academy Ministry of Health of Ukraine", Ukraine

DOI:

https://doi.org/10.26641/2307-0404.2013.3.18930

Keywords:

community acquired pneumonia, diagnosis, pericarditis, overdiagnosis

Abstract

Despite advances in modern medicine, the prevalence and mortality rates from pneumonia remain high, and the frequency of diagnostic errors ranges from 20 to 50%. This trend to increased morbidity and mortality heads the list in problems of early diagnosis, timely and adequate antibiotic therapy of pneumonia. The greatest attention is given to problems of pneumonia hypodiagnostics, while questions of its hyperdiagnostics, especially by narrow specialists, remain unaddressed. This article discusses the most common causes of pneumonia overdiagnosis at various stages of patients’ management, namely the evaluation of clinical symptoms, assess ment of radiological data and at the stage of additional diagnostic program. On the example of a clinical case, basic errors in diagnostic tactics in case of atypical course of cardiac pathology, which have led to the mistaken diagnosis of pneumonia are considered.

Author Biographies

T. A. Pertseva, SE "Dnipropetrovsk medical academy Ministry of Health of Ukraine"

Department of facultative therapy and endocrinology

T. V. Kyreyeva, SE "Dnipropetrovsk medical academy Ministry of Health of Ukraine"

Department of facultative therapy and endocrinology

N. K. Kravchenko, SE "Dnipropetrovsk medical academy Ministry of Health of Ukraine"

Department of facultative therapy and endocrinology

References

Никонов Е.В. Пневмонии: классификация, кли¬нико-диагностические аспекты / Е.В. Никонов, А.Г. Чу¬чалин, А.Л. Черняев // Рус. мед. журнал. – 1997. – № 5 (17). – С. 1095–1099.

Порівняльні дані про розповсюдженість хво¬роб органів дихання і медичну допомогу хворим на хвороби пульмонологічного профілю в Україні за 2008 – 2010 р.р. – К., 2011.

Про затвердження клінічних протоколів на¬дання медичної допомоги за спеціальністю «Пульмо¬нологія»: Наказ МОЗ України № 128.

Чучалин А.Г. Внебольничная пневмония у взрослых: практические рекомендации по диагнос¬тике, лечению и профилактике: пособие для врачей / А.Г. Чучалин, А.И. Синопальников, Р.С. Козлов. – М., 2010. – 106 с.

Nikonov EV, Chuchalin AG, Chernyaev AL. Pnev¬monii: klassifikatsiya, kliniko-diagnosticheskie aspektyi. Rus med zhurnal. 1997;5(17):1095–9.

Porivnyaini dani pro rozpovsyudzhenIst hvorob or¬ganIv dihannya i medichnu dopomogu hvorim na hvo¬robi pulmonologIchnogo profIlyu v Ukrayini za 2008-2010. K; 2011.

Pro zatverdzhennya klinichnih protokoliv nadan¬nya medichnoyi dopomogi za spetsialnistyu «Pulmono¬logiya». Nakaz MOZ UkraYini N 128.

Chuchalin AG, Sinopalnikov AI, Kozlov RS. Vne¬bolnichnaya pnevmoniya u vzroslyih: prakticheskie rekomendatstt po diagnostike lecheniyu i profilaktike: posobie dlya vrachey. M. 2010;106.

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Published

2013-10-02

How to Cite

1.
Pertseva TA, Kyreyeva TV, Kravchenko NK. Difficult diagnosis. Clinical analysis of pneumonia overdiagnosis case. Med. perspekt. [Internet]. 2013Oct.2 [cited 2024Mar.28];18(3):25-9. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/18930

Issue

Section

CLINICAL MEDICINE