DIFFERENTIAL DIAGNOSIS OF ACUTE INTESTINAL INFECTIONS OF SURGICAL AND ONCOLOGICAL DISEASES
https://doi.org/10.24060/2076-3093-2017-7-2-4-8
Abstract
Presents an analysis of outpatient and inpatient medical records of patients delivered in infectious hospital № 4 of Ufa with suspected acute intestinal infection and transferred after clinical laboratory examination or from admissions for emergency indications, either from the intestinal-diagnostic unit after the establishment of the non-core nature of the disease in other hospitals. The most informative clinical symptoms and of anamnestic data in the differential diagnosis of acute intestinal infections, acute surgical diseases of abdominal organs (acute appendicitis, intestinal obstruction, cholecystitis and cholelithiasis, incarcerated hernia, diverticular disease, peritonitis, pancreatic necrosis), tumors of the intestine and thrombosis of the mesenteric vessels. In the differential diagnosis of a large circle of non-core diseases were used the results of additional research: the General analysis of blood and urine, capriform, bacteriological and enzyme immunoassay of faeces and vomit on pathogenic and conditionally pathogenic enterobacteria, rotaviruses, as well as the ultrasound and radiography of the abdomen, sigmoidoscopy.
About the Authors
D. A. Valishin
Bashkir State Medical University
Russian Federation
Valishin Damir Askhatovich – MD, Professor, Department of Infectious Diseases with a Course of EITI, Ufa
Russian Federation
Valishin Damir Askhatovich – MD, Professor, Department of Infectious Diseases with a Course of EITI, Ufa
R. A. Murzabayeva
Bashkir State Medical University
Russian Federation
Murzabaeva Rasima Timeraynovna – MD, Professor, Department of Infectious Diseases with a Course of EITI, Ufa
Russian Federation
Murzabaeva Rasima Timeraynovna – MD, Professor, Department of Infectious Diseases with a Course of EITI, Ufa
A. P. Mamon
Bashkir State Medical University
Russian Federation
Mamon Andrei Petrovich – PhD, Associate Professor, Department of Infectious Diseases with a Course of EITI, Ufa
Russian Federation
Mamon Andrei Petrovich – PhD, Associate Professor, Department of Infectious Diseases with a Course of EITI, Ufa
M. A. Mamon
Bashkir State Medical University
Russian Federation
Mamon Marina Andreevna – PhD, Associate Professor, Department of Infectious Diseases with a Course of EITI, Ufa
Russian Federation
Mamon Marina Andreevna – PhD, Associate Professor, Department of Infectious Diseases with a Course of EITI, Ufa
L. V. Arslanova
Bashkir State Medical University
Russian Federation
Arslanova Lira Valerevna – PhD, Associate Professor, Department of Infectious Diseases with a Course of EITI, Ufa
Russian Federation
Arslanova Lira Valerevna – PhD, Associate Professor, Department of Infectious Diseases with a Course of EITI, Ufa
Je. M. Kaliyeva
Bashkir State Medical University
Russian Federation
Kalieva Jeannet Magarufovna – Clinical Resident, Department of Infectious Diseases with a Course of EITI, Ufa
Russian Federation
Kalieva Jeannet Magarufovna – Clinical Resident, Department of Infectious Diseases with a Course of EITI, Ufa
References
1. Ющук НД, Бродов ЛЕ. Острые кишечные инфекции: диагностика и лечение. М.;2012. [Yushchuk ND, Brodov LE. Acute intestinal infections: diagnosisandtreatment. M.;2012 (inRuss.)].
2. Голубовская ОА. Современные подходы к диагностике и лечению диарейных заболеваний. Семейная медицина. 2015;(3):35. [Golubovskaya O. Modern approaches to diagnostics and treatment of diarrheal diseases. Semeynaya Medicina. 2015;(3):35(in Russ.)].
3. Сбойчаков ВБ, Захаренко СМ, Финогеев ЮП, Крумгольц ВФ. Эпидемиология, клиника и лабораторная диагностика бактериальных и вирусных диарей. Лечение и профилактика. 2012;(3):77-81. [Sboychakov VB, Zakharenko SM, Finogeyev YuP, Krumgoltz VF. The clinical-epidemiologic aspects and methods of laboratory diagnostics of bacterial and viral diarrhea. LechenieiProfila ktika.2012;(3):77-81 (in Russ.)].
4. Тарасова ЛВ, Трухан ДИ. Дифференциальная диагностика при диарее. Экспериментальная и клиническая гастроэнтерология. 2015;(12):10510. [Tarasova LV, Trukhan DI. Diagnostic algorithm for diarrhea. Ėksperimental’naia I Klinicheskaia Gastro nterologiia = Exp Clin Gastroenterol. 2015;(12):105-10 (in Russ.)].
5. Лобзин ЮВ, Финогеев ЮП, Винакмен ЮА, Захаренко СМ, Усков АИ. Маски инфекционных болезней. СПб; 2003.
6. Леванчук ТС, Балмасова ИП, Филиппов ПГ, Огиенко ОЛ. Ранняя дифференциальная диагностика острых кишечных инфекций и острого аппендицита у пациентов с диарейным синдромом. Инфекционные болезни: новости, мнения, обучение. 2016;(2):35-41. [Levanchuk TS, Balmasova IP, Filippov PG, Ogienko OL. Early differential diagnosis of acute intestinal infections and acute appendicitis in patients with diarrhea syndrome. Infect Dis: News, Opinions, Training. 2016;(2):35-41 (in Russ.)].
7. Казанцев АП, Казанцев ВА. Дифференциальная диагностика инфекционных болезней: руководство для врачей. М.;2013.
8. Шарикова ОВ. Острый холецистит и кишечная инфекция. Сб. тез. VIII Всерос. конф. общих хирургов с международным участием, посвящ. 95-летию СамГМУ. Самара; 2014:459-61.
9. Филиппов ПГ, Огиенко ОЛ, Балмасова ИП, Леванчук ТС, Цветкова НА, Евсюков ОА. Возможности дифференциального диагноза между острым аппендицитом с диарейным синдромом острыми диарейными инфекциями. Инфекционные болезни. 2013;11(4):78-81. [Filippov PG, Ogienko OL, Balmasova IP, Levanchuk TS, Tsvetkova NA, Evsyukov OA. Possibilities of a differential diagnosis between acute appendicitis with diarrhoeal syndrome and acute diarrhoeal infections. Infect Dis. 2013;11(4):7881 (in Russ.)].
10. Айвазян СР, Грановский ИЭ, Филиппова ВВ, Воронцова НИ, Малов ВА, Белецкий ИП. Современная лабораторная диагностика острых инфекционных диарейных заболеваний. Российский педиатрический журнал. 2012;(5):51-56. [Ayvazyan SR, Granovsky IE, Filippova VV, Vorontsova NI, Malov VA, Beletsky IP. Modern laboratory diagnostics of acute intestinal infections. Russian Ped J. 2012;(5):51-56 (in Russ.)].
11. Марова АА, Оксанич АС, Каира АН, Мескина ЕР, Медведева ЕА, Иванова ОЕ, и др. Применение метода мультиплексной ПЦР-РВ для дифференциальной диагностики кишечных вирусных инфекций. Журнал микробиологии, эпидемиологии и иммунобиологии. 2012;(6):39-45. [Marova AA, Oksanich AS, Kaira AN, Meskina ER, Medvedeva EA, Ivanova OE, et al. Experience of application of multiplex QPCR for intestine viral infection differential diagnostics. J Microbiol Epidemiol Immunobiol. 2012;(6):39-45 (in Russ.)].
12. Халиуллина СВ, Анохин ВА. Особенности диагностики и терапевтическая тактика при острых кишечных инфекциях неустановленной этиологии. Инфекционные болезни. 2015;13(2):55-60. [Khaliullina SV, Anokhin VA. Specificities of diagnosing and therapeutic tactics in acute enteric infections of unknown etiology. Infect Dis. 2015;13(2):55-60 (in Russ.)].
Review
For citations:
Valishin D.A., Murzabayeva R.A., Mamon A.P., Mamon M.A., Arslanova L.V., Kaliyeva J.M. DIFFERENTIAL DIAGNOSIS OF ACUTE INTESTINAL INFECTIONS OF SURGICAL AND ONCOLOGICAL DISEASES. Creative surgery and oncology. 2017;7(2):4-8. (In Russ.) https://doi.org/10.24060/2076-3093-2017-7-2-4-8
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