Features of the clinical picture and comprehensive treatment of second purulent wound in patients after severe coronavirus infection (COVID-19)
https://doi.org/10.17021/2712-8164-2024-4-53-59
Abstract
The article considers a clinical observation of a patient with type 2 diabetes mellitus after reconstructive angioplasty of the femoral artery on the right, the development of acute bypass thrombosis, wet gangrene and amputation during the new coronavirus infection COVID-19. The use of oxygenated drugs eliminates tissue oxygenation deficiency, and local wound treatment using hardware hydrosurgical treatment and exogenous nitric oxide flows has a beneficial effect on metabolic processes of wound healing, allows suppressing the activity of wound microbiota and preventing death.
About the Authors
M. A. Topchiev
Astrakhan State Medical University
Россия
Россия
Mikhail A. Topchiev, Dr. Sci. (Med.), Professor, Head of the Department
Astrakhan
V. V. Mel’nikov
Astrakhan State Medical University
Россия
Россия
Vladimir V. Мel’nikov, Dr. Sci. (Med.), Associate Professor, Associate Professor of the Department
Astrakhan
D. S. Parshin
Astrakhan State Medical University
Россия
Россия
Dmitriy S. Parshin, Dr. Sci. (Med.), Associate Professor, Associate Professor of the Department
Astrakhan
A. M. Gololobov
Astrakhan State Medical University; S. M. Kirov City Clinical Hospital No. 3
Россия
Россия
Aleksandr M. Gololobov, surgeon
Astrakhan
T. D. Abyamov
S. M. Kirov City Clinical Hospital No. 3
Россия
Россия
Talgat D. Adyamov, surgeon
Astrakhan
M. K. Chotchaev
Stavropol State Medical University
Россия
Россия
Marat K. Chotchaev, Cand. Sci. (Med.), Associate Professor of the Department
Stavropol
References
1. Duloquin G., Pommier T., Georges M., Giroud M., Guenancia C., Béjot Y., Laurent G., Rabec C. Is COVID 19 Infection a Multiorganic Disease? Focus on Extrapulmonary Involvement of SARS-CoV-2. Journal of Clinical Medicine. 2024: 13 (5): 1397. doi: 10.3390/jcm13051397.
2. Boulos M., Bassal T., Layyous A., Basheer M., Assy N. Inflammation in COVID-19: A Risk for Superinfections. COVID. 2022; 2 (11): 1609–1624. doi:10.3390/covid2110116.
3. Blanco-Melo D., Nillson-Paynt B. E., Liu W. C. Imbalanced host response to SARS-CoV-2 drives development of COVID-19. Cell. 2020; 181 (5): 1036–1045. doi: 10.16/j.cell.2020.02.026.
4. Batiha G. E., Al-Kuraishy H. M., Al-Gareeb A. I., Welson N. N. Pathophysiology of Post-COVID syndromes: a new perspective. Virology Journal. 2022; 19 (1): 158. doi: 10.1186/s12985-022-01891-2.
5. Tomasiewicz K., Woroń J., Kobayashi A. Krasinski Z., Rydzewska G., Szymanski F. M. Post-COVID-19 syndrome in everyday clinical practice: interdisciplinary expert position statement endorsed by the Polish Society of Civilization Diseases. Polish Archives of Internal Medicine. 2024. Vol. 134. P. 16728. doi: 10.20452/pamw.16728.
6. Facciponte D. N., Shaw P. Venous gangrene associated with COVID-19: Successful limb preservation strategies with optimal wound management. Annals of Vascular Surgery – Brief Reports and Innovations. 2022. Vol. 2, no. 2. P. 100095. doi: 10.1016/j.avsurg.2022.100095.
7. Patil B. U., Hivre M. G., Pravinkumar V., Gupta A., Gupta D. COVID-19 Associated Peripheral Gangrene: A Case Series. Mustansiriya Medical Journal. 2023. Vol. 22, no. 2. P. 224–228. doi: 10.4103/mj.mj_39_23.
8. Raj S. T., Bruce A. W., Anbalagan M., Srinivasan H., Chinnappan S., Rajagopal M., Khanna K., Chandramoorthy H. C., Mani R. R. COVID-19 influenced gut dysbiosis, postacute sequelae, immune regulation, and therapeutic regimens. Frontiers in Cellular and Infection Microbiology. 2024. Vol. 14. P. 1384939. doi: 10.3389/fcimb.2024.1384939.
9. Leggiadro R. J. Bacterial Coinfections in Lung Tissue Specimens from Fatal Cases of 2009 Pandemic Influenza A (H1N1) – United States, May – August 2009. The Pediatric Infectious Disease Journal. 2010. Vol. 29, no. 1. P. 22, January 2010. doi: 10.1097/01.inf.0000366838.82857.78.
10. The ANZIC Influenza Investigators. Critical care services and the H1N1 (2009) influenza epidemic in Australia and New Zealand in 2010: the impact of the second winter epidemic. Critical Care. 2011. Vol. 15. P. R143. doi: 10.1186/cc10266. 11. Ruiyun Li et al. Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV-2). Science. 2020. Vol. 368. P. 489–493. doi: 10.1126/science.abb3221.
11. Musuuza J. S., Watson L., Parmasad V., Putman-Buehler N., Christensen L., Safdar N. Prevalence and outcomes of co-infection and superinfection with SARS-CoV-2 and other pathogens: A systematic review and meta analysis. PLoS One. 2021. Vol. 16, no. 5. P. e0251170. doi: 10.1371/journal.pone.0251170.
Review
For citations:
Topchiev M.A., Mel’nikov V.V., Parshin D.S., Gololobov A.M., Abyamov T.D., Chotchaev M.K. Features of the clinical picture and comprehensive treatment of second purulent wound in patients after severe coronavirus infection (COVID-19). Title. 2024;5(4):53–59. (In Russ.) https://doi.org/10.17021/2712-8164-2024-4-53-59
Views:
149
JATS XML
Email this article 