avkАрхивъ внутренней медициныThe Russian Archives of Internal Medicine2226-67042411-6564“SINAPS” LLC10.20514/2226-6704-2023-13-4-272-281MDUSPHavk-1638Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESСептическая эмбологенная пневмония — особенности клиники и диагностики (обзор литературы и собственные наблюдения)Septic Embologenic Pneumonia — Clinical and Diagnostical Features (Review and Own Observations)https://orcid.org/0000-0002-2083-0437ЧипигинаН. С.ChipiginaN. S.

Наталия Семеновна Чипигина

Москва

Natalia S. Chipigina

Moscow

chipigina-natalia56@yandex.ruhttps://orcid.org/0000-0002-7546-4841КарповаН. Ю.KarpovaN. Yu.

Москва

Moscow

https://orcid.org/0000-0002-0745-3438ВинокуровА. С.VinokurovA. S.

Москва

Moscow

https://orcid.org/0000-0002-6431-037XАрининаЕ. Е.ArininaE. E.

Москва

Moscow

https://orcid.org/0009-0005-1446-7722ИвановаЮ. А.IvanovaYu. A.

Москва

Moscow

https://orcid.org/0000-0003-1699-7717ГаспарянА. А.GasparyanA.  A.

Москва

Moscow

КашковскаяП. А.KashkovskayaP. A.

Москва

Moscow

https://orcid.org/0000-0003-2628-2440МакаевА. Г.MakaevA. G.

Москва

Moscow

https://orcid.org/0009-0009-8151-8023СапкоМ. С.SapkoM. S.

Москва

Moscow

ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияPirogov National Research Medical UniversityRussian FederationФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России; ГБУЗ «Городская клиническая больница им. В.П. Демихова Департамента здравоохранения города Москвы»; ГБУЗ «Московский многопрофильный клинический центр «Коммунарка» Департамента здравоохранения города Москвы»РоссияPirogov National Research Medical University; V.P. Demikhov City Hospital of Moscow City Health Department; Moscow Multidisciplinary Clinical Center «Kommunarka»Russian FederationФГБУ «Федеральный центр мозга и нейротехнологий» ФМБА РоссииРоссия«Federal Center for Brain and Neurotechnologies» of the Russian Federal Medical and Biological AgencyRussian Federation202316082023134272281Copyright © Чипигина Н.С., Карпова Н.Ю., Винокуров А.С., Аринина Е.Е., Иванова Ю.А., Гаспарян А.А., Кашковская П.А., Макаев А.Г., Сапко М.С., 20232023Чипигина Н.С., Карпова Н.Ю., Винокуров А.С., Аринина Е.Е., Иванова Ю.А., Гаспарян А.А., Кашковская П.А., Макаев А.Г., Сапко М.С.Chipigina N.S., Karpova N.Y., Vinokurov A.S., Arinina E.E., Ivanova Y.A., Gasparyan A.A., Kashkovskaya P.A., Makaev A.G., Sapko M.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medarhive.ru/jour/article/view/1638

В отличие от простой пневмонической инфильтрации, диагноз септической эмбологенной пневмонии ставит перед врачом принципиальную задачу поиска первичного септического эмбологенного очага, в том числе инфекционного эндокардита правых отделов сердца, и соответствующего изменения тактики ведения пациента. Сходство основных общих клинических и респираторных симптомов септической эмбологенной пневмонии с проявлениями других воспалительных процессов в легких делают их дифференциальную диагностику затруднительной без привлечения дополнительных лучевых методов исследования. В обзоре описаны особенности этиологии и патогенеза, а также клиника, осложнения и принципы диагностики септической эмбологенной пневмонии.

In contrast to trivial bacterial pneumonia, the diagnosis of septic pulmonary embolism poses a fundamental task for the doctor to search for primary sources of emboli, including right side infective endocarditis, and to change the tactics of managing the patient accordingly. The similarity of the main clinical common and respiratory symptoms of septic pulmonary embolism with symptoms of other inflammatory processes in the lung makes their differential diagnosis difficult without the involvement of additional radiologic investigation methods. The review describes the special features of etiology and pathogenesis, as well as the clinic, complications and principles of diagnosis of septic embolic pneumonia. 

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The authors declare that there are no conflicts of interest present.