SOVREMENNAYA PEDIATRIYA.2018.8(96):70-86; doi 10.15574/SP.2018.96.70

Дорош О. И., Химьяк Л. С., Кушарська А. В., Васылив И. Л., Мелько И. П., Мых А. Н.
КНП ЛОС «Западноукраинский специализированный детский медицинский центр», г. Львов, Украина
Медицинский центр «ОМЕГА», г. Киев, Украина
Центр медицинских инноваций NOVO, г. Львов, Украина
Медицинский центр Святой Параскевы, г. Львов, Украина

Приведен клинический случай инвазивного мукормикоза у 7-летнего пациента с приобретенной тяжелой апластической анемией, резистентной к иммуносупрессивной терапии, подтвержденый результатами микробиологических исследований, с поражением паренхимы обеих легких, селезенки и перфоративными дефектами диафрагмы. Показаны клинические, микробиологические и радиологические особенности течения инфекции. Также описаны другие инфекционные осложнения, с многообразным спектром возбудителей и локализации, которые наблюдались у пациента в течение 4-месячного применения иммуносупрессивной терапии. Подан краткий обзор литературы.

Ключевые слова: дети, приобретенная тяжелая апластическая анемия, иммуносупрессивная терапия, инвазивный мукормикоз, осложнения.

ЛИТЕРАТУРА

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Статья поступила в редакцию 15.09.2018, принята к печати 04.12.2018.