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616.24-002-02:616.379-008.64 (1) |
Patologia sistemului respirator. Tulburări ale organelor de respiraţie (757) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1732) |
SM ISO690:2012 PERJU, Ina, DUMITRAŞ, Tatiana, ŢERNĂ, Eudochia, MATCOVSCHI, Sergiu. Pneumonia and diabetes mellitus - a continuous challenge. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 204. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.24-002-02:616.379-008.64 | ||||||
Pag. 204-204 | ||||||
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Introduction. The association of community-acquired pneumonia (CAP) with diabetes mellitus (DM) in the same person remains a challenge for clinicians. The coexistence of these two pathologies presents difficulties both diagnostically and therapeutically. Objective of the study. Description of the clinical and evolutionary aspects of pneumonia in patients with type 2 DM. Material and methods. A descriptive analysis was performed on 20 patients hospitalized in the CMH „St Trinity” between September 2021 - December 2021. Data analyzed included: severity, onset, and radiological picture of CAP, duration, and degree of DM compensation. Data were processed in the SPSS program version 23. Results. The mean age of the patients was 55 ± 1.6 years, predominantly female (63%). The acute onset of the disease was noted in 35% of patients, and 65% could not specify the time of onset. In 39% of cases, the mismatch between the poor clinical picture and the radiological picture was noticed. Polysegmentar involvement was present in all patients, and bilateral localization - in 20% of cases. The evolution of CAP was considered to be of medium severity in 45%, and the severe evolution - in 57%. Patients with severe CAP required treatment in the intensive care unit. DM was rated as undercompensated at 39%, and decompensated, with metabolic acidosis - at 61%. Conclusions. DM is a risk factor for the association of lower respiratory tract infections, predominantly causing a serious evolution of pneumonia. The association of these two pathologies favors the erased clinical picture of pneumonias, but also profound disorders of the acid-base balance that require treatment in the intensive care unit. |
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Cuvinte-cheie community-acquired pneumonia, diabetes, pneumonie comunitară, diabet zaharat |
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