COVID-19 as many-faced Janus. On the classification of a new coronavirus infection

Q4 Medicine

Infektsionnye Bolezni Pub Date : 2021-01-01 DOI:10.20953/1729-9225-2021-4-103-111

A. Gorelov, A. Ploskireva, Z. Ponezheva, K. Omarova, S. V. Nikolaeva, A. R. Marzhokhova, E. Samitova, A. Muzyka, A. V. Lukyanov, A. Mishkin, N. Krivosheeva, I. Demina

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Abstract

The spectrum of the clinical manifestations in patients with COVID-19 varies from asymptomatic to severe forms of the disease leading to death. The most commonly affected in patients with COVID-19 system is the respiratory system, but other organ systems can also be affected by the virus. We propose a classification of the clinical forms of COVID-19, which includes: acute respiratory infection (affecting only the upper respiratory tract); pneumonia: without ARF, with ARF; anosmia/parosmia/cacosmia; cerebral form (meningitis, meningoencephalitis); gastrointestinal form, including hepatitis; oligosymptomatic form/asymptomatic form; combined forms. Sepsis, septic (infectious-toxic) shock; DIC, thrombosis and thromboembolism are proposed to be considered as complications of the underlying disease. Present classification can help clinicians to diagnose COVID-19 at an early stage, identify atypical infection forms, and assign appropriate treatment. Key words: COVID-19, classification, clinical manifestations

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COVID-19是多面手。关于新型冠状病毒感染的分类

COVID-19患者的临床表现从无症状到导致死亡的严重形式不等。COVID-19患者最常受影响的系统是呼吸系统，但其他器官系统也可能受到病毒的影响。我们建议对COVID-19的临床形式进行分类，包括:急性呼吸道感染(仅影响上呼吸道);肺炎:无ARF、有ARF;嗅觉缺失症/嗅觉倒错/恶臭;脑型(脑膜炎、脑膜脑炎);胃肠道形式，包括肝炎;少症状型/无症状型;结合形式。脓毒症，感染性(感染性-中毒性)休克;DIC、血栓形成和血栓栓塞被认为是潜在疾病的并发症。目前的分类可以帮助临床医生在早期诊断COVID-19，识别非典型感染形式，并分配适当的治疗。关键词:新冠肺炎，分类，临床表现

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来源期刊

Infektsionnye Bolezni Medicine-Infectious Diseases

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： The journal publishes original research works, reviews of literature, lectures, methodological recommendations, clinical observations. Main topics: problems of etiology, pathogenesis, clinical manifestations of infectious diseases, new techniques and methods of their diagnosis, prevention and treatment; special attention is paid to the problems of antibacterial and antiviral therapy, the use of immunoglobulins and interferons, and also to intensive therapy of critical states. The journal is in the List of leading scientific journals and periodicals of the Supreme Attestation Committee, where the principal results of doctoral dissertations should be published.