INFECTION OF THE URINARY TRACT SYSTEM: WHAT IS HIDDEN UNDER THE MASK OF ILLNESS
S. S. Paunova
Pirogov Russian National Research Medical University, Moscow, Russia
N. V. Labutina
M. N. Zubavina
S. H. Kurbanova
I. N. Lavrentieva
Yu. I. Semina
A. S. Dvornikov
A. A. Stepanov
A. M. Orbu
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Keywords

autoimmune hemolytic anemia
Kawasaki disease
vasculitis

How to Cite

Paunova S. S., Labutina N. V., Zubavina M. N., Kurbanova S. H., Lavrentieva I. N., Semina Y. I., Dvornikov A. S., Stepanov A. A., Orbu A. M. INFECTION OF THE URINARY TRACT SYSTEM: WHAT IS HIDDEN UNDER THE MASK OF ILLNESS // Kremlin Medicine Journal. 2023. VOL. № 4. С. 88-92.
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Abstract

Infection of the urinary system (UTI) is one of the most common diseases in pediatric practice. The development of the disease is possible in newborns. However, despite the sufficient certainty and study of the clinical manifestations of urinary system infection in children of different ages, there are situations when the most unexpected nosological problems may be hidden under the mask of a guiding diagnosis of UTI. The purpose of this publication is to demonstrate the case histories of several patients with a guiding diagnosis of UTI, who subsequently had severe immune-mediated diseases that required serious pathogenetic treatment in specialized departments. Pediatricians need to examine patients with general infectious toxicosis, minimal urinary syndrome, and other clinical and laboratory changes in more detail, at first glance similar to those in UTI, but not so convincing for making this diagnosis.
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References

1. Clinical guidelines "Urinary tract infection in children" M.: Russian Union of Pediatricians.– 2021. In Russian.
2. Somatic diseases in children //Moscow - Orenburg: IPK "South Ural". – 2002 – P. 699. In Russian.
3. Bhat R. G., Katy T. A., Place F. C. Pediatric urinary tract infections //Emergency Medicine Clinics. – 2011. – V. 29. – №. 3. – P. 637-653. doi: 10.1016/j.emc.2011.04.004.
4. Beetz R. Evaluation and management of urinary tract infections in the neonate // Curr Opin Pediatr. - 2012. - V.24. - №. 1. - P. 205-211. doi: 10.1097/MOP.0b013e32834f0423.
5. Leung A. K. C. et al. Urinary tract infection in children //Recent patents on inflammation & allergy drug discovery. – 2019. – V. 13. – No. 1. – P. 2-18.doi: 10.2174/1872213X13666181228154940.
6. Margieva T. V. et al. Recommendations for the diagnosis and treatment of urinary tract infections in children // Pediatric pharmacology. - 2016. - V. 13. - №. 1. - P. 17-21. In Russian. doi: 10.15690/pf.v13i1.1509.
7. Shilov E. M., Kozlovskaya N. L., Korotchaeva Yu. V. Clinical guidelines for the diagnosis and treatment of rapidly progressive glomerulonephritis (extracapillary glomerulonephritis with crescents) // Nephrology. - 2015. - V. 19. - №. 6. - P. 73-82. In Russian.
8. Baranov A. A. et al. Mucocutaneous lymph node syndrome (syndrome/Kawasaki disease) in children. Clinical guidelines. – 2016. In Russian.
9. Baranov A. A. et al. Review of clinical guidelines for Kawasaki disease/syndrome // Pediatric pharmacology. - 2017. - V. 14. - №. 2. - P. 87-99. In Russian. doi: 10.15690/pf.v14i2.1723.