nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2022-11-2-332-346nmp-1420Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSСептическая эмбологенная пневмония при инфекционном эндокардите правых отделов сердца: лучевая диагностикаImaging of Septic Pulmonary Embolism in Right-Side Infective Endocarditishttps://orcid.org/0000-0002-0745-3438ВинокуровА. С.VinokurovA. S.

Винокуров Антон Сергеевич, ассистент

Российская Федерация, 117997, Москва, ул. Островитянова, д. 1

Российская Федерация, 109263, Москва, ул. Шкулёва, д. 4

Российская Федерация, 108814, Москва, п. Коммунарка, ул. Сосенский стан, д. 8

Anton S. Vinokurov, Radiologist, Radiology Departments of V.P. Demikhov City Hospital

1, Ostrovityanov St., Moscow, 117997, Russian Federation

4, Shkuleva St., Moscow, 109263, Russian Federation

8, Sosenskiy Stan St., Moscow, Sosenskoe, Kommunarka, 108814, Russian Federation

antonvin.foto@gmail.comhttps://orcid.org/0000-0002-2083-0437ЧипигинаН. С.ChipiginaN. S.

Чипигина Наталья Семеновна - кандидат медицинских наук, доцент кафедры факультетской терапии им. А.И. Нестерова

Российская Федерация, 117997, Москва, ул. Островитянова, д. 1

Natalya S. Chipigina - Candidate of Medical Sciences, Associate Professor

1, Ostrovityanov St., Moscow, 117997, Russian Federation

chipigina-natalia56@yandex.ruhttps://orcid.org/0000-0003-2814-4826ЗюзяЮ. Р.ZyuzyaYu. R.

Зюзя Юлия Рашидовна - кандидат медицинских наук, врач-патологоанатом централизованного патологоанатомического отделения и центра борьбы с туберкулезом

Российская Федерация, 105275, Москва, 8-я улица Соколиной Горы, д. 15

Российская Федерация, 107014, Москва, ул. Стромынка, д. 10

Российская Федерация, 127994, Москва, ул. Достоевского, д. 4, корп. 2

Yulia R. Zyuzya - Candidate of Medical Sciences, Pathologist, Centralized Patholology Department, Moscow Research and Clinical Center for Tuberculosis Control

15, 8-Sokolinoy Gory St., Moscow,105275, Russian Federation

10, Stromynka St., 107014, Moscow, Russian Federation

4, bldg. 2, Dostoevskogo St., 127994, Moscow, Russian Federation

zuzaju@mail.ruhttps://orcid.org/0000-0002-0310-0889ЮдинА. Л.YudinA. L.

Юдин Андрей Леонидович - доктор медицинских наук, профессор, заведующий кафедрой

Российская Федерация, 117997, Москва, ул. Островитянова, д. 1

Andrey L. Yudin - Doctor of Medical Sciences, Professor, Head, Radiology Department

1, Ostrovityanov St., Moscow, 117997, Russian Federation

prof_yudin@mail.ruКафедра лучевой диагностики и терапии ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России; ГБУЗ «Городская клиническая больница им. В.П. Демихова ДЗМ»; ГБУЗ «Московский многопрофильный клинический центр «Коммунарка» ДЗМ»РоссияRadiology Departments N.I. Pirogov Russian National Research Medical University; V.P. Demikhov City Hospital of Moscow City Health Department; Moscow Multidisciplinary Clinical Center «Kommunarka»Russian FederationКафедра лучевой диагностики и терапии ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияRadiology Departments N.I. Pirogov Russian National Research Medical UniversityRussian FederationГБУЗ «Инфекционная клиническая больница № 2 ДЗМ»; ГБУЗ «Московский городской научно-практический центр борьбы с туберкулезом ДЗМ»; ФГБУ «Национальный медицинский исследовательский центр фтизиопульмонологии и инфекционных заболеваний МЗ РФРоссияInfectious Diseases Clinical Hospital №2; Moscow Research and Clinical Center for Tuberculosis Control; National Medical Research Centre of Phthisiopulmonology and Infection DiseasesRussian FederationКафедра лучевой диагностики и терапии ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияN.I. Pirogov Russian National Research Medical UniversityRussian Federation202209092022112332346Copyright © Винокуров А.С., Чипигина Н.С., Зюзя Ю.Р., Юдин А.Л., 20222022Винокуров А.С., Чипигина Н.С., Зюзя Ю.Р., Юдин А.Л.Vinokurov A.S., Chipigina N.S., Zyuzya Y.R., Yudin A.L.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1420

Ранняя и правильная диагностика инфекционного эндокардита (ИЭ) правых отделов сердца не теряет своей важности из-за сохранения проблемы инъекционной наркомании и увеличения количества хирургических вмешательств на сердце. Септическая эмбологенная пневмония (СЭП) является своеобразной «визитной карточкой» правостороннего эндокардита, и именно ее выявление по данным лучевой диагностики при ряде неспецифических респираторных симптомов у больных с лихорадкой позволяет начать диагностический поиск ИЭ и выйти на локализацию первичного эмбологенного источника в правых отделах сердца. В обзоре рассмотрены современное состояние проблемы ИЭ правых отделов сердца, морфологическая и клиническая картина, основные КТ-симптомы и дифференциальная диагностика СЭП, в том числе в условиях пандемии COVID-19.

Early and correct diagnosis of infective endocarditis (ie) of the right heart does not lose its importance due to the persistence of the problem of intravenous drug use and an increase in the number of surgical interventions on the heart. Septic pulmonary embolism (spe) is a typical sign of right-side ie, and, with a number of nonspecific respiratory symptoms in patients with fever, its detection by radiology allows to start a diagnostic search for ie and locate the primary embolic source in the right parts of the heart. The review examines the current state of the problem of right-side ie, morphology and clinical evidence, main ct signs and differential diagnostics of spe, including the context of the covid-19 pandemic.

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