КРИТЕРИИ ДИАГНОСТИКИ ВИРУСНОЙ ПНЕВМОНИИ У ДЕТЕЙ ПРИ НОРМАЛЬНОЙ РЕНТГЕНОГРАММЕ

The study aims to establish the possible association of pneumonia of viral etiology with the absence of infiltrative changes in chest radiograph among cases of X-ray-negative pneumonia in clinical practice. Material and methods. The search for potential features of the viral etiology of community-acquired pneumonia in the PubMed and CyberLeninka databases is made. A simultaneous study of cases of X-ray-negative pneumonia among children based on the analysis of data from the pediatric department of the children’s city hospital in the city of Yekaterinburg is carried out. Two groups were formed: 20 children with X-ray-negative pneumonia (1.7 ± 0.2 years), 18 children with a confirmatory X-ray of community-acquired pneumonia (2.3 ± 0.2 years). Results. Based on the calculation of features for pneumonia that does not have an infiltrate according to radiography, the number of accurate signs characteristic of the viral etiology of community-acquired pneumonia was determined. These signs are the limited data on physical examination of the respiratory system, the absence of purulent sputum and evident pro-inflammatory changes in blood tests, and a disproportionate increase in heart rate or breathing rate. Warning signs of the disease were anamnestic features that are the presence of malnutrition, immunodeficiency, and intrauterine infection in children.