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Clinical case of methotrexate overdose, the peculiarity of diagnostics in the conditions of the COVID-19 pandemic

https://doi.org/10.30629/0023-2149-2023-101-4-5-241-246

Abstract

The diversity and low specifi city of clinical manifestations of COVID-19, as well as its widespread prevalence, present diffi  culties for diff erential diagnosis, including  conditions caused by drug overdose. The challenging experience of providing medical care during the coronavirus pandemic draws attention to the importance and necessity of further improving its diagnosis, especially in comorbid conditions. A clinical case of diff erential diagnosis of non- iatrogenic overdose of methotrexate in a patient with a preliminary diagnosis (virus unknown) is described: U07.2 (ICD-10) COVID-19.

About the Authors

I. V. Zaborskikh
City Hospital No. 2 of Miass Multidisciplinary Medical Center “Severny”
Russian Federation

Zaborskikh Irina V.

456304, Miass



V. B. Simonenko
Military Medical Academy named after S.M. Kirov (Moscow branch) of the Ministry of Defense of Russia
Russian Federation

Simonenko Vladimir B.

107392, Moscow



S. Kh. Sarmanaev
Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine of Federal Medical Biological Agency; Academy of Postgraduate Education of the Federal State Budgetary Institution “Federal Scientifi c and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency”
Russian Federation

Sarmanaev Salavat Kh.

119435, Moscow

125371, Moscow



R. R. Tuktarova
City Clinical Hospital No. 21 Ufa
Russian Federation

Tuktarova Rosa R.

450071, Ufa



Yu. O. Yurina
Academy of Postgraduate Education of the Federal State Budgetary Institution “Federal Scientifi c and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency”
Russian Federation

Yurina Yulia O.

125371, Moscow



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Review

For citations:


Zaborskikh I.V., Simonenko V.B., Sarmanaev S.Kh., Tuktarova R.R., Yurina Yu.O. Clinical case of methotrexate overdose, the peculiarity of diagnostics in the conditions of the COVID-19 pandemic. Clinical Medicine (Russian Journal). 2023;101(4-5):241-246. (In Russ.) https://doi.org/10.30629/0023-2149-2023-101-4-5-241-246

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ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)