N.G. SHAMSUTDINOVA¹, E.V. DYAKOVA², V.I. ILYINSKIY², N.S. SPIRIDONOVA², L.I. MINGAZOVA²

¹Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation 420012

²Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation 420064

 Shamsutdinova N.G. — Cand. Med. Sc., Assistant Lecturer of the Department of Hospital Therapy with the course in Endocrinology, tel. +7-904-763-83-72, e-mail: nailya@e-diva.ru¹

Dyakova E.V. — doctor of Pulmonology Department, tel. (843) 237-36-26, е-mail: Viktor.Ilinskiy@tatar.ru²

Ilyinskiy V.I. — Head of Pulmonology Department, tel. (843) 237-36-26, е-mail: Viktor.Ilinskiy@tatar.ru²

Spiridonova N.S. — doctor of Pulmonology Department, tel. (843) 237-36-26, е-mail: Viktor.Ilinskiy@tatar.ru²

Mingasova L.I. — doctor of Pulmonology Department, tel. (843) 237-36-26, е-mail: Viktor.Ilinskiy@tatar.ru²

The clinical case of a patient with Wegener’s granulomatosis is presented, in need of immunosuppressive therapy, in combination with an infectious process. The difficulties in diagnosis and treatment of secondary infections in patients with ANCA-associated vasculitis are highlighted.

Key words: systemic vasculitis, infection, Wegener’s granulomatosis.

REFERENCES

Baranov A.A. System Vasculitis: modern standards of diagnosis and treatment. Russkiy meditsinskiy zhurnal, 1577 (in Russ.).

FalkR., GrossW., GuillevinL., HoffmanG.etal. Granulomatosiswithpolyangiitis (Wegener’s):analternativenameforWegener’s granulomatosis. Artritis& Rheum., 2011, 63, pp. 863-864.

Mukhtyar C., Guillevin L., Cid M. et al. EULAR recommendations for the management of primary small and medium vessel vasculitis. Ann.Rheum.Dis., 2009, 68, pp. 310-317.

Nasonov E.L., Beketova T.V. Rekomendatsii po lecheniyu sistemnykh vaskulitov [Recommendations for the treatment of systemic vasculitis]. Proekt Natsional’nykh rekomendatsiy po revmatologii, 2013.

Masaharu Yoshida Strategy of Infection Control in Immunosuppressive Therapy for ANCA-Associated Vasculitis. Annals of Vascular Diseases, 2013, vol. 6, no. 1, pp. 9-15.