Neuroinfection of mixed etiology: modern diagnosis of urgent conditions in children: а review
https://doi.org/10.22328/2079-5343-2026-17-1-19-30
Abstract
Introduction: Recently, the number of mixed infectious lesions of the nervous system (NS) among children has been increasing. This pathology is characterized by a severe course and rapid development of urgent conditions.
Objective: To demonstrate a universal diagnostic algorithm using clinical laboratory and neuroimaging research methods in the conditions of a child’s stay in the intensive care unit.
Materials and methods: We present our own clinical cases of the use of modern laboratory and instrumental diagnostic methods, especially neurosonography (NSG), computed tomography (CT) and multiparametric magnetic resonance imaging (MRI).
Results: These methods made it possible to make a correct diagnosis in a short time, determine the degree of morphofunctional disorders on the part of the NS, the presence of complications, and also to assume the outcome of the disease.
Discussion: Central NS infections of mixed etiology are characterized by polymorphism of the clinical picture and rapid development of urgent conditions. This requires early diagnosis using laboratory and instrumental research methods to prescribe adequate therapy and predict the outcome of the disease.
Conclusion: Timely diagnosis and early start of treatment of NS mixed infection and possible complications helps to improve the outcomes of the disease.
About the Authors
V. A. RatnikovRussian Federation
Viacheslav A. Ratnikov – Dr. of Sci. (Med.), Professor, General Director
St. Petersburg
N. V. Marchenko
Russian Federation
Natalia V. Marchenko – Dr.of Sci. (Med.), Associate Professor of the Department of Radiation Diagnostics; Professor of the Department of Radiation Diagnostics and Biomedical Imaging
199034, St. Petersburg, Universitetskaya Embankment, 7/9;
194100, St. Petersburg, Litovskaya str., 2
K. Yu. Ermolenko
Russian Federation
Kseniya Yu. Ermolenko – Cand. of Sci. (Med.), Professor of the Department of Anesthesiology, Intensive Care and Emergency Pediatrics of the Faculty of Postgraduate
and Additional Professional Education; Deputy Chief Physician for Anesthesiology, Intensive Care and Diagnostic Services, Intensive Care Anesthesiologist,
Transfusiologist
St. Petersburg
A. I. Konev
Russian Federation
Aleksandr I. Konev – Assistant of the Department of Anesthesiology, Intensive Care and Emergency Pediatrics of the Faculty of Postgraduate and Additional Professional; Head of the Intensive Care Unit
Education
St. Petersburg
E. Yu. Skripchenko
Russian Federation
Elena Yu. Skripchenko – Dr. of Sci. (Med.), Docent of the Department of Neonatology with courses in Neurology and Obstetrics and Gynecology, Faculty of Postgraduate
and Additional Professional Education
St. Petersburg
S. P. Narzieva
Russian Federation
Sabina P. Narzieva – Radiologis at the Department of radiation diagnostics with computed tomography rooms
St. Petersburg
D. D. Lopareva
Russian Federation
Daria D. Lopareva – Student, Federal State Budgetary Educational Institution of Higher Education
St. Petersburg
I. B. Petrov
Russian Federation
Igor B. Petrov – Neurologist at the Pediatric Neurorehabilitation Department, full-time postgraduate student at the Research Department of Neuroinfections and Organic Pathology of the Nervous System
St. Petersburg
S. A. Tyatkov
Russian Federation
Stanislav A. Tyatkov – Radiologist; Assistant of the Department of Radiation Diagnostics and Medical Imaging, Faculty of Postgraduate and Additional Professional Education
St. Petersburg
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Review
For citations:
Ratnikov V.A., Marchenko N.V., Ermolenko K.Yu., Konev A.I., Skripchenko E.Yu., Narzieva S.P., Lopareva D.D., Petrov I.B., Tyatkov S.A. Neuroinfection of mixed etiology: modern diagnosis of urgent conditions in children: а review. Diagnostic radiology and radiotherapy. 2026;17(1):19-30. (In Russ.) https://doi.org/10.22328/2079-5343-2026-17-1-19-30
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