Vol. 1, Issue 1, Part A (2019)

This paper presents clinical features of pneumonia on the background with chronic kidney disease. 120 patients with acute pneumonia (AP) were examined, of which 80 patients developed the disease against a background of chronic kidney disease (group AP + CKD). The study showed that in patients with large infiltrates, occupying more than 1/3 of the lung field. In this group of patients, the hypoergic status of the immune system is noted. During therapy, the majority of patients (65%) showed positive clinical and radiological dynamics, 20 patients (16.67%) did not show significant dynamics, and 22 patients (18.22%) had clinical and radiological dynamics. Negative clinical and radiological dynamics were more often observed in the group of patients with AP + CKD (p <0.01), and in this group of patients, negative dynamics was more often associated with the absence of ACC as part of complex therapy (p <0.001).