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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">jofin</journal-id><journal-title-group><journal-title xml:lang="ru">Журнал инфектологии</journal-title><trans-title-group xml:lang="en"><trans-title>Journal Infectology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-6732</issn><publisher><publisher-name>IPO “АIDSSPbR"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.22625/2072-6732-2020-12-3-90-93</article-id><article-id custom-type="elpub" pub-id-type="custom">jofin-1083</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Клинический случай</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Clinical Case</subject></subj-group></article-categories><title-group><article-title>Тоцилизумаб в лечении системной воспалительной реакции у пациента с COVID-19 (клинический случай)</article-title><trans-title-group xml:lang="en"><trans-title>tocilizumab in the treatment of systemic inflammatory response in a patient with CoVID-19 (clinical case)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Авдошина</surname><given-names>Д. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Avdoshina</surname><given-names>D. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Авдошина Дарья Дмитриевна – врач-инфекционист</p><p>Санкт-Петербург; тел.: 8(812)409-79-00 </p></bio><bio xml:lang="en"><p>Saint-Petersburg</p></bio><email xlink:type="simple">darja_mikhailovich@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дьячков</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Dyachkov</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дьячков Андрей Георгиевич – заведующий отделением, ассистент кафедры инфекционных болезней и эпидемиологии</p><p>Санкт-Петербург; тел.: 8(812)409-79-62 </p></bio><bio xml:lang="en"><p>Saint-Petersburg</p></bio><email xlink:type="simple">cd4@inbox.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гусев</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gusev</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гусев Денис Александрович – главный врач, профессор кафедры инфекционных болезней и эпидемиологии, д.м.н., профессор</p></bio><bio xml:lang="en"><p>Saint-Petersburg</p></bio><email xlink:type="simple">gusevden-70@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Клиническая инфекционная больница им. С.П. Боткина</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Clinical Infectious Hospital named after S.P. Botkin</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Клиническая инфекционная больница им. С.П. Боткина; Первый Санкт-Петербургский государственный медицинский университет им. академика И.П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Clinical Infectious Hospital named after S.P. Botkin; First Saint-Petersburg State Medical University named after аcademician I.P. Pavlov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>02</day><month>08</month><year>2020</year></pub-date><volume>12</volume><issue>3</issue><fpage>90</fpage><lpage>93</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Авдошина Д.Д., Дьячков А.Г., Гусев Д.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Авдошина Д.Д., Дьячков А.Г., Гусев Д.А.</copyright-holder><copyright-holder xml:lang="en">Avdoshina D.D., Dyachkov A.G., Gusev D.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.niidi.ru/jofin/article/view/1083">https://journal.niidi.ru/jofin/article/view/1083</self-uri><abstract><p>Совершенствование подходов к лечению новой коронавирусной инфекции (COVID-19) открывает возможности использования ранее известных групп препаратов, демонстрирующих свою эффективность в патогенетической терапии данного заболевания. В Клинической инфекционной больнице им. С.П. Боткина накоплен клинический опыт в области лечения COVID-19. На примере представленного случая демонстрируется своевременность назначения и эффективность антицитокиновой терапии при COVID-19, возможности использования рекомбинантного гуманизированного моноклонального антитела к человеческому рецептору интерлейкина-6 (ИЛ-6) (МНН-тоцилизумаб).</p></abstract><trans-abstract xml:lang="en"><p>Improving the approaches to treating COVID-19 infection opens up the possibility for using previously known groups of drugs that demonstrate their effectiveness in the pathogenetic treatment of this disease. Significant clinical experience in the field of treatment of COVID-19 have been accumulated in Clinical Infectious Diseases Hospital named after S.P. Botkin, Saint-Petersburg, Russia. The case study demonstrates the timeliness and effectiveness of anticytokine therapy with COVID-19, the possibility of using a recombinant humanized monoclonal antibody to the human receptor for interleukin-6 (IL-6) (tocilizumab).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>COVID-19</kwd><kwd>SARS-CoV-2</kwd><kwd>острый респираторный дистресс-синдром</kwd><kwd>дыхательная недостаточность</kwd><kwd>тоцилизумаб</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID-19</kwd><kwd>SARS-CoV2</kwd><kwd>acute respiratory&#13;
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