Asthenic syndrome in outpatient practice (clinical cases)

Asthenic syndrome in outpatient practice (clinical cases)

E.Yu. Ebzeeva¹, O.D. Ostroumova¹, I.F. Krotkova¹, N.M. Doldo², A.I. Khaletskaya³

¹Russian Medical Academy of Continuous Professional Education, Moscow

²Central Clinical Hospital "RZD-Meditsina", Moscow

³Lobachevsky University, Nizhny Novgorod 

Asthenic syndrome is a pathological condition of patients with various somatic diseases, commonly found in the practice of primary care physicians. The main clinical manifestations of asthenia are pathological muscle weakness and fatigue, regardless of the body burden. Commonly, the clinical picture includes symptoms of a mild cognitive impairment in the form of a slight decline in mental abilities, like memory and completing complex tasks. There are no generally accepted unified recommendations for the classification and therapy of asthenic syndrome. At the same time, the wide prevalence of this pathological condition and its negative effect on the course of underlying somatic disease, prognosis and life quality of the patient determine the need for timely detection and asthenia treatment. The article presents two clinical cases of the asthenic syndrome development in a 37-year-old female patient with community-acquired pneumonia and in a 26-year-old male patient with chronic gastritis, in whom the relief of somatic disease symptoms was not accompanied by the absence of asthenia symptoms. In both cases, the course (within 1 month) of asthenic syndrome treatment with Prospekta® (with nootropic and antiasthenic effect) was characterized by positive trend of the patients’ condition in the form of asthenia symptoms regression and cognitive functions improvement.

Keywords: asthenia, post-viral asthenic syndrome, cognitive dysfunction, clinical case, treatment, Prospekta.

For citation: Ebzeeva E.Yu., Ostroumova O.D., Krotkova I.F., Doldo N.M., Khaletskaya A.I. Asthenic syndrome in outpatient practice (clinical cases). RMJ. 2023;5:43–48.