Russia warned the United States Saturday against carrying out any attacks on Syrian government forces, saying it would have repercussions across the Middle East as government forces captured a hill on the edge of the northern city of Aleppo under the cover of airstrikes.

Meanwhile, airstrikes on Aleppo struck a hospital in the eastern rebel-held neighborhood of Sakhour on Saturday, putting it out of service, according to the Britain-based Syrian Observatory for Human Rights and the Local Coordination Committees. They said at least one person was killed in the airstrike.

Russian news agencies quoted Foreign Ministry spokeswoman Maria Zakharova as saying that a U.S. intervention against the Syrian army “will lead to terrible, tectonic consequences not only on the territory of this country but also in the region on the whole.”

She said regime change in Syria would create a vacuum that would be “quickly filled” by “terrorists of all stripes.”

U.S.-Russian tensions over Syria have escalated since the breakdown of a cease-fire last month, with each side blaming the other for its failure. Syrian government forces backed by Russian warplanes have launched a major onslaught on rebel-held parts of Aleppo.

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