Strâmbu Irina, Ciolan Gina, Anghel Luminiţa, Mocanu Anca, Stoicescu Ioan Paul
Institutul de Pneumologie Marius Nasta, Bucureşti.
Pneumologia. 2006 Jul-Sep;55(3):123-7.
The authors present the case of a 32 years male patient admitted for lung consolidations with bilateral extension tendency, associated to fever, respiratory failure and hepatic involvement, with a sudden onset two weeks after contact with apparently healthy parrots. Bronchiolo-alveolar lavage was suggestive for a hypersensitivity pneumonia, but the clinical evolution was good with antibiotics (macrolides, than doxycycline). Radiologic resolution was spectacular. Serum antibodies anti-ch. Psittaci were present in low titre, at the limit of significance. Final diagnosis was chlamydia psittaci pneumonia.
作者报告了一例32岁男性患者的病例,该患者因肺部实变入院,肺部实变有双侧扩展趋势,伴有发热、呼吸衰竭和肝脏受累,在与看似健康的鹦鹉接触两周后突然发病。支气管肺泡灌洗提示为过敏性肺炎,但使用抗生素(大环内酯类,然后是强力霉素)治疗后临床病情好转。影像学表现显著改善。血清抗鹦鹉热衣原体抗体滴度较低,处于有意义的临界值。最终诊断为鹦鹉热衣原体肺炎。