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从一名被诊断为非典型肺炎的实验室工作人员身上分离出流产衣原体。

Isolation of Chlamydia abortus from a laboratory worker diagnosed with atypical pneumonia.

作者信息

Ortega Nieves, Caro M Rosa, Gallego M Carmen, Murcia-Belmonte Antonio, Álvarez Daniel, Del Río Laura, Cuello Francisco, Buendía Antonio J, Salinas Jesús

机构信息

Departamento de Sanidad Animal, Facultad de Veterinaria, Campus Regional de Excelencia internacional, Campus Mare Nostrum, Universidad de Murcia, Murcia, Spain.

Departamento de Anatomía y Anatomía Patológica Comparadas, Facultad de Veterinaria, Campus Regional de Excelencia internacional, Campus Mare Nostrum, Universidad de Murcia, Murcia, Spain.

出版信息

Ir Vet J. 2016 Jul 20;69:8. doi: 10.1186/s13620-016-0067-4. eCollection 2015.

Abstract

BACKGROUND

Identifying the aetiological agent of atypical pneumonia in human can sometimes be a tedious process, especially in cases where Mycoplasma pneumoniae, Legionella species and Chlamydia pneumoniae are ruled out. In such cases, a correct anamnesis of the patient is basic to clarify which pathogens might have produced the infection. For this reason, health professionals including veterinarians and laboratory personnel working with zoonotic pathogens should keep their doctors informed.

CASE PRESENTATION

A human case of atypical pneumonia linked to Chlamydia abortus is reported. A 47-year-old male, a veterinarian researcher into chlamydiae, developed respiratory symptoms, breathing problems and high fever. Serological analyses ruled out the involvement of several respiratory pathogens, such as M. pneumoniae, Legionella pneumophila, Rickettsia conorii and C. pneumoniae, and Chlamydia abortus was identified as the possible aetiological agent of the infection. The isolation of C. abortus from the patient's sputum and subsequent molecular analysis confirmed the presence of this microorganism.

CONCLUSION

As far as we know, although C. abortus has not been previously described as capable of causing pneumonia in humans, this is the first reported case of atypical pneumonia in which C. abortus is thought to have played an aetiological role.

摘要

背景

确定人类非典型肺炎的病原体有时是一个繁琐的过程,尤其是在排除肺炎支原体、军团菌属和肺炎衣原体的情况下。在这种情况下,对患者进行正确的病史询问对于明确可能导致感染的病原体至关重要。因此,包括兽医和从事人畜共患病原体研究的实验室人员在内的卫生专业人员应及时向医生通报情况。

病例报告

报告了一例与流产衣原体相关的人类非典型肺炎病例。一名47岁男性,衣原体方面的兽医研究人员,出现呼吸道症状、呼吸问题和高烧。血清学分析排除了几种呼吸道病原体的感染,如肺炎支原体、嗜肺军团菌、康氏立克次体和肺炎衣原体,流产衣原体被确定为可能的病原体。从患者痰液中分离出流产衣原体并随后进行分子分析,证实了该微生物的存在。

结论

据我们所知,尽管流产衣原体此前未被描述为能够导致人类肺炎,但这是首例被认为流产衣原体在其中起病原学作用的非典型肺炎报告病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ca2/4955219/5314e6bf0721/13620_2016_67_Fig1_HTML.jpg

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