Cipriano Ana, Machado Ana, Santos Fábio Videira, Abreu Miguel Araújo, Castro Rui Sarmento
Serviço de Doenças Infeciosas. Centro Hospitalar do Porto. Porto. Portugal.
Serviço de Medicina Interna. Centro Hospitalar do Porto. Porto. Portugal.
Acta Med Port. 2019 Feb 28;32(2):161-164. doi: 10.20344/amp.10079.
Psittacosis is a rare disease caused by Chlamydophila psittaci, an intracellular bacteria transmitted by contaminated birds. The clinical and radiological presentations are nonspecific. We describe a case of a 42-year-old woman, with known exposure to birds, who presented to the emergency department with one-week evolution of myalgia, polyarthritis, and respiratory symptoms. At admission, she had fever, respiratory failure, raised inflammatory markers and bilateral interstitial infiltrates at chest radiography. Considering the clinical findings and epidemiological background, we raised the hypothesis of a Chlamydophila psittaci atypical pneumonia that was serologically confirmed. Tetracyclines are the mainstay of treatment and the macrolides are an effective alternative. We highlight the importance of the epidemiological context in the early diagnosis and treatment of this infection.
鹦鹉热是一种由鹦鹉热衣原体引起的罕见疾病,鹦鹉热衣原体是一种通过受污染鸟类传播的细胞内细菌。其临床和放射学表现不具有特异性。我们描述了一例42岁女性病例,该女性已知接触过鸟类,因出现一周的肌痛、多关节炎和呼吸道症状而到急诊科就诊。入院时,她有发热、呼吸衰竭、炎症指标升高,胸部X线检查显示双侧间质浸润。考虑到临床发现和流行病学背景,我们提出了鹦鹉热衣原体非典型肺炎的假说,并通过血清学得到了证实。四环素是主要治疗药物,大环内酯类是有效的替代药物。我们强调了流行病学背景在这种感染早期诊断和治疗中的重要性。