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病例报告:一名军人家属可能患鹦鹉热——军事环境中的临床和公共卫生管理问题

Case report: Possible psittacosis in a military family member-clinical and public health management issues in military settings.

作者信息

Stidham Ralph A, Richmond-Haygood Marion

出版信息

MSMR. 2019 Jul;26(7):2-7.

Abstract

infection among humans (psittacosis) and pet birds (avian chlamydiosis), also known as parrot disease, parrot fever, and ornithosis, is a zoonotic bacterial disease. Humans most often become infected by inhaling the organism when urine, respiratory secretions, or dried feces of infected birds are dispersed in the air as very fine droplets or dust particles. infection of humans can cause influenza-like symptoms, such as fever of abrupt onset, pronounced headache, and dry cough, and can lead to severe pneumonia and non-respiratory health problems. Infection can also be asymptomatic. There is no vaccine for this infection. The disease is treatable with a tetracycline antibiotic, usually doxycycline, or a second-line therapy such as erythromycin or azithromycin. With appropriate treatment, the infection is rarely fatal. This report describes a case of severe, community-acquired pneumonia possibly due to in a resident of Colorado and examines significant clinical and epidemiological characteristics of psittacosis that affect confirming the diagnosis and managing the risks of exposure to psittacine (parrot-type) birds.

摘要

人类感染(鹦鹉热)和宠物鸟感染(禽衣原体病),也被称为鹦鹉病、鹦鹉热和鸟疫,是一种人畜共患的细菌性疾病。当受感染鸟类的尿液、呼吸道分泌物或干燥粪便以非常细小的液滴或尘埃颗粒形式散布在空气中时,人类最常通过吸入病原体而感染。人类感染可引起类似流感的症状,如突然发热、剧烈头痛和干咳,并可导致严重肺炎和非呼吸道健康问题。感染也可能无症状。这种感染没有疫苗。该疾病可用四环素类抗生素(通常是多西环素)或二线疗法(如红霉素或阿奇霉素)进行治疗。经过适当治疗,感染很少致命。本报告描述了科罗拉多州一名居民可能因感染而患严重社区获得性肺炎的病例,并研究了鹦鹉热的重要临床和流行病学特征,这些特征影响确诊以及管理接触鹦鹉(鹦鹉类)鸟类的风险。

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