Liu G F, Cui P, Huang J J
Shandong Academy of Occupational Health and Occupational Medicine Occupational Pulmonary Disease Department, Jinan 250001, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Apr 20;40(4):300-303. doi: 10.3760/cma.j.cn121094-20210330-00176.
This paper reported a case of severe Chlamydia psittaci pneumonia. The patient had a clear history of contact with sick poultry. The clinical manifestations were dry cough, fever and respiratory failure. Chest CT showed consolidation in the lower lobe of the right lung, and a small amount of exudative ground-glass opacity in the left lung. Chlamydia psittaci was detected in bronchoalveolar lavage fluid (BALF) by metagenomic assay. After treatment with antibiotics such as nitroimidazoles and carbapenems, the patient was discharged with a better health condition.
本文报道了1例重症鹦鹉热衣原体肺炎病例。患者有明确的病禽接触史。临床表现为干咳、发热及呼吸衰竭。胸部CT显示右肺下叶实变,左肺少量渗出性磨玻璃影。通过宏基因组检测在支气管肺泡灌洗液(BALF)中检测到鹦鹉热衣原体。经硝基咪唑类和碳青霉烯类等抗生素治疗后,患者病情好转出院。