Yang Xiaoming, Liu Zhongda, Liu Xiaojing, Li Quan, Huang Hui, Li Rui, He Meiyan
Department of Respiratory and Critical Care Medicine, Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine, Lishui, 323000, People's Republic of China.
Department of Cardiology, Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University for Traditional Chinese Medicine, Lishui, 323000, People's Republic of China.
Infect Drug Resist. 2023 Jun 29;16:4259-4264. doi: 10.2147/IDR.S417241. eCollection 2023.
The incidence of infection has been reported to increase in recent years. The presentation of psittacosis infection varied widely, from none to severe symptoms. Mainly, psittacosis infection presents with pulmonary manifestations. Here, we report the case of a 60-year-old female patient with pneumonia complicated by myocarditis. After administering antibiotics, the patient recovered from severe atypical pneumonia and myocarditis. In general, rarely induces myocarditis. Moreover, the optimal therapeutic strategies remain unclear for such cases, especially with a high troponin T level. Metagenomic Next-Generation Sequencing (mNGS) can provide a quick and effective diagnosis of pneumonia; early intervention (antibiotic therapy and nutritional supplements for myocarditis) favors a good outcome, although complications may worsen the condition. Therefore, more studies are required to help improve understanding of the disease.
据报道,近年来感染的发生率有所上升。鹦鹉热感染的表现差异很大,从无症状到严重症状都有。鹦鹉热感染主要表现为肺部症状。在此,我们报告一例60岁女性患者,患有肺炎并伴有心肌炎。使用抗生素后,患者从严重的非典型肺炎和心肌炎中康复。一般来说,(鹦鹉热)很少诱发心肌炎。此外,对于此类病例,尤其是肌钙蛋白T水平较高的情况,最佳治疗策略仍不明确。宏基因组下一代测序(mNGS)可以快速有效地诊断(鹦鹉热)肺炎;早期干预(抗生素治疗和心肌炎的营养补充)有利于取得良好的结果,尽管并发症可能会使病情恶化。因此,需要更多的研究来帮助提高对该疾病的认识。