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鹦鹉热衣原体相关性胸膜炎-心肌炎。

Chlamydia psittaci-related pleuro-myocarditis.

机构信息

Nord Franche-Comté Hospital, Infectious Diseases Department, Trévenans, France.

Nord Franche-Comté Hospital, Pneumology Department, Trévenans, France.

出版信息

Braz J Infect Dis. 2024 Mar-Apr;28(2):103739. doi: 10.1016/j.bjid.2024.103739. Epub 2024 Apr 26.

Abstract

Chlamydia psittaci ‒ related community-acquired pneumonia associated to acute myocarditis was diagnosed in a young man with no medical history, and a professional exposition to birds. The diagnosis was confirmed with positive specific polymerase chain reaction in bronchoalveolar lavage. The patient was treated with spiramycin for two weeks with anti-inflammatory treatment for myocarditis for three months. Clinical and biological improvement was rapidly observed followed by normalization of electrocardiogram and chest CT scan. No relapse was reported for over a two-year follow-up.

摘要

鹦鹉热衣原体相关社区获得性肺炎合并急性心肌炎诊断于 1 例无既往病史、有禽类职业暴露的年轻男性患者。支气管肺泡灌洗液中特异性聚合酶链反应阳性,支持该诊断。患者接受螺旋霉素治疗 2 周,同时给予心肌炎抗炎治疗 3 个月。临床和生物学指标迅速改善,心电图和胸部 CT 扫描恢复正常。2 年以上随访,无复发。

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