鹦鹉热重症肺炎并脾脏梗死 1 例

A case of severe psittacosis pneumonia complicated by splenic infarction.

机构信息

Emergency Department, Haining People's Hospital, Zhejiang, 314400, China.

Department of Pulmonary and Critical Care Medicine, Haining People's Hospital, Zhejiang, 314400, China.

出版信息

BMC Infect Dis. 2024 Oct 25;24(1):1203. doi: 10.1186/s12879-024-10111-x.

Abstract

CLINICAL DATA

Chlamydia psittaci pneumonia is a community-acquired pneumonia caused by Chlamydia psittaci. While severe cases may lead to critical conditions such as respiratory failure, splenic infarction is relatively uncommon. A severe patient with Chlamydia psittaci pneumonia admitted to our hospital experienced a splenic infarction during treatment. Fortunately, the patient's situation was improved after careful treatment. Now, the patient has been discharged. Further exploration of the mechanism of concurrent splenic infarction is required.

BACKGROUD

Psittacosis pneumonia, a zoonotic infectious disease transmitted from birds to humans, is caused by Chlamydia psittaci and represents a type of chlamydial pneumonia [1]. Insome instances, the disease may progress to severe pneumonia and respiratory failure, necessitating intensive support measures, including mechanical ventilation. The advent of technologies such as Metagenomic Next-Generation Sequencing (mNGS) for the etiological diagnosis of infectious diseases [2] has improved the diagnostic and treatment success rates for Psittacosis. Instances of severe chlamydial pneumonia with complications such as splenic infarction are uncommon. A patient with severe Psittacosis pneumonia complicated by splenic infarction was admitted to the Emergency Intensive Care Unit (EICU) of Haining People's Hospital and subsequently improved following effective anti-infective and anticoagulant therapy. This report is provided herein.

摘要

临床资料

鹦鹉热衣原体肺炎是一种由鹦鹉热衣原体引起的社区获得性肺炎。严重病例可导致呼吸衰竭等危急情况,但脾梗死则相对少见。我院收治的一位严重鹦鹉热衣原体肺炎患者在治疗过程中出现脾梗死。所幸,经过精心治疗,患者情况得到改善,现已出院。需要进一步探索并发脾梗死的机制。

背景

鹦鹉热肺炎是一种由鹦鹉热衣原体引起的人畜共患传染病,属于衣原体肺炎[1]。在某些情况下,疾病可能进展为严重肺炎和呼吸衰竭,需要进行包括机械通气在内的强化支持措施。宏基因组下一代测序(mNGS)等技术的出现,提高了传染病病因诊断的检测和治疗成功率[2]。严重衣原体肺炎合并脾梗死等并发症的情况并不常见。本文报告了一位严重鹦鹉热肺炎合并脾梗死的患者,经有效的抗感染和抗凝治疗后,入住海宁市人民医院急诊重症监护病房(EICU)后病情得到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f327/11520038/0747fa2b6f36/12879_2024_10111_Fig1_HTML.jpg

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