Fukuhara N, Miyazawa T, Doi M, Kanamoto Y
Department of Pulmonary Medicine, Hiroshima City Hospital.
Kansenshogaku Zasshi. 1994 Dec;68(12):1538-42. doi: 10.11150/kansenshogakuzasshi1970.68.1538.
A 48-year-old female was seen at our hospital after having a severe fever of nearly 40 degrees C, for a period of 9 days. She complained of pain in the left side of her chest. An X-ray examination revealed a slight infiltration of the upper and middle lung fields. At this time, it was learned that the women's pet bird had recently died. This case was diagnosed as acute pneumonia due to psittacosis. Therefore the administration of Roxithromycin was started. After a few day her condition improved. During the course of treatment, serum was taken and a throat swab was done. A micro-immunofluorescence (MIF) test was performed to check the serum antibody levels against Chlamydia psittaci. The serum titer rose from 1:8 to 1:256 in 15 days after admission. The final diagnosis was made after positive isolation of C. psittaci by means of the cell culture method.
一名48岁女性在持续近9天高烧近40摄氏度后到我院就诊。她主诉左侧胸痛。X线检查显示上、中肺野有轻微浸润。此时得知该女性的宠物鸟最近死亡。该病例被诊断为鹦鹉热衣原体引起的急性肺炎。因此开始使用罗红霉素治疗。几天后她的病情有所改善。在治疗过程中,采集了血清并进行了咽拭子检查。进行了微量免疫荧光(MIF)试验以检测针对鹦鹉热衣原体的血清抗体水平。入院后15天血清滴度从1:8升至1:256。通过细胞培养法成功分离出鹦鹉热衣原体后做出了最终诊断。