RESUMEN
Chlamydia psittaci â 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.
Asunto(s)
Chlamydophila psittaci , Miocarditis , Psitacosis , Humanos , Masculino , Miocarditis/microbiología , Miocarditis/tratamiento farmacológico , Miocarditis/diagnóstico por imagen , Psitacosis/microbiología , Psitacosis/tratamiento farmacológico , Psitacosis/diagnóstico , Chlamydophila psittaci/aislamiento & purificación , Adulto , Reacción en Cadena de la Polimerasa , Infecciones Comunitarias Adquiridas/microbiología , Infecciones Comunitarias Adquiridas/tratamiento farmacológico , Enfermedad Aguda , Adulto JovenRESUMEN
Granulomatosis with polyangiitis (GPA) is an antineutrophil cytoplasmic antibody (ANCA) associated; vasculitis affecting small vessels and mainly cause upper and lower respiratory tract and renal involvement. Urogenital involvement is extremely rare and poorly described in the literature. We report herein a case of a 46-year old immunocompetent patient presenting with recurrent urinary tract infections and bladder retention with incidental findings of sinusitis, and pulmonary mass revealing GPA.
