Your browser doesn't support javascript.
loading
[Diagnosis and treatment of Chlamydia psittaci pneumonia: experiences of 8 cases].
Wen, W; Gu, L; Zhao, L W; Chen, M Y; Yang, W Q; Liu, W; Zhou, X; Lai, G X.
Afiliación
  • Wen W; Department of Respiratory and Critical Care Medicine, Fuzhou General Hospital of Fujian Medical University, Dongfang Hospital of Xiamen University, the 900th Hospital of the Joint Logistic Support Force, PLA, Fuzhou 350025, China.
  • Gu L; The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
  • Zhao LW; Department of Respiratory and Critical Care Medicine, Fuzhou General Hospital of Fujian Medical University, Dongfang Hospital of Xiamen University, the 900th Hospital of the Joint Logistic Support Force, PLA, Fuzhou 350025, China.
  • Chen MY; Department of Respiratory and Critical Care Medicine, Fuzhou General Hospital of Fujian Medical University, Dongfang Hospital of Xiamen University, the 900th Hospital of the Joint Logistic Support Force, PLA, Fuzhou 350025, China.
  • Yang WQ; Department of Respiratory and Critical Care Medicine, Fuzhou General Hospital of Fujian Medical University, Dongfang Hospital of Xiamen University, the 900th Hospital of the Joint Logistic Support Force, PLA, Fuzhou 350025, China.
  • Liu W; Department of Respiratory and Critical Care Medicine, Fuzhou General Hospital of Fujian Medical University, Dongfang Hospital of Xiamen University, the 900th Hospital of the Joint Logistic Support Force, PLA, Fuzhou 350025, China.
  • Zhou X; Department of Respiratory and Critical Care Medicine, Fuzhou General Hospital of Fujian Medical University, Dongfang Hospital of Xiamen University, the 900th Hospital of the Joint Logistic Support Force, PLA, Fuzhou 350025, China.
  • Lai GX; Department of Respiratory and Critical Care Medicine, Fuzhou General Hospital of Fujian Medical University, Dongfang Hospital of Xiamen University, the 900th Hospital of the Joint Logistic Support Force, PLA, Fuzhou 350025, China.
Zhonghua Jie He He Hu Xi Za Zhi ; 44(6): 531-536, 2021 Jun 12.
Article en Zh | MEDLINE | ID: mdl-34102714
ABSTRACT

Objective:

In order to improve the understanding and clinical treatment of Chlamydia psittaci pneumonia, we analyzed the clinical manifestations, laboratory test results and imaging features of 8 patients.

Methods:

We collected the clinical data of 8 patients with Chlamydia psittaci pneumonia diagnosed by metagenomic next-generation-sequencing (mNGS) from November 2018 to February 2020, including clinical features, chest CT scan, pathological features and antibiotic use.

Results:

A total of one male and 7 females, aged from 45 to 85 years(median 62 years), were included in this study. All the patients had high fever, cough and most had expectoration (6/8). The leukocyte count and PCT level were mostly normal (7/8). However, we observed decreased lymphocyte count(5/8), elevated C-reactive protein in all patients, and increased ESR in most patients (7/8). The chest CT of all the patients showed large patchy consolidation, with one case having pleural effusion. The pathological manifestations were nonspecific, showing infiltration of inflammatory cells and exudation. Moxifloxacin and/or doxycycline were administered after diagnosis, and the course of treatment lasted from 14 to 21 days.Chest CT showed absorption of lesions following treatment

Conclusions:

Chlamydia psittaci pneumonia showed certain characteristics, including high fever with pulmonary patchy consolidation, and normal white blood cell count. Molecular diagnostic methods such as mNGS could lead to rapid diagnosis and treatment which can shorten the course of hospitalization and thus improve prognosis.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Derrame Pleural / Neumonía / Chlamydophila psittaci Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans / Male Idioma: Zh Revista: Zhonghua Jie He He Hu Xi Za Zhi Año: 2021 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Derrame Pleural / Neumonía / Chlamydophila psittaci Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans / Male Idioma: Zh Revista: Zhonghua Jie He He Hu Xi Za Zhi Año: 2021 Tipo del documento: Article País de afiliación: China