鹦鹉热衣原体肺炎病例报道1例

0ne case report of Chlamydia psittaci pneumonia

本文报道1例重症鹦鹉热衣原体肺炎病例,患者有明确的病禽接触史,临床表现为干咳、发热、呼吸衰竭,胸部CT表现为右肺下叶实变影,左肺少量渗出磨玻璃影。采用宏基因组学检测方法在支气管肺泡灌洗液(BALF)中检出鹦鹉热衣原体,经硝基咪唑类、碳青霉烯类等抗菌药物治疗后好转出院。

This paper reported a case of severe Chlamydia psittaci pneumonia.The patient had a clear history of contact with sick poultry.The clinical manifestations were dry cough,fever and respiratory failure.Chest CT showed consolidation in the lower lobe of the right lung,and a small amount of exudative ground-glass opacity in the left lung.Chlamydia psittaci was detected in bronchoalveolar lavage fluid(BALF)by metagenomic assay.After treatment with antibiotics such as nitroimidazoles and carbapenems,the patient was discharged with a better health condition.