重症鹦鹉热肺炎诊治体会

Diagnosis and treatment experience of severe psittaci pneumonia

鹦鹉热是由鹦鹉热衣原体引起的人兽共患疾病,可以引起严重的呼吸衰竭以及多系统功能损害。梧州市红十字会医院重症医学科于2021年2月25日收治1例有鹦鹉接触史的重症肺炎患者,临床特点为发热及迅速进展的呼吸衰竭,经过呼吸道分泌物宏基因测序检测出鹦鹉热衣原体后确诊为重症鹦鹉热肺炎,在给予高水平呼气末正压(PEEP)呼吸支持、针对性应用抗菌药物、静脉滴注糖皮质激素等治疗后好转出院。1个月后随访,患者恢复良好。

Psittacosis is a zoonotic disease caused by Chlamydia psittaci,which can also cause severe respiratory failure and multisystem functional damage in human being.A patient with severe pneumonia with parrot contact history was admitted to the department of critical care medicine of Wuzhou Red Cross Hospital on February 25,2021.The clinical characteristics were fever and rapidly progressing respiratory failure.After Chlamydia psittaci was detected by macrogene sequencing of respiratory secretions,it was definitely diagnosed as severe psittacosis.After giving high-level positive end-expiratory pressure(PEEP)respiratory support and targeted application of antibiotics,intravenous application of glucocorticoids and other treatment,this patient improved and discharged.After 1 month follow-up,the patient recovered well.