以头痛为首发症状的鹦鹉热衣原体肺炎1例并文献复习

Chlamydia psittaci pneumonia with headache as the initial symptom: one case report and literature review

以头痛为首发症状的鹦鹉热衣原体肺炎非常罕见。本文报告1例以头痛起病的患者,相继出现高热、咳嗽、咳痰、呼吸困难等临床表现,胸部CT提示肺部感染,采用宏基因组二代测序技术及结合鸟禽类接触史,诊断鹦鹉热衣原体肺炎,经多西环素、莫西沙星等治疗后病情好转。结合文献复习,探讨鹦鹉热衣原体肺炎的临床特点、辅助检查及诊治方案,旨在提高临床医生对以头痛起病的鹦鹉热衣原体肺炎的认知,尽早诊断及治疗,避免误诊漏诊。

Chlamydia psittaci(C.psittaci)pneumonia with headache as the initial symptom is very rare.This paper reports a patient,whose initial symptom was headache,successively presented clinical manifestations such as high fever,cough,expectoration and dyspnea.Chest CT showed lung infection.C.psittaci pneumonia was diagnosed by metagenomic next-generation sequencing technology combined with avian exposure history.After treated with doxycycline and moxifloxacin,patient’s condition improved.Based on literature review,this study explores the clinical characteristics,auxiliary examinations,as well as diagnosis and treatment plans of C.psittaci pneumonia.It aims to improve clinicians’understanding on C.psittaci pneumonia with headache as the initial symptom,so as to conduct early diagnosis and treatment,as well as to avoid misdiagnosis and missed diagnosis.