摘要
鹦鹉热衣原体肺炎是社区获得性肺炎的一种,患者一般有禽鸟类接触史,其症状及影像学表现缺乏特异性,主要通过宏基因组二代测序(metagenomic Next-Generation Sequencing, mNGS)技术鉴别,治疗首选四环素类抗生素。文章报道1例给予经验性抗感染治疗效果欠佳的社区获得性肺炎患者,后经mNGS明确是鹦鹉热衣原体感染,给予盐酸米诺环素抗感染治疗后,病情好转出院。文章结合其病历资料及相关文献,综述鹦鹉热衣原体感染的特点及诊疗方法,以期加快临床上对该疾病的诊断和治疗。
Chlamydia psittaci pneumonia is a kind of community-acquired pneumonia. Patients generally have a history of contact with birds, and their symptoms and imaging manifestations lack specificity, which can be identified mainly through metagenomic Next-Generation Sequencing (mNGS) tech-nology. Tetracycline antibiotics are the preferred treatment. In this paper, a patient with commu-nity-acquired pneumonia who had poor response to empirical anti-infective therapy was confirmed to be Chlamydia psittaci infection by mNGS. After anti-infective treatment with minocycline hydro-chloride, his condition improved and he was discharged. This article reviews the characteristics, diagnosis and treatment methods of Chlamydia psittaci infection based on its medical records and related literature, so as to accelerate the diagnosis and treatment of this disease in clinical practice.
出处
《医学诊断》
2023年第4期421-425,共5页
Medical Diagnosis
