一例严重鹦鹉热肺炎并发脾梗塞。

IF 3.4 3区 医学 Q2 INFECTIOUS DISEASES BMC Infectious Diseases Pub Date : 2024-10-25 DOI:10.1186/s12879-024-10111-x
Zhao Yu, Yuanyuan Qian, Lan Lv, Wenqing Hu
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引用次数: 0

摘要

临床数据:鹦鹉热衣原体肺炎是由鹦鹉热衣原体引起的社区获得性肺炎。虽然重症病例可能会导致呼吸衰竭等危重情况,但脾梗死却相对少见。我院收治的一名鹦鹉热衣原体肺炎重症患者在治疗过程中发生了脾梗塞。幸运的是,经过精心治疗,患者的情况有所好转。目前,患者已康复出院。对并发脾梗死的机制还需进一步探讨:鹦鹉热肺炎是一种由鸟类传染给人类的人畜共患传染病,由鹦鹉热衣原体引起,是衣原体肺炎的一种[1]。在某些情况下,这种疾病会发展成重症肺炎和呼吸衰竭,必须采取包括机械通气在内的强化支持措施。用于传染病病原学诊断的元基因组下一代测序(mNGS)等技术的出现[2]提高了鹦鹉热的诊断率和治疗成功率。严重的衣原体肺炎并发脾梗塞等并发症的病例并不多见。海宁市人民医院急诊重症监护室(EICU)收治了一名并发脾梗死的重症鹦鹉热肺炎患者,经过有效的抗感染和抗凝治疗后,患者病情好转。特此报告。
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A case of severe psittacosis pneumonia complicated by splenic infarction.

Clinical data: Chlamydia psittaci pneumonia is a community-acquired pneumonia caused by Chlamydia psittaci. While severe cases may lead to critical conditions such as respiratory failure, splenic infarction is relatively uncommon. A severe patient with Chlamydia psittaci pneumonia admitted to our hospital experienced a splenic infarction during treatment. Fortunately, the patient's situation was improved after careful treatment. Now, the patient has been discharged. Further exploration of the mechanism of concurrent splenic infarction is required.

Backgroud: Psittacosis pneumonia, a zoonotic infectious disease transmitted from birds to humans, is caused by Chlamydia psittaci and represents a type of chlamydial pneumonia [1]. Insome instances, the disease may progress to severe pneumonia and respiratory failure, necessitating intensive support measures, including mechanical ventilation. The advent of technologies such as Metagenomic Next-Generation Sequencing (mNGS) for the etiological diagnosis of infectious diseases [2] has improved the diagnostic and treatment success rates for Psittacosis. Instances of severe chlamydial pneumonia with complications such as splenic infarction are uncommon. A patient with severe Psittacosis pneumonia complicated by splenic infarction was admitted to the Emergency Intensive Care Unit (EICU) of Haining People's Hospital and subsequently improved following effective anti-infective and anticoagulant therapy. This report is provided herein.

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来源期刊
BMC Infectious Diseases
BMC Infectious Diseases 医学-传染病学
CiteScore
6.50
自引率
0.00%
发文量
860
审稿时长
3.3 months
期刊介绍: BMC Infectious Diseases is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of infectious and sexually transmitted diseases in humans, as well as related molecular genetics, pathophysiology, and epidemiology.
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