[1]刘歆,林金霞,江发英,等.老年鹦鹉热衣原体肺炎3例临床分析[J].福建医药杂志,2023,45(03):15-18.
　LIU Xin,LIN Jinxia,JIANG Faying,et al.Clinical features of Chlamydia psittaci pneumonia in the elderly[J].FUJIAN MEDICAL JOURNAL,2023,45(03):15-18.
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老年鹦鹉热衣原体肺炎3例临床分析()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
45
期数:
2023年03期
页码:
15-18
栏目:
临床研究
出版日期:
2023-06-15

文章信息/Info

Title:
Clinical features of Chlamydia psittaci pneumonia in the elderly
文章编号:
1002-2600(2023)03-0015-04
作者:
刘歆; 林金霞; 江发英; 王集红
福建医科大学教学医院 福建省老年医院呼吸与危重症医学科(福州 350000)
Author(s):
LIU Xin;  LIN Jinxia;  JIANG Faying;  WANG Jihong
Department of Respiratory and Critical Care Medicine, Fujian Provincial Geriatric Hospital, Teaching Hospital of Fujian Medical University, Fuzhou, Fujian 350000, China
关键词:
鹦鹉热衣原体;  肺炎;  老年;  宏基因组
Keywords:
Chlamydia psittaci;  pneumonia;  the elderly;  metagenomic next-generation-sequencing
分类号:
R563.1
文献标志码:
B
摘要:
目的 探讨鹦鹉热衣原体肺炎的临床特点和诊疗策略。方法 回顾性分析我院2021年1月至2022年12月行宏基因组二代测序技术诊断的3例老年鹦鹉热衣原体肺炎的诊治过程。结果 3例老年患者,男1例,女2例。临床主要表现为发热、干咳、气促、乏力。3例白细胞总数、中性粒细胞增高; 血沉、D-二聚体、CRP呈不同程度增高。胸部CT可见片状密度增高影、磨玻璃影。确诊后予莫西沙星、米诺环素治疗,复查胸部CT病灶吸收良好。结论 鹦鹉热衣原体肺炎在老年群体具有发热、干咳等不典型特点,尽早行mNGS检测可明确病原微生物,缩短病程,改善预后。
Abstract:
Objective To explore the clinical characteristics and diagnosis of pneumonia infected by Chlamydia psittaci(C. psittaci). Methods A retrospective analysis was performed on three cases of C. psittaci pneumonia diagnosed by metagenomic next-generation-sequencing(mNGS)admitted to Fujian Provincial Geriatric Hospital from January 2021 to December 2022. Results There were one male and two females of three geriatric patients. Common symptoms included fever, cough, dyspnea and hypodynamia. Laboratory tests showed that white blood cell count(WBC)and neutrophil proportion(Neut%)were increased. Erythrocyte sedimentation rate(ESR), D-dimer and C-reactive protein(CRP)increased to varying degrees. Chest computed tomography(CT)showed inflammatory infiltration with interstitial changes. Moxifloxacin and/or minocycline were administered after diagnosis, and chest CT showed absorption of lesions following treatment. Conclusion Chlamydia psittaci pneumonia is an infectious disease with fever, cough clinical features in the elderly population. Early detection of mNGS can identify pathogenic microorganisms, shorten the course of disease, and improve prognosis.

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更新日期/Last Update: 2023-06-15