关于1例鹦鹉热衣原体肺炎的诊治全程的思考

Thoughts on the Whole Course of Diagnosis and Treatment of a Case of Chlamydia psittaci Pneumonia

摘要: 目的：通过总结讨论1例鹦鹉热衣原体肺炎的诊疗经过，为临床提供经验和借鉴，以提高该疾病早期诊断能力及救治水平。方法：回顾性分析嘉祥县人民医院呼吸与危重症医学科收治的1例鹦鹉热衣原体肺炎患者的临床资料、诊治经过。结果：该患者通过mNGS诊断为鹦鹉热衣原体肺炎，予以对因治疗后患者最终好转出院。结论：有禽类接触史的不明原因肺炎患者，应将鹦鹉热衣原体感染考虑在内，鸟类/家禽接触史是重要诊断线索，及早评估mNGS的应用指征可尽早确定病原菌，米诺环素治疗鹦鹉热肺炎效果显著。

Abstract: Objective: To provide clinical experience and reference by summarizing and discussing the diagno-sis and treatment of a case of Chlamydia psittaci pneumonia, so as to improve the ability of early di-agnosis and treatment of this disease. Methods: The clinical data, diagnosis and treatment of a case of Chlamydia psittaci pneumonia admitted to the Department of Respiratory and Critical Care Medi-cine of Jiaxiang County People’s Hospital were retrospectively analyzed. Results: The patient was diagnosed as Chlamydia psitsiti pneumonia by mNGS, and was treated and discharged after treat-ment. Conclusion: Chlamydia psittaci infection should be taken into account in patients with pneu-monia of unknown cause who have a history of contact with poultry. The history of contact with birds/poultry is an important diagnostic clue. Early evaluation of the application indication of mNGS can identify the pathogen as soon as possible. Minocycline has a significant therapeutic effect on psittacosis pneumonia.