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[1]劉歆,林金霞,江發(fā)英,等.老年鸚鵡熱衣原體肺炎3例臨床分析[J].福建醫(yī)藥雜志,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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老年鸚鵡熱衣原體肺炎3例臨床分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
45
期數:
2023年03期
頁碼:
15-18
欄目:
臨床研究
出版日期:
2023-06-15

文章信息/Info

Title:
Clinical features of Chlamydia psittaci pneumonia in the elderly
文章編號:
1002-2600(2023)03-0015-04
作者:
劉歆; 林金霞; 江發(fā)英; 王集紅
福建醫(yī)科大學教學醫(yī)院 福建省老年醫(yī)院呼吸與危重癥醫(yī)學科(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
關鍵詞:
鸚鵡熱衣原體;  肺炎;  老年;  宏基因組
Keywords:
Chlamydia psittaci;  pneumonia;  the elderly;  metagenomic next-generation-sequencing
分類號:
R563.1
文獻標志碼:
B
摘要:
目的 探討鸚鵡熱衣原體肺炎的臨床特點和診療策略。方法 回顧性分析我院2021年1月至2022年12月行宏基因組二代測序技術診斷的3例老年鸚鵡熱衣原體肺炎的診治過程。結果 3例老年患者,男1例,女2例。臨床主要表現為發(fā)熱、干咳、氣促、乏力。3例白細胞總數、中性粒細胞增高; 血沉、D-二聚體、CRP呈不同程度增高。胸部CT可見片狀密度增高影、磨玻璃影。確診后予莫西沙星、米諾環(huán)素治療,復查胸部CT病灶吸收良好。結論 鸚鵡熱衣原體肺炎在老年群體具有發(fā)熱、干咳等不典型特點,盡早行mNGS檢測可明確病原微生物,縮短病程,改善預后。
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.

參考文獻/References:

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更新日期/Last Update: 2023-06-15