Clinical characteristics of Chlamydia psittaci pneumonia
10.3969/j.issn.1002-2694.2024.00.121
- VernacularTitle:鹦鹉热衣原体肺炎临床特征分析
- Author:
Xiao-Qing ZHU
1
;
Yang-Liu LI
;
Yi-Bin LI
;
Xiao-Bing JIN
;
Ming LI
Author Information
1. 南昌大学第一附属医院感染科,南昌 330006
- Keywords:
Chlamydia psittaci;
pneumonia;
clinical features
- From:
Chinese Journal of Zoonoses
2024;40(9):887-892
- CountryChina
- Language:Chinese
-
Abstract:
This study analyzed the clinical characteristics of Chlamydia psittaci(C.psittaci)pneumonia to improve clinical understanding of the disease,and its diagnosis and treatment.A retrospective analysis was conducted on clinical data from 65 patients diagnosed with C.psittaci pneumonia admitted to the First Affiliated Hospital of Nanchang University between De-cember 2019 and September 2022.The patients'basic data,clinical manifestations,laboratory examination,chest CT findings,treatment,and prognosis were analyzed.The average age of the 65 patients was 58 years,and the incidence was high-est in autumn and winter.The main manifestations included fever,cough,and fatigue.Compared with non-severe cases,severe cases showed more significantly lower lymphocytes,platelets,and albumin,but significantly higher procalcitonin,alanine transaminase,aspartate transaminase,lactate dehydrogenase,serum creatinine,blood urea nitrogen,and D-dimer.The chest CT findings showed primarily ground glass shadow changes.The extent of lung lesions in severe cases was greater than that in non-severe cases,and all patients required respiratory support.Tetracycline and quinolone antibiotic treatments were effective.The results suggested that C.psittaci pneumonia occurs primarily in the autumn and winter,and manifests mainly as high fe-ver,cough,and elevation of multiple inflammatory markers.Most of the pulmonary imaging findings showed ground glass shadows.The organ damage was more obvious in more severe cases.After active and effective treatment,the prognosis of the disease is favorable.