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林玉1,赵明明1,马曾庆2▲.鹦鹉热衣原体肺炎合并横纹肌溶解1例报告[J].中国医药科学,2023,(20):180-183        基金项目:江苏省药学会—恒瑞医院药学基金(H202105)
鹦鹉热衣原体肺炎合并横纹肌溶解1例报告
A case report of chlamydia psitsiti pneumonia complicated with rhabdomyolysis
  
DOI:
中文关键词:  鹦鹉热衣原体;横纹肌溶解;肺炎;宏基因二代测序
英文关键词:Chlamydia psittaci; Rhabdomyolysis; Pneumonia; Metagenomic next-generation sequencing
作者单位
林玉1,赵明明1,马曾庆2▲ 1.江苏大学附属高淳医院呼吸与危重症医学科,江苏南京 211300;2.江苏大学附属高淳医院药学部,江苏南京 211300 
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中文摘要:
      [摘要] 鹦鹉热衣原体肺炎是由鹦鹉热衣原体引起的人类、鸟类和哺乳动物均易感的人畜共患性疾病,其在人群中普遍易感,以中年人群多见。鹦鹉热衣原体肺炎临床表现缺乏特异性,早期诊断困难,易发生误诊及漏诊,且不少发展为重症危及患者生命。近年来,随着动物的迁徙、宠物鸟类饲养的不断增加及诊断手段的不断进步,鹦鹉热衣原体感染也呈现逐年上升趋势,其导致的横纹肌溶解却罕见。本文报道1例患者出现不明原因的发热并伴有横纹肌溶解,经宏基因组二代测序并结合其鸟类接触史,最终确诊为鹦鹉热衣原体肺炎,在进行相应治疗后康复。现将此病例的诊断和治疗过程进行报道,以期为临床提供参考。
英文摘要:
      [Abstract] Chlamydia psittaci pneumonia is a zoonotic disease caused by Chlamydia psittaci, which is susceptible to humans, birds and mammals. It is generally susceptible in the population, especially in middle-aged people. The clinical manifestations of Chlamydia psittaci pneumonia are lack of specificity, early diagnosis is difficult, and it is easy to be misdiagnosed and missed diagnosed, and many of them develop into severe cases and threaten the lives of patients. In recent years, with the migration of animals, the increasing number of pet birds and the continuous progress of diagnostic methods, Chlamydia psittaci infection has also shown an upward trend year by year, but rhabdomyolysis caused by it is very rare. In this case, the patient presented with unexplained fever and rhabdomyolysis. Based on metagenomic next-generation sequencing and his contact history with birds, he was finally diagnosed with Chlamydia psitsiti pneumonia. The diagnosis and treatment process of this case are reported in order to guide clinical practice.
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