Diagnosis and treatment experience of Chlamydia psittaci pneumonia: A multicenter retrospective study in China

作者：Hui Deng, Yeshuang Shi, Mei Xie, Xuelei Zang, Xuefeng Zang, Xidong Ma, Wenya Han, Jiawei He, Youpeng Rao, Maoqian Ding, Wenjuan Ma, Jing Wu, Lei Pan, Xinying Xue · 发表于：BMC Infectious Diseases · 年份：2024 · DOI：10.1186/s12879-024-10198-2 · 被引用次数：24 · 研究领域：Reproductive tract infections research、Pneumonia and Respiratory Infections、Cervical Cancer and HPV Research

BACKGROUND: In recent years, clinical cases of Chlamydia psittaci pneumonia have gradually increased. Chlamydia psittaci pneumonia can quickly progress to severe pneumonia, leading to respiratory failure. Chlamydia psittaci cannot be detected by commonly used detection methods, leading to difficulties in clinical diagnosis and treatment, which may eventually develop into severe Chlamydia psittaci pneumonia. Therefore, we should improve our diagnostic and treatment capabilities for this disease. METHODS: This article retrospectively studied 61 cases of pneumonia from 12 different provinces in China, and classified them into severe pneumonia and non-severe pneumonia. Divided into two groups, with 23 cases of severe pneumonia and 38 cases of non-severe pneumonia. We compared the two groups in terms of imaging, laboratory testing, treatment, prognosis, etc., hoping to provide better explanations and help clinical physicians better diagnose the disease. RESULTS: There is no difference in age, gender, contact history, smoking history, or basic disease between severe and non-severe Chlamydia psittaci pneumonia. The most prominent symptom is fever, with a median body temperature of 39.7 ℃, and other symptoms similar to common respiratory infections. White blood cells and neutrophils may not show significant elevation, but C-reactive protein (CRP) and procalcitonin (PCT) will both show significant elevation, often accompanied by a decrease in arterial oxygen pressure. Some patients ma...