摘要
目的探讨鹦鹉热衣原体肺炎的临床特点、神经系统症状、诊断及治疗方法等。方法回顾性分析分别于2021年9月和11月首诊于高淳人民医院神经科的2例男性鹦鹉热肺炎患者,均以头痛、乏力首诊,分析患者临床表现、实验室及影像学检查结果及病情转归等。结果两例以头痛、乏力首诊于神经科的鹦鹉热衣原体肺炎病例,经肺泡灌洗液宏基因二代测序均检出鹦鹉热衣原体序列。经多西环素(0.1g/次静脉滴注,2次/d)等抗感染治疗,患者乏力、肌肉酸痛和头痛等症状明显改善,未造成不良后果。结论鹦鹉热衣原体肺炎病程初期可表现为乏力、肌肉酸痛和头痛等神经系统症状,发热患者在诊疗过程中需考虑到鹦鹉热衣原体肺炎的可能。
Objective To investigate the clinical characteristics,nervous system symptoms and diagnostic methods of Chlamydia psittaci pneumonia,retrospectively.Methods Data of 2 male cases of Chlamydia psittaci pneumonia first diagnosed in neurology department with headache and asthenia were analyzed,retrospectively,who were respectively admitted in September and November 2021 in the Neurology Department of Gaochun People's Hospital.The clinical manifestations,laboratory examination results,imaging examination results and prognosis of the patients were analyzed.Results Two cases of Chlamydia psittaci pneumonia first diagnosed in neurology department with headache and fatigue were detected by the second generation sequencing of macrogene in alveolar lavage fluid.After anti-infection treatment such as doxycycline injection(0.1 g intravenous drip twice a day),the symptoms of fatigue,muscle soreness,headache and other symptoms of the patients were significantly improved,without obvious adverse consequences.Conclusions Chlamydia psittaci pneumonia may present nervous system symptoms such as fatigue,muscle pain,headache,etc.At the initial stage of the disease course,especially for patients with fever it is necessary to consider the possibility of Chlamydia psittaci pneumonia in the diagnosis and treatment procession.
作者
王柳清
李萍
李小石
刘阳
吴鹤龄
周国平
Wang Liuqing;Li Ping;Li Xiaoshi;Liu Yang;Wu Heling;Zhou Guoping(Department of Neurology,Nanjing Gaochun People's Hospital,Nanjing 211300,China;Intensive Care Department,Nanjing Gaochun People's Hospital,Nanjing 211300,China)
出处
《中华实验和临床感染病杂志（电子版）》
CAS
2024年第3期176-181,共6页
Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)
基金
江苏省卫生健康委医学科研项目(No.Z2023061)。
