鸚鵡熱衣原體肺炎并發機化性肺炎一例并文獻復習_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

謝玉芳 ^1,2 , 田火歡 ¹ ,  劉丹 ¹

1. ;
2. ;

Corresponding?author：

劉丹, Email: Liudan10965@wchscu.cn

Keywords：

鸚鵡熱衣原體; 肺炎; 機化性肺炎; 宏基因組測序; 冷凍肺活檢

DOI：

10.7507/1671-6205.202310027

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的闡述鸚鵡熱衣原體肺炎并發機化性肺炎的臨床特點、診治要點及可能機制。方法報道鸚鵡熱衣原體肺炎并發機化性肺炎1例。并以“鸚鵡熱衣原體”和“機化性肺炎”為檢索詞，檢索中國知網、萬方、維普數據庫，以“psittacosis”或“Chlamydia psittaci”和“organizing pneumonia”為檢索詞，檢索PubMed 數據庫。結果該鸚鵡熱衣原體肺炎并發機化性肺炎患者主要表現為咳嗽、咳痰伴持續高熱，外院給予喹諾酮治療后病情仍進展，行肺泡灌洗液宏基因組測序檢出鸚鵡熱衣原體，并經冷凍肺活檢病理示機化性肺炎，給予抗感染聯合激素治療后病情好轉，復查胸部CT病灶較前明顯吸收，患者最終好轉出院。國內外有兩篇報道，一篇文獻報道1例嚴重鸚鵡熱衣原體肺炎可疑發展為機化性肺炎，另一篇報道從病理學角度證實了鸚鵡熱衣原體感染后并發機化性肺炎。結論鸚鵡熱衣原體肺炎在臨床上易被漏診，易發展為重癥，可并發機化性肺炎，目前機制尚不十分明確，可能考慮與宿主免疫力低下、特殊感染等相關。

Citation： 謝玉芳, 田火歡, 劉丹. 鸚鵡熱衣原體肺炎并發機化性肺炎一例并文獻復習. Chinese Journal of Respiratory and Critical Care Medicine, 2024, 23(1): 43-46. doi: 10.7507/1671-6205.202310027 Copy

1.	Hogerwerf L, De Gier B, Baan B, et al. Chlamydia psittaci (psittacosis) as a cause of community-acquired pneumonia: a systematic review and meta-analysis. Epidemiol Infect, 2017, 145(15): 3096-3105.
2.	陸曉旻, 朱際平, 陳揚, 等. 基于宏基因組二代測序診斷的鸚鵡熱衣原體肺炎的流行病學特征分析. 中國臨床研究, 2022, 35(1): 1-5.
3.	Zuzek R, Green M and May S. Severe psittacosis progressing to suspected organizing pneumonia and the role of corticosteroids. Respir Med Case Rep, 2021, 34: 101486.
4.	Gao YD, Zhang XB, Liu J, et al. Chlamydia psittaci pneumonia complicated with organizing pneumonia: a case report and literature review. IDCases, 2022, 30: e01584.
5.	Okubo T, Miyazaki E, Ueo M, et al. A case of psittacosis with wandering infiltrates developing to acute respiratory distress syndrome. Nihon Kokyuki Gakkai Zasshi, 2007, 45(5): 419-423.
6.	鄭恒, 吳剛, 徐靜, 等. 以聽力下降為首發癥狀的鸚鵡熱衣原體肺炎一例并文獻復習. 中國呼吸與危重監護雜志, 2022, 21(7): 505-508.
7.	金琳羚, 劉晨陽, 孔輝, 等. 鸚鵡熱衣原體肺炎21例臨床特征分析. 中國呼吸與危重監護雜志, 2023, 22(8): 559-565.
8.	宋慧慧, 唐昊. 鸚鵡熱衣原體致免疫受損患者重癥肺炎一例并文獻復習. 中國呼吸與危重監護雜志, 2022, 21(1): 12-19.
9.	Fang CQ, Xu LM, Tan JR, et al. Omadacycline for the treatment of severe Chlamydia psittaci pneumonia complicated with multiple organ failure: a case report. Infect Drug Resist, 2022, 15: 5831-5838.
10.	Shi YF, Chen JX, Shi XH, et al. A case of Chlamydia psittaci caused severe pneumonia and meningitis diagnosed by metagenome next-generation sequencing and clinical analysis: a case report and literature review. BMC Infect Dis, 2021, 21(1): 621.
11.	齊亞飛, 黃錦倫, 陳健華, 等. 鸚鵡熱衣原體肺炎合并橫紋肌溶解一例并文獻分析. 中華結核和呼吸雜志, 2021, 44(9): 806-811.
12.	Phin N, Parry-Ford F, Harrison T, et al. Epidemiology and clinical management of Legionnaires' disease. Lancet Infect Dis, 2014, 14(10): 1011-1021.
13.	He LJ, Yang HZ, Liu SG, et al. Physiological analysis of severe Chlamydia psittaci pneumonia and clinical diagnosis after doxycycline-based treatment. Front Physiol, 2023, 14: 1132724.
14.	Yang M, Yang DH, Yang H, et al. Clinical characteristics of Chlamydia psittaci pneumonia infection in Central South China. Infect Dis Ther, 2022, 11(4): 1631-1647.
15.	Krupar R, Kumpers C, Haenel A, et al. Cryptogenic organizing pneumonia versus secondary organizing pneumonia. Pathologe, 2021, 42(1): 55-63.
16.	Beardsley B, Rassl D. Fibrosing organising pneumonia. J Clin Pathol, 2013, 33(10): 875-881.
17.	Travis WD, Costabel U, Hansell DM, et al. An official American Thoracic Society/European Respiratory Society statement: update of the international multidisciplinary classification of the idiopathic interstitial pneumonias. Am J Respir Crit Care Med, 2013, 188(6): 733-748.
18.	何彥俠, 李秀業, 熊鑫, 等. 感染后機化性肺炎臨床診斷及治療分析. 疑難病雜志, 2019, 18(2): 151-154.
19.	Knittler MR, Berndt A, Bocker S, et al. Chlamydia psittaci: new insights into genomic diversity, clinical pathology, host-pathogen interaction and anti-bacterial immunity. Int J Med Microbiol, 2014, 304(7): 877-893.
20.	Chonabayashi N, Nakatani T, Otani M, et al. Successful treatment of a patient with fulminant psittacosis. Nihon Kyobu Shikkan Gakkai Zasshi, 1989, 27(3): 357-366.
21.	Hirata M, Noto M, Oda K, et al. A case of psittacosis presenting as adult respiratory distress syndrome and successfully treated with steroid pulse therapy. Kokyu To Junkan, 1988, 36(8): 893-897.

1. Hogerwerf L, De Gier B, Baan B, et al. Chlamydia psittaci (psittacosis) as a cause of community-acquired pneumonia: a systematic review and meta-analysis. Epidemiol Infect, 2017, 145(15): 3096-3105.
2. 陸曉旻, 朱際平, 陳揚, 等. 基于宏基因組二代測序診斷的鸚鵡熱衣原體肺炎的流行病學特征分析. 中國臨床研究, 2022, 35(1): 1-5.
3. Zuzek R, Green M and May S. Severe psittacosis progressing to suspected organizing pneumonia and the role of corticosteroids. Respir Med Case Rep, 2021, 34: 101486.
4. Gao YD, Zhang XB, Liu J, et al. Chlamydia psittaci pneumonia complicated with organizing pneumonia: a case report and literature review. IDCases, 2022, 30: e01584.
5. Okubo T, Miyazaki E, Ueo M, et al. A case of psittacosis with wandering infiltrates developing to acute respiratory distress syndrome. Nihon Kokyuki Gakkai Zasshi, 2007, 45(5): 419-423.
6. 鄭恒, 吳剛, 徐靜, 等. 以聽力下降為首發癥狀的鸚鵡熱衣原體肺炎一例并文獻復習. 中國呼吸與危重監護雜志, 2022, 21(7): 505-508.
7. 金琳羚, 劉晨陽, 孔輝, 等. 鸚鵡熱衣原體肺炎21例臨床特征分析. 中國呼吸與危重監護雜志, 2023, 22(8): 559-565.
8. 宋慧慧, 唐昊. 鸚鵡熱衣原體致免疫受損患者重癥肺炎一例并文獻復習. 中國呼吸與危重監護雜志, 2022, 21(1): 12-19.
9. Fang CQ, Xu LM, Tan JR, et al. Omadacycline for the treatment of severe Chlamydia psittaci pneumonia complicated with multiple organ failure: a case report. Infect Drug Resist, 2022, 15: 5831-5838.
10. Shi YF, Chen JX, Shi XH, et al. A case of Chlamydia psittaci caused severe pneumonia and meningitis diagnosed by metagenome next-generation sequencing and clinical analysis: a case report and literature review. BMC Infect Dis, 2021, 21(1): 621.
11. 齊亞飛, 黃錦倫, 陳健華, 等. 鸚鵡熱衣原體肺炎合并橫紋肌溶解一例并文獻分析. 中華結核和呼吸雜志, 2021, 44(9): 806-811.
12. Phin N, Parry-Ford F, Harrison T, et al. Epidemiology and clinical management of Legionnaires' disease. Lancet Infect Dis, 2014, 14(10): 1011-1021.
13. He LJ, Yang HZ, Liu SG, et al. Physiological analysis of severe Chlamydia psittaci pneumonia and clinical diagnosis after doxycycline-based treatment. Front Physiol, 2023, 14: 1132724.
14. Yang M, Yang DH, Yang H, et al. Clinical characteristics of Chlamydia psittaci pneumonia infection in Central South China. Infect Dis Ther, 2022, 11(4): 1631-1647.
15. Krupar R, Kumpers C, Haenel A, et al. Cryptogenic organizing pneumonia versus secondary organizing pneumonia. Pathologe, 2021, 42(1): 55-63.
16. Beardsley B, Rassl D. Fibrosing organising pneumonia. J Clin Pathol, 2013, 33(10): 875-881.
17. Travis WD, Costabel U, Hansell DM, et al. An official American Thoracic Society/European Respiratory Society statement: update of the international multidisciplinary classification of the idiopathic interstitial pneumonias. Am J Respir Crit Care Med, 2013, 188(6): 733-748.
18. 何彥俠, 李秀業, 熊鑫, 等. 感染后機化性肺炎臨床診斷及治療分析. 疑難病雜志, 2019, 18(2): 151-154.
19. Knittler MR, Berndt A, Bocker S, et al. Chlamydia psittaci: new insights into genomic diversity, clinical pathology, host-pathogen interaction and anti-bacterial immunity. Int J Med Microbiol, 2014, 304(7): 877-893.
20. Chonabayashi N, Nakatani T, Otani M, et al. Successful treatment of a patient with fulminant psittacosis. Nihon Kyobu Shikkan Gakkai Zasshi, 1989, 27(3): 357-366.
21. Hirata M, Noto M, Oda K, et al. A case of psittacosis presenting as adult respiratory distress syndrome and successfully treated with steroid pulse therapy. Kokyu To Junkan, 1988, 36(8): 893-897.

Previous Article
Relationship between early progression and prognosis of acute respiratory distress syndrome
Next Article
肺炎性肌纖維母細胞瘤合并胸腔積液兩例報告

Chinese Journal of Respiratory and Critical Care Medicine

鸚鵡熱衣原體肺炎并發機化性肺炎一例并文獻復習

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content