关键词:

鹦鹉热衣原体, 社区获得性肺炎, 宏基因二代测序, 文献复习

Abstract:

A 71-year-old male patient was treated at Second Department of Respiratory and Critical Care Medicine, Wuzhong People's Hospital because of fever, cough, and malaise for 13 days weeks. The chest CT showed that the upper lobe of the left lung had a consolidation shadow near the pleura. The consolidation shadow was enlarged after anti-infection treatment. Bronchoscopic alveolar lavage was performed for metagenomic next-generation sequencing, and the results suggested Chlamydia psittaci. The patient's medical history and clinical symptoms led to the diagnosis of community-acquired Chlamydia psittaci pneumonia. The patient was treated with levofloxacin. His temperature returned to normal; his respiratory symptoms were improved; the consolidation shadow in the upper lobe of the left lung was significantly resolved on chest CT. The treatment course was 13 days. The treatment course of this case was shared to provide clinical experience for community-acquired pneumonia difficult to define etiology.

Key words:

Chlamydia psittaci, Community acquired pneumonia, Metagenomic next-generation sequencing, Literature review