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首页> 外文期刊>Iranian journal of clinical infectious diseases >Difficulties in Diagnosis of Psittacosis or Ornithosis: A Case Report
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Difficulties in Diagnosis of Psittacosis or Ornithosis: A Case Report

机译:牛皮癣或鸟嘴病的诊断困难:一例报告

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摘要

Chlamydia psittaci is an intracellular and zoonotic pathogen that is transmitted through contact with birds. This pathogen causes various clinical manifestations, including subclinical cases and fatal cases. On the other hand, the variety and low specificity of many of the symptoms make diagnosis difficult while early detection of the disease causes a significant reduction in mortality.The patient was a 47-year-old man with a history of headache, fever, chills, dyspnea, and productive cough with a primary diagnosis of sinusitis, which was treated with co-amoxiclav. Due to the lack of recovery, the patient was hospitalized with the diagnosis of pneumonia and was treated with meropenem and levofloxacin. After showing no improvement and finding out about the history of contact with a parrot, the treatment was changed to Doxycycline and Ceftriaxone, which led to the reduction of symptoms. Eventually, due to the patienta??s positive serological tests, the diagnosis of Chlamydia Pneumonia was established and the patient was discharged with oral doxycycline.As the fatality rate of psittacosis in absence of treatment is high, it is necessary to treat the patient immediately.
机译:鹦鹉热衣原体是一种细胞内和人畜共患病原体,通过与鸟类接触而传播。该病原体引起各种临床表现,包括亚临床病例和致命病例。另一方面,许多症状的多样性和低特异性使诊断变得困难,而疾病的早期发现导致死亡率显着降低。该患者是一名47岁的男性,有头痛,发烧,发冷的病史,呼吸困难和生产性咳嗽,初步诊断为鼻窦炎,并用阿莫西非治疗。由于缺乏康复,患者被诊断为肺炎住院,并接受美罗培南和左氧氟沙星治疗。在没有表现出任何改善并发现与鹦鹉接触的历史之后,将治疗改为多西环素和头孢曲松,从而减轻了症状。最终,由于患者的血清学检查呈阳性,因此确定了衣原体肺炎的诊断,并给患者口服了强力霉素。由于未经治疗的鹦鹉热致死率很高,有必要立即对患者进行治疗。

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