鹦鹉热衣原体肺炎合并横纹肌溶解 5 例临床分析

作者：Fang Changquan; Xu Limin; Zhao Ziwen; Lu Jiancong; Tan Hongyi; Lin Junhong^*

来源：中华全科医师杂志, 2022, 21(7): 686-690.

DOI：10.3760/cma.j.cn114798-20220223-00128

• Chlamydophila pneumonia
• Metagenome
• Psittacosis
• Rhabdomyolysis

The clinical data of patients with chlamydia psitsiti pneumonia confirmed by metagenomic next?generation sequencing (mNGS) who were admitted to the Huizhou Municipal Central Hospital from January 2020 to November 2021 were retrospectively analyzed. Among 21 patients, the serum creatine kinase (CK) was elevated in 10 cases, and 5 cases was complicated with rhabdomyolysis (RM). The symptoms of patients with Chlamydia psittaci pneumonia?induced RM were severe, including high fever, dyspnoea, headache and myalgia; 2 case were complicated by acute kidney injury (AKI) and neurological symptoms. Laboratory testing showed a marked increase in CK, myoglobin (Mb), high sensitivity C?reactive protein (hs?CRP), interleukin?6 (IL?6) and D?dimer levels in all 5 patients. The chest CT revealed large areas of pulmonary consolidation, ground?glass opacity in 1 case and a small amount of pleural effusion in 2 cases. One patient died from multiple organ failure, and the other 4 patients were discharged with considerable improvement. Patients with psittacosis pneumonia are prone to developing rhabdomyolysis, early detection and early treatment can effectively improve the prognosis of patients. ? The Author(s) 2022.

• 单位
  华南理工大学