Case Report: Clinical analysis of a cluster outbreak of


Journal

Frontiers in cellular and infection microbiology
ISSN: 2235-2988
Titre abrégé: Front Cell Infect Microbiol
Pays: Switzerland
ID NLM: 101585359

Informations de publication

Date de publication:
2023
Historique:
received: 29 04 2023
accepted: 17 07 2023
medline: 29 8 2023
pubmed: 28 8 2023
entrez: 28 8 2023
Statut: epublish

Résumé

To explore the clinical characteristics and prognosis of clustered cases of psittacosis pneumonia. We retrospectively analyzed the clinical data of a cluster outbreak of psittacosis pneumonia. The analysis included epidemiological data, clinical symptoms, laboratory results, and prognosis. The diagnosis was made using mNGS and nested PCR technology. Of the four cases, two had direct contact with diseased poultry while the other two did not. All cases presented with more than 39.5 °C fever and chills. Additionally, significant increases in C-reactive protein, ferritin, creatine kinase, and lactate dehydrogenase were observed in all cases, while absolute lymphocyte count decreased. Case 2 also had increased calcitonin levels. Acute respiratory failure occurred during the treatment of case 1 and case 2, leading to tracheal intubation and ventilator-assisted ventilation. Unfortunately, case 2 passed away due to sepsis and multiple organ dysfunction, while the other cases had a positive prognosis. mNGS facilitated the early diagnosis of psittacosis pneumonia. It is important to note that there is still a substantial risk of human-to-human transmission in psittacosis pneumonia. Absolute lymphocyte count and calcitonin levels can predict the severity and prognosis of the disease.

Identifiants

pubmed: 37637462
doi: 10.3389/fcimb.2023.1214297
pmc: PMC10448816
doi:

Substances chimiques

Calcitonin 9007-12-9

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

1214297

Informations de copyright

Copyright © 2023 Wu, Xu, Liu, Jiang, Wu, Yang and He.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Yinxia Wu (Y)

Department of Infectious Diseases, Lishui Municipal Central Hospital, Lishui, Zhejiang, China.

Xuemei Xu (X)

Department of Infectious Diseases, Lishui Municipal Central Hospital, Lishui, Zhejiang, China.

Yun Liu (Y)

Department of Infectious Diseases, Lishui Municipal Central Hospital, Lishui, Zhejiang, China.

Xiangwei Jiang (X)

Department of Infectious Diseases, Lishui Municipal Central Hospital, Lishui, Zhejiang, China.

Hongjing Wu (H)

Department of Infectious Diseases, Lishui Municipal Central Hospital, Lishui, Zhejiang, China.

Jie Yang (J)

Department of Infectious Diseases, Lishui Municipal Central Hospital, Lishui, Zhejiang, China.

Limei He (L)

Department of Nephrology Diseases, Lishui Municipal Central Hospital, Lishui, Zhejiang, China.

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Classifications MeSH