期刊
IDCASES
卷 25, 期 -, 页码 -出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.idcr.2021.e01164
关键词
Chlamydophila psittaci; Psittacosis; Atypical pneumonia; Relative bradycardia
This case report highlights a case of psittacosis in a 43-year-old man who had been caring for a wild pigeon. The patient's condition improved after antimicrobial therapy was changed to minocycline. Detailed history-taking and adjustment of treatment played a crucial role in the patient's recovery.
A 43-year-old man was brought to our hospital with fever. The initial diagnosis was bacterial pneumonia, and ampicillin/sulbactam was administered. However, defervescence was not achieved, and relative bradycardia was observed. Detailed history-taking revealed that the patient had been involved in caring for a wild pigeon before hospitalization. We changed the antimicrobial therapy to minocycline and the patient' s condition improved. Chlamydophila psittaci antibody was subsequently found to be increased four-fold, and psittacosis was diagnosed. This case acts a reminder to clinicians of the importance of both the history of exposure to any birds and vital signs, including relative bradycardia. (C) 2021 The Author(s). Published by Elsevier Ltd.
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