Multiple organ failures in contact with live birds They almost died

There is a disease called parrot fever, also known as bird disease, which is infected by contact with birds or live birds such as parrots, seagulls, and ducks that carry Chlamydia psittaci, with persistent high fever and secondary multi-organ failure. Recently, Jiangsu Provincial Hospital of Traditional Chinese Medicine has received a number of severe cases of infection with Chlamydia psittaci due to contact with live poultry, and is about to be discharged from the hospital after careful treatment by Jiangsu Provincial Hospital of Traditional Chinese Medicine.

Mr. Chen is 50 years old this year, some time ago the relatives living in the countryside sent a free-range chicken to Mr. Chen, Mr. Chen's family saw that the chicken's spirit was a little weak, thought it might be a sick chicken, persuaded Mr. Chen to throw away the chicken, but Mr. Chen was not willing to throw it, so he slaughtered the chicken and cooked it, and the next day after eating, Mr. Chen had symptoms of high fever, muscle soreness, chest tightness and irritability. So accompanied by his family, he went to the local hospital in Lishui District for treatment, but after nearly a week of treatment, Mr. Chen's symptoms not only did not improve, but worsened. Later, Mr. Chen, accompanied by his family, went to the outpatient clinic of Jiangsu Provincial Hospital of Traditional Chinese Medicine, and the outpatient examination results showed high blood picture, left lower lung lung infection, considering community-acquired pneumonia, and was admitted to the emergency department ward for treatment. After admission, Mr. Chen's condition continued to deteriorate, with persistent high fever, respiratory failure, acute renal failure, circulatory instability, progressive increase in blood picture, and his condition was extremely critical.

Li Jinjin, deputy chief physician of the emergency department, introduced that in order to find out the cause of the disease as soon as possible, in addition to the routine etiology examination in the hospital, the fiber bronchoscopy was also carried out to retain alveolar lavage fluid, and the etiology metagenomics test was urgently sent, and the test results confirmed the previous speculation - severe community-acquired pneumonia caused by Chlamydia psittaci infection. After clarifying the cause, on the basis of giving patients a variety of supportive treatments such as endotracheal intubation ventilator support, circulatory support, blood purification (CRRT), nutritional support, etc., using minocycline combined with moxifloxacin, which is more sensitive to Chlamydia psittaci, the patient's indicators have improved significantly, the condition has been effectively controlled, and he has been successfully weaned, extubated, and about to be discharged from the hospital.

Coincidentally, the Department of Respiratory and Critical Care Medicine of Jiangsu Provincial Hospital of Traditional Chinese Medicine recently admitted a patient with community-acquired pneumonia caused by Chlamydia psittaci. Ms. Wang is engaged in the processing business of halogen products and often comes into contact with poultry such as raw chicken and duck. Recently, Ms. Wang suddenly had a high fever, so she went to the local hospital for treatment, and after a week of treatment, Ms. Wang always had a high fever and muscle pain and weakness throughout her body. The local doctor realized that something was not quite right and suggested that Ms. Wang rush to the big hospital. So Ms. Wang came to the Department of Respiratory and Critical Care Medicine of Jiangsu Provincial Hospital of Traditional Chinese Medicine for hospitalization. However, on the day of admission to the general ward, due to his critical condition, respiratory failure and liver dysfunction and severe rhabdomyolysis, Lu Xiaomin, deputy chief physician, was transferred to the ICU ward of the department for rescue treatment. Similarly, it was also through fiber bronchoscopy to retain alveolar lavage fluid, urgent detection of the cause of metagenomics to find out the cause of Chlamydia psittacoplasma, after careful treatment, the patient has been successfully recovered and discharged.

Experts remind that in daily life, one is to avoid contact with live birds and poultry, and when it is necessary to contact, it is necessary to wear protective measures such as masks and gloves; the second is to pay attention to exercise, pay attention to rest, improve self-immunity, and do not give pathogens the opportunity to take advantage.

【Source: Nanjing Morning Post】