Infection and Drug Resistance (Jun 2023)

Chlamydia Psittaci Pneumonia-Induced Myocarditis: A Case Report

  • Yang X,
  • Liu Z,
  • Liu X,
  • Li Q,
  • Huang H,
  • Li R,
  • He M

Journal volume & issue
Vol. Volume 16
pp. 4259 – 4264

Abstract

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Xiaoming Yang,1,* Zhongda Liu,1,* Xiaojing Liu,1 Quan Li,1 Hui Huang,1 Rui Li,2 Meiyan He1 1Department of Respiratory and Critical Care Medicine, Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine, Lishui, 323000, People’s Republic of China; 2Department of Cardiology, Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University for Traditional Chinese Medicine, Lishui, 323000, People’s Republic of China*These authors contributed equally to this workCorrespondence: Meiyan He, Department of Respiratory and Critical Care Medicine, Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine, No. 800 Zhongshan Road, Liandu District, Lishui, Zhejiang Province, People’s Republic of China, Tel +8618767861290, Email [email protected]: The incidence of Chlamydia psittaci infection has been reported to increase in recent years. The presentation of psittacosis infection varied widely, from none to severe symptoms. Mainly, psittacosis infection presents with pulmonary manifestations. Here, we report the case of a 60-year-old female patient with Chlamydia psittaci pneumonia complicated by myocarditis. After administering antibiotics, the patient recovered from severe atypical pneumonia and myocarditis. In general, Chlamydia psittaci rarely induces myocarditis. Moreover, the optimal therapeutic strategies remain unclear for such cases, especially with a high troponin T level. Metagenomic Next-Generation Sequencing (mNGS) can provide a quick and effective diagnosis of Chlamydia psittaci pneumonia; early intervention (antibiotic therapy and nutritional supplements for myocarditis) favors a good outcome, although complications may worsen the condition. Therefore, more studies are required to help improve understanding of the disease.Keywords: Chlamydia psittaci, pneumonia, myocarditis, metagenomic next-generation sequencing, case report

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