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A 50-year-old woman was admitted to the ICU for raising poultry to stay away from "parrot fever". The doctor reminded me to do these things well every day
Hangzhou Net release time: 2023-03-07 06:32
"Take off the ventilator, remove the endotracheal intubation, and transfer to the general ward of the infectious disease department, I feel alive!" Ms. Geng (pseudonym), 50 years old this year, was hard to subside due to high fever and severe pneumonia. He was transferred to Zhejiang Provincial People's Hospital. After learning about his life, the doctor quickly found the source of the disease-the chickens and ducks raised at home, based on years of clinical experience.
The strong peasant woman did not expect to contract "parrot fever"
Ms. Geng has been doing farm work all year round and has always been in good health. Not long ago, she had inexplicable symptoms of high fever, cough, and expectoration. She thought it was a cold, so she took some cold medicine by herself, but the symptoms did not improve after ten days.
After going to the local hospital for an examination, it was found that the inflammatory indicators in Ms. Geng's body were very high, and a CT scan of her lungs indicated that her lungs were inflamed. However, it is very strange that after using antibiotics, the condition still did not improve, the fever continued, and there was even a dangerous situation of chest tightness and shortness of breath, and the oxygen saturation continued to drop. The local doctor admitted frankly to Ms. Geng and her family members that the cause of the disease was unknown, her condition was critical, and her life was in danger at any time.
Ms. Geng was urgently referred to Zhejiang Provincial People's Hospital. In the emergency room, a CT scan of the lungs was performed, and it was found that both lungs had lesions, and the right lung had turned white. Considering "severe pneumonia", he was admitted to the intensive care unit (ICU) after tracheal intubation. Due to the critical and complicated condition, Pan Hongying, director of the Department of Infectious Diseases of the hospital, was invited for consultation.
After a detailed study of the medical history, Pan Hongying believes that the pneumonia that progresses so rapidly and the anti-infection effect is not good, so it is necessary to be vigilant against atypical pathogens. So she asked her further about her daily life, followed the clues and soon discovered the "real culprit" - parrot fever. It turned out that Ms. Geng often raised chickens and ducks at home. She should have been infected with "Chlamydia psittaci pneumonia". As expected, bronchoscopy and other examinations confirmed Director Pan's judgment.
The cause of the disease became clear, and the treatment team immediately adjusted the plan and carried out targeted treatment. The patient's condition improved significantly, and then recovered smoothly. He has been discharged from the hospital.
Daily contact with birds, to take precautions
It is reported that psittacosis, also known as "bird plague", is a zoonotic infectious disease, which is transmitted to humans by birds and birds carrying Chlamydia psittaci. The high incidence of infectious diseases in spring requires everyone to be vigilant.
"It is generally believed that chlamydia or infectious aerosols mixed in dust can cause inhalation infection through the respiratory tract; contact with infected birds or poultry and their polluted secretions and excretions can cause infection through damaged skin or mucous membranes and digestive tract. and other ways to get infected.” Pan Hongying said that after Chlamydia psittaci invades the human body, the incubation period is generally 7-15 days, as short as 3 days, and as long as 45 days.
The clinical manifestations of psittacosis are usually high fever, chills, severe headache, myalgia, dry cough, dyspnea and gastrointestinal reactions, and extrapulmonary organs are easily involved. For the treatment of Chlamydia psittaci infection, tetracyclines are generally given, followed by macrolides and other drugs. The course of treatment is at least 10-14 days, and extending the course to 2-3 weeks can reduce recurrence. Since the symptoms of psittacosis are very similar to those of influenza, early clinical misdiagnosis is easy.
Pan Hongying reminded that people who have frequent close contact with birds and poultry are high-risk groups for Chlamydia psittaci infection.
Therefore, try not to touch live birds and poultry at ordinary times, pay attention to maintaining the environmental sanitation of birds and poultry, and wear masks and gloves when cleaning feces; people who come into contact with birds and poultry usually strengthen exercise and maintain healthy living habits , enhance autoimmune function; when eating poultry, it should be cooked thoroughly; if symptoms such as fever appear after contact with birds, seek medical attention immediately, and at the same time inform the doctor of the situation of feeding and contact with birds for accurate diagnosis and timely treatment.
zhttps://hznews.hangzhou.com.cn/kejiao/content/2023-03/07/content_8485917.htm
Hangzhou Net release time: 2023-03-07 06:32
"Take off the ventilator, remove the endotracheal intubation, and transfer to the general ward of the infectious disease department, I feel alive!" Ms. Geng (pseudonym), 50 years old this year, was hard to subside due to high fever and severe pneumonia. He was transferred to Zhejiang Provincial People's Hospital. After learning about his life, the doctor quickly found the source of the disease-the chickens and ducks raised at home, based on years of clinical experience.
The strong peasant woman did not expect to contract "parrot fever"
Ms. Geng has been doing farm work all year round and has always been in good health. Not long ago, she had inexplicable symptoms of high fever, cough, and expectoration. She thought it was a cold, so she took some cold medicine by herself, but the symptoms did not improve after ten days.
After going to the local hospital for an examination, it was found that the inflammatory indicators in Ms. Geng's body were very high, and a CT scan of her lungs indicated that her lungs were inflamed. However, it is very strange that after using antibiotics, the condition still did not improve, the fever continued, and there was even a dangerous situation of chest tightness and shortness of breath, and the oxygen saturation continued to drop. The local doctor admitted frankly to Ms. Geng and her family members that the cause of the disease was unknown, her condition was critical, and her life was in danger at any time.
Ms. Geng was urgently referred to Zhejiang Provincial People's Hospital. In the emergency room, a CT scan of the lungs was performed, and it was found that both lungs had lesions, and the right lung had turned white. Considering "severe pneumonia", he was admitted to the intensive care unit (ICU) after tracheal intubation. Due to the critical and complicated condition, Pan Hongying, director of the Department of Infectious Diseases of the hospital, was invited for consultation.
After a detailed study of the medical history, Pan Hongying believes that the pneumonia that progresses so rapidly and the anti-infection effect is not good, so it is necessary to be vigilant against atypical pathogens. So she asked her further about her daily life, followed the clues and soon discovered the "real culprit" - parrot fever. It turned out that Ms. Geng often raised chickens and ducks at home. She should have been infected with "Chlamydia psittaci pneumonia". As expected, bronchoscopy and other examinations confirmed Director Pan's judgment.
The cause of the disease became clear, and the treatment team immediately adjusted the plan and carried out targeted treatment. The patient's condition improved significantly, and then recovered smoothly. He has been discharged from the hospital.
Daily contact with birds, to take precautions
It is reported that psittacosis, also known as "bird plague", is a zoonotic infectious disease, which is transmitted to humans by birds and birds carrying Chlamydia psittaci. The high incidence of infectious diseases in spring requires everyone to be vigilant.
"It is generally believed that chlamydia or infectious aerosols mixed in dust can cause inhalation infection through the respiratory tract; contact with infected birds or poultry and their polluted secretions and excretions can cause infection through damaged skin or mucous membranes and digestive tract. and other ways to get infected.” Pan Hongying said that after Chlamydia psittaci invades the human body, the incubation period is generally 7-15 days, as short as 3 days, and as long as 45 days.
The clinical manifestations of psittacosis are usually high fever, chills, severe headache, myalgia, dry cough, dyspnea and gastrointestinal reactions, and extrapulmonary organs are easily involved. For the treatment of Chlamydia psittaci infection, tetracyclines are generally given, followed by macrolides and other drugs. The course of treatment is at least 10-14 days, and extending the course to 2-3 weeks can reduce recurrence. Since the symptoms of psittacosis are very similar to those of influenza, early clinical misdiagnosis is easy.
Pan Hongying reminded that people who have frequent close contact with birds and poultry are high-risk groups for Chlamydia psittaci infection.
Therefore, try not to touch live birds and poultry at ordinary times, pay attention to maintaining the environmental sanitation of birds and poultry, and wear masks and gloves when cleaning feces; people who come into contact with birds and poultry usually strengthen exercise and maintain healthy living habits , enhance autoimmune function; when eating poultry, it should be cooked thoroughly; if symptoms such as fever appear after contact with birds, seek medical attention immediately, and at the same time inform the doctor of the situation of feeding and contact with birds for accurate diagnosis and timely treatment.
zhttps://hznews.hangzhou.com.cn/kejiao/content/2023-03/07/content_8485917.htm