Acute abdominal pain as the first symptom of Chlamydia psittaci pneumonia complicated by acute pancreatitis: a case report

Frontiers in Medicine

Medicine

Hui Mai¹  Limin Xu¹  Yanjun Xie²  Changquan Fang² 

[1] Department of Geriatrics, Huizhou First People’s Hospital, Huizhou, Guangdong, China;Department of Pulmonary and Critical Care Medicine, Huizhou Central People’s Hospital, Huizhou, Guangdong, China;

关键词: psittacosis;    Chlamydia psittaci;    acute pancreatitis;    abdominal pain;    metagenomic next-generation sequencing;   

DOI  :  10.3389/fmed.2023.1253859

 received in 2023-07-06, accepted in 2023-09-25,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundChlamydia psittaci infections primarily cause damage to the lungs but may also affect the cardiovascular system, gastrointestinal tract, liver, kidney, and brain, resulting in a variety of extrapulmonary complications. However, reports regarding C. psittaci infection-associated pancreatitis are rare. In this report, a patient with C. psittaci pneumonia complicated by acute pancreatitis is presented.Case descriptionThe patient presented with acute upper abdominal pain and developed severe pyrexia and dyspnoea one day later. A chest computed tomography image revealed patchy consolidation in the left lung. The disease progressed rapidly, and the patient exhibited liver and kidney damage and type 1 respiratory failure within a short period of time. Metagenomic next-generation sequencing of alveolar lavage fluid revealed the presence of C. psittaci. The patient was administered doxycycline and moxifloxacin, after which the patient’s abdominal pain and lung infection significantly resolved.ConclusionThis case report demonstrates that extrapulmonary C. psittaci infections due to secondary acute pancreatitis can manifest as abdominal pain, although the exact mechanisms of C. psittaci caused by acute pancreatitis remain unclear. Timely diagnoses and treatments of such infections are necessary to achieve favorable clinical outcomes.

【 授权许可】

Unknown   
Copyright © 2023 Fang, Xie, Mai and Xu.