A Case of Fulminant Psittacosis Necessitating Mechanical Ventilation Diagnosed by Chlamydial Isolation form BALF

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  • TANIGUCHI Haruko
    The Third Department of Internal Medicine, Miyazaki Medical College
  • MUKAE Hiroshi
    The Third Department of Internal Medicine, Miyazaki Medical College
  • IHIBOSHI Hirotoshi
    The Third Department of Internal Medicine, Miyazaki Medical College
  • ASHITANI Jun-ichi
    The Third Department of Internal Medicine, Miyazaki Medical College
  • IHI Toshihiko
    The Third Department of Internal Medicine, Miyazaki Medical College
  • SAKAMOTO Akira
    The Third Department of Internal Medicine, Miyazaki Medical College
  • MASHIMOTO Hideo
    The Third Department of Internal Medicine, Miyazaki Medical College
  • MATSUKURA Shigeru
    The Third Department of Internal Medicine, Miyazaki Medical College
  • TANAKA Hironori
    Department of Laboratory Medicine, Nagasaki University School of Medicine
  • KOHNO Shigeru
    The Second Department of Internal Medicine, Nagasaki University School of Medicine

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Other Title
  • 人工呼吸管理により救命し, BALFより起炎菌を分離しえた重症オウム病の1例

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Abstract

A 51-year-old female was admitted with complaints of fever and general fatigue. Chest X-ray showed diffuse bilateral fine nodular shadows and infiltrates. Complication of hepatic and muscular injury was suspected from increased levels of GOT, GPT and CPK in the seurm. Arterial blood gas analysis revealed hypoxemia. Because hypoxemia aggravated despite treatment with intravenous minocycline (200 mg/day), corticosteroids and mechanical ventilation were started, and the administration of minocycline (400 mg/day) and sparfloxacin was added. Consequent, chest X-rays and several laboratory data improved gradually. The final diagnosis was established with a significant rise of both IgG and IgM antibody against Chlamydia psittaci with MIF and identification of Chlamydia with the cell culture method. Chlamydia was successfully isolated from BALF of this patient obtained 5 days after commencement of minocycline treatment.<BR>Psittacosis should be considered as a possible cause of severe respiratory failure necessitating emergency care including mechanical ventilation.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 69 (12), 1396-1401, 1995

    The Japanese Association for Infectious Diseases

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