Chlamydia psittaci infection-associated acute fibrinous and organizing pneumonitis: A case report
Acute fibrinous and organizing pneumonia (AFOP) is a rare type of lung injury, and while Chlamydia psittaci pneumonia is a zoonotic disease, secondary AFOP has not been previously reported. We present a 53-year-old female with a 13-day history of cough, fever, and shortness of breath. High-resolutio...
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| Language: | English |
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Elsevier
2025-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250925000721 |
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| author | Xianhua Gui Xiaohua Qiu Yujuan Gao Tingting Chen Yuying Qiu Jia Liu Yonglong Xiao |
| author_facet | Xianhua Gui Xiaohua Qiu Yujuan Gao Tingting Chen Yuying Qiu Jia Liu Yonglong Xiao |
| author_sort | Xianhua Gui |
| collection | DOAJ |
| description | Acute fibrinous and organizing pneumonia (AFOP) is a rare type of lung injury, and while Chlamydia psittaci pneumonia is a zoonotic disease, secondary AFOP has not been previously reported. We present a 53-year-old female with a 13-day history of cough, fever, and shortness of breath. High-resolution computed tomography (HRCT) showed multiple bilateral patchy shadows and consolidations in the left lung lower lobe. Empirical treatment was ineffective, and lung lesions worsened. Metagenomic next-generation sequencing (mNGS) confirmed Chlamydia psittaci infection. After minocycline treatment, the patient’s fever improved, but shortness of breath persisted. CT-guided lung biopsy revealed “fibrin balls” in the alveolar space and interstitial inflammatory infiltrates. Shortness of breath improved after glucocorticoid therapy, with significant lesion absorption noted on follow-up chest CT. This case suggests a possible association between AFOP and C. psittaci infection, supporting the use of combined antibiotic and glucocorticoid therapy. |
| format | Article |
| id | doaj-art-011746bdbdb249988d264af33fbd94e6 |
| institution | DOAJ |
| issn | 2214-2509 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj-art-011746bdbdb249988d264af33fbd94e62025-08-20T03:11:04ZengElsevierIDCases2214-25092025-01-0140e0221710.1016/j.idcr.2025.e02217Chlamydia psittaci infection-associated acute fibrinous and organizing pneumonitis: A case reportXianhua Gui0Xiaohua Qiu1Yujuan Gao2Tingting Chen3Yuying Qiu4Jia Liu5Yonglong Xiao6Department of Respiratory and Critical Care Medicine, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, ChinaDepartment of Respiratory and Critical Care Medicine, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, ChinaDepartment of Respiratory and Critical Care Medicine, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, ChinaDepartment of Pathology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, ChinaDepartment of Respiratory and Critical Care Medicine, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, ChinaDinfectome Inc., Nanjing, Jiangsu 210000, ChinaDepartment of Respiratory and Critical Care Medicine, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, China; Corresponding author.Acute fibrinous and organizing pneumonia (AFOP) is a rare type of lung injury, and while Chlamydia psittaci pneumonia is a zoonotic disease, secondary AFOP has not been previously reported. We present a 53-year-old female with a 13-day history of cough, fever, and shortness of breath. High-resolution computed tomography (HRCT) showed multiple bilateral patchy shadows and consolidations in the left lung lower lobe. Empirical treatment was ineffective, and lung lesions worsened. Metagenomic next-generation sequencing (mNGS) confirmed Chlamydia psittaci infection. After minocycline treatment, the patient’s fever improved, but shortness of breath persisted. CT-guided lung biopsy revealed “fibrin balls” in the alveolar space and interstitial inflammatory infiltrates. Shortness of breath improved after glucocorticoid therapy, with significant lesion absorption noted on follow-up chest CT. This case suggests a possible association between AFOP and C. psittaci infection, supporting the use of combined antibiotic and glucocorticoid therapy.http://www.sciencedirect.com/science/article/pii/S2214250925000721Acute fibrinous organizing pneumoniaChlamydia psittaciFeverDyspnea |
| spellingShingle | Xianhua Gui Xiaohua Qiu Yujuan Gao Tingting Chen Yuying Qiu Jia Liu Yonglong Xiao Chlamydia psittaci infection-associated acute fibrinous and organizing pneumonitis: A case report IDCases Acute fibrinous organizing pneumonia Chlamydia psittaci Fever Dyspnea |
| title | Chlamydia psittaci infection-associated acute fibrinous and organizing pneumonitis: A case report |
| title_full | Chlamydia psittaci infection-associated acute fibrinous and organizing pneumonitis: A case report |
| title_fullStr | Chlamydia psittaci infection-associated acute fibrinous and organizing pneumonitis: A case report |
| title_full_unstemmed | Chlamydia psittaci infection-associated acute fibrinous and organizing pneumonitis: A case report |
| title_short | Chlamydia psittaci infection-associated acute fibrinous and organizing pneumonitis: A case report |
| title_sort | chlamydia psittaci infection associated acute fibrinous and organizing pneumonitis a case report |
| topic | Acute fibrinous organizing pneumonia Chlamydia psittaci Fever Dyspnea |
| url | http://www.sciencedirect.com/science/article/pii/S2214250925000721 |
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