V-V ECMO for severe Chlamydia psittaci pneumonia presenting with sudden cardiac arrest: A case report and literature review.
Juan Chen, Yong Sun, Jian Luo, Yang Wu, Kaiyu Wang, Weiwen Zhang, Honglong Fang
Author Information
Juan Chen: Department of Clinical Laboratory, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Yong Sun: Zhejiang University of Traditional Chinese Medicine, Hangzhou, Zhejiang, China.
Jian Luo: Department of Critical Care Medicine, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Yang Wu: Department of Critical Care Medicine, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Kaiyu Wang: Department of Critical Care Medicine, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Weiwen Zhang: Department of Critical Care Medicine, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China.
Honglong Fang: Department of Critical Care Medicine, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China. ORCID
RATIONALE: Psittacosis, also known as parrot fever, is an infectious disease caused by Chlamydia psittaci, which can lead to C psittaci pneumonia. Clinical manifestations are highly nonspecific, which can vary from asymptomatic infection to severe pneumonia and even death. PATIENT CONCERNS: In this case presentation, we reported one 65-year-old male case of C psittaci pneumonia who was admitted to our hospital on December 2, 2022 due to the chief complaints of poor appetite and fatigue for 3 days as the clinical manifestations. He denied contact with birds but admitted riding horses 1 week ago. DIAGNOSES: Chlamydia psittaci pneumonia of patient was confirmed through metagenomic sequencing of bronchoalveolar lavage fluid under bronchoscopy. INTERVENTION: Patient was treated with V-V ECMO, invasive mechanical ventilation and CRRT. OUTCOMES: On December 12, the patient was successfully weaned off V-V ECMO and discharged on December 20, 2022. During postoperative follow-up, CT scan in a local hospital revealed the infiltrative lesions of the lung were absent. LESSONS: This case prompts that metagenomic next-generation sequencing is a feasible diagnostic tool for psittacosis, which can rapidly worsen and even cause sudden cardiac arrest. V-V ECMO might be a viable emergency therapeutic option.
References
Ann Transl Med. 2020 Mar;8(6):401
[PMID: 32355845]
BMC Infect Dis. 2021 Jun 30;21(1):621
[PMID: 34193063]
Chin Med J (Engl). 2021 Jan 5;134(3):353-355
[PMID: 33410632]
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2021 Nov;33(11):1366-1369
[PMID: 34980310]
BMC Infect Dis. 2018 Aug 30;18(1):442
[PMID: 30165831]
New Microbes New Infect. 2014 Jan;2(1):7-12
[PMID: 25356332]
J Med Microbiol. 2011 Apr;60(Pt 4):547-549
[PMID: 21212142]
