Bloodstream infection and pneumonia caused by Chlamydia abortus infection in China: a case report

Abstract Background Chlamydia abortus is generally considered to cause abortion, stillbirth, and gestational sepsis in pregnant women, but it’s rare in bloodstream infection and pneumonia. Case presentation We present details of a patient with bloodstream infection and pneumonia caused by Chlamydia...

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Main Authors: Changjun Zhu, Minjie Lv, Jianling Huang, Changwen Zhang, Lixu Xie, Tianming Gao, Bo Han, Wenjing Wang, Ganzhu Feng
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-022-07158-z
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author Changjun Zhu
Minjie Lv
Jianling Huang
Changwen Zhang
Lixu Xie
Tianming Gao
Bo Han
Wenjing Wang
Ganzhu Feng
author_facet Changjun Zhu
Minjie Lv
Jianling Huang
Changwen Zhang
Lixu Xie
Tianming Gao
Bo Han
Wenjing Wang
Ganzhu Feng
author_sort Changjun Zhu
collection DOAJ
description Abstract Background Chlamydia abortus is generally considered to cause abortion, stillbirth, and gestational sepsis in pregnant women, but it’s rare in bloodstream infection and pneumonia. Case presentation We present details of a patient with bloodstream infection and pneumonia caused by Chlamydia abortus. Both blood next-generation sequencing (NGS) and sputum NGS indicate Chlamydia abortus infection. The patient received intravenous infusion of piperacillin sodium and tazobactam sodium (4.5 g/8 h) and moxifloxacin (0.4 g/d) and oral oseltamivir (75 mg/day). Within one month of follow-up, the patient's clinical symptoms were significantly improved, and all laboratory parameters showed no marked abnormality. However, chest computer tomography (CT) showed the inflammation wasn’t completely absorbed. And we are still following up. Conclusions Chlamydia abortus can cause pneumonia in humans. NGS has the particular advantage of quickly and accurately identifying the infection of such rare pathogens. Pneumonia is generally not life-threatening, and has a good prognosis with appropriate treatment. However, Chlamydia infection can lead to serious visceral complications which clinicians should pay attention to.
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spelling doaj.art-1fa657c2207241fd85e56adad0ca7a2d2022-12-22T01:39:40ZengBMCBMC Infectious Diseases1471-23342022-02-012211710.1186/s12879-022-07158-zBloodstream infection and pneumonia caused by Chlamydia abortus infection in China: a case reportChangjun Zhu0Minjie Lv1Jianling Huang2Changwen Zhang3Lixu Xie4Tianming Gao5Bo Han6Wenjing Wang7Ganzhu Feng8Department of Respiratory Medicine, the Second Affiliated Hospital of Nanjing Medical UniversityDepartment of Respiratory Medicine, the Second Affiliated Hospital of Nanjing Medical UniversityDepartment of Respiratory Medicine, the Second Affiliated Hospital of Nanjing Medical UniversityDepartment of Respiratory Medicine, the Second Affiliated Hospital of Nanjing Medical UniversityDepartment of Respiratory Medicine, the Second Affiliated Hospital of Nanjing Medical UniversityDepartment of Respiratory Medicine, the Second Affiliated Hospital of Nanjing Medical UniversityDepartment of Respiratory Medicine, the Second Affiliated Hospital of Nanjing Medical UniversityDepartment of Respiratory Medicine, the Second Affiliated Hospital of Nanjing Medical UniversityDepartment of Respiratory Medicine, the Second Affiliated Hospital of Nanjing Medical UniversityAbstract Background Chlamydia abortus is generally considered to cause abortion, stillbirth, and gestational sepsis in pregnant women, but it’s rare in bloodstream infection and pneumonia. Case presentation We present details of a patient with bloodstream infection and pneumonia caused by Chlamydia abortus. Both blood next-generation sequencing (NGS) and sputum NGS indicate Chlamydia abortus infection. The patient received intravenous infusion of piperacillin sodium and tazobactam sodium (4.5 g/8 h) and moxifloxacin (0.4 g/d) and oral oseltamivir (75 mg/day). Within one month of follow-up, the patient's clinical symptoms were significantly improved, and all laboratory parameters showed no marked abnormality. However, chest computer tomography (CT) showed the inflammation wasn’t completely absorbed. And we are still following up. Conclusions Chlamydia abortus can cause pneumonia in humans. NGS has the particular advantage of quickly and accurately identifying the infection of such rare pathogens. Pneumonia is generally not life-threatening, and has a good prognosis with appropriate treatment. However, Chlamydia infection can lead to serious visceral complications which clinicians should pay attention to.https://doi.org/10.1186/s12879-022-07158-zBloodstream infectionPneumoniaChlamydia abortusCase report
spellingShingle Changjun Zhu
Minjie Lv
Jianling Huang
Changwen Zhang
Lixu Xie
Tianming Gao
Bo Han
Wenjing Wang
Ganzhu Feng
Bloodstream infection and pneumonia caused by Chlamydia abortus infection in China: a case report
BMC Infectious Diseases
Bloodstream infection
Pneumonia
Chlamydia abortus
Case report
title Bloodstream infection and pneumonia caused by Chlamydia abortus infection in China: a case report
title_full Bloodstream infection and pneumonia caused by Chlamydia abortus infection in China: a case report
title_fullStr Bloodstream infection and pneumonia caused by Chlamydia abortus infection in China: a case report
title_full_unstemmed Bloodstream infection and pneumonia caused by Chlamydia abortus infection in China: a case report
title_short Bloodstream infection and pneumonia caused by Chlamydia abortus infection in China: a case report
title_sort bloodstream infection and pneumonia caused by chlamydia abortus infection in china a case report
topic Bloodstream infection
Pneumonia
Chlamydia abortus
Case report
url https://doi.org/10.1186/s12879-022-07158-z
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