Table 1.
Patient No.
|
1
|
2
|
3
|
4
|
5
|
Sex | M | M | M | F | M |
Age (yr) | 75 | 73 | 44 | 66 | 5 |
Symptoms | Fever, cough | Fever | Fever, cough | Fever, cough | Fever, dizziness, vomiting, convulsions |
Chronic disease | Hypertension, diabetes, coronary heart disease, lacunar infarction, prostatic hyperplasia, amoebic dysentery | Hepatitis B | No history | No history | No history |
Exposure history | Birds | Chickens | Birds | Psittacine birds | Birds |
Fever | 39.7℃ | 40.9℃ | 40.1℃ | 40.0℃ | 39.9℃ |
Leucocytes | 8.46 × 109/L | 2.98 × 109/L | 14.51 × 109/L | 2.93 × 109/L | 24.01 × 109/L |
Neutrophils | 83.20% | 83.20% | 85.20% | 49.90% | 88.20% |
Platelet count | 106.00 × 109/L | 106.00 × 109/L | 191.00 × 109/L | 286.00 × 109/L | 301.00 × 109/L |
Procalcitonin | 1.65 ng/mL | 0.49 ng/mL | 0.01 ng/mL | 0.19 ng/mL | 4.28 ng/mL |
C-reactive protein | 241.70 mg/L | 169.00 mg/L | 225.40 mg/L | 96.30 mg/L | 6.30 mg/L |
Aspartate aminotransferase | 53.5 U/L | Normal | Normal | 65.1 U/L | Normal |
Glutamate aminotransferase | Normal | Normal | 124.2 U/L | 172.3 U/L | Normal |
Urea nitrogen | 14.5 mmol/L | Normal | Normal | Normal | Normal |
Creatinine | 353.0 μmol/L | Normal | Normal | Normal | Normal |
Mycoplasma pneumoniae IgG titer | 1:40 | Negative | 1:40 | Negative | 1:160 |
CSF culture | N/A | N/A | N/A | N/A | Streptococcus pneumoniae |
Diagnosis | Psittacosis pneumonia | Psittacosis pneumonia | Psittacosis pneumonia | Psittacosis pneumonia | Purulent meningitis, Psittacosis meningitis |
Antibiotics | Piperacillin, tazobactam, etimicin, moxifloxacin | Ganciclovir, tigecycline | Piperacillin, tazobactam, moxifloxacin, tigecycline | Piperacillin, tazobactam, moxifloxacin | Ceftazidime, vancomycin, ceftriaxone sodium, azithromycin, rifampicin |
Hospitalization (d) | 13 | 11 | 11 | 10 | 23 |
CSF: Cerebrospinal fluid; N/A: Not applicable.