RESUMO
Chlamydia psittaci â related community-acquired pneumonia associated to acute myocarditis was diagnosed in a young man with no medical history, and a professional exposition to birds. The diagnosis was confirmed with positive specific polymerase chain reaction in bronchoalveolar lavage. The patient was treated with spiramycin for two weeks with anti-inflammatory treatment for myocarditis for three months. Clinical and biological improvement was rapidly observed followed by normalization of electrocardiogram and chest CT scan. No relapse was reported for over a two-year follow-up.
Assuntos
Chlamydophila psittaci , Miocardite , Psitacose , Humanos , Masculino , Miocardite/microbiologia , Miocardite/tratamento farmacológico , Miocardite/diagnóstico por imagem , Psitacose/microbiologia , Psitacose/tratamento farmacológico , Psitacose/diagnóstico , Chlamydophila psittaci/isolamento & purificação , Adulto , Reação em Cadeia da Polimerase , Infecções Comunitárias Adquiridas/microbiologia , Infecções Comunitárias Adquiridas/tratamento farmacológico , Doença Aguda , Adulto JovemRESUMO
ABSTRACT Chlamydia psittaci - related community-acquired pneumonia associated to acute myocarditis was diagnosed in a young man with no medical history, and a professional exposition to birds. The diagnosis was confirmed with positive specific polymerase chain reaction in bronchoalveolar lavage. The patient was treated with spiramycin for two weeks with anti-inflammatory treatment for myocarditis for three months. Clinical and biological improvement was rapidly observed followed by normalization of electrocardiogram and chest CT scan. No relapse was reported for over a two-year follow-up.