Acute Respiratory Distress Syndrome due to Chlamydia pneumoniae Infection In A Healthy Young Adult: A Case Report and Literature Review

Chlamydia pneumoniae感染所引起之急性呼吸窘迫症候群：病例報告及文獻回顧

惠群(Chun Hui) ； 詹明澄(Ming-Cheng Chan) ； 吳杰亮(Chieh-Liang Wu) ； 曾瑞壯(Juet-Chuang Tzeng) ； 張瓊文(Chun-Wen Chang) ； 江自得(Chi-Der Chian)

《胸腔醫學》 18卷5期 (2003/10) Pp. 442-448

https://doi.org/10.29806/TM.200310.0009

摘要

C. pneumoniae是社區型肺炎常見的病原菌之一，大部份的病人病情都很輕微甚至沒有症狀，而因為C. pneumoniae感染造成嚴重社區型肺炎的病人多是老年人或合併有其他疾病。我們報告一位健康年輕成人，因為C. pneumoniae感染造成急性呼吸窘迫症候群，經積極治療復元狀況良好，沒有肺功能障礙。如果病人罹患不明原因的急性呼吸窘迫症候群，即使是年輕成人，C. pneumoniae感染都應該要列入鑑別診斷。

關鍵字

社區型肺炎 ； 急性呼吸窘迫症候群

並列摘要

Chlamydia pneumoniae is one of the common pathogens in community-acquired pneumonia (CAP). The clinical presentation is usually mild or even unrecognized. Severe CAP due to C. pneumoniae is usually found in the elderly or in patients with underlying diseases. Herein, we report a previously healthy young adult, who developed severe CAP with rapid progression to acute respiratory distress syndrome (ARDS) due to C. pneumoniae infection. With aggressive treatment, the patient recovered well without residual pulmonary function impairment. If a patient presents with ARDS without a clear-cut etiology, C. pneumoniae infection should be included in the differential diagnosis, even in the healthy young adult.

並列關鍵字

C. pneumoniae ； community-acquired pneumonia ； acute respiratory distress syndrome ； Chlamydia pneumoniae