Dry and wet rales and wheezing can be heard in the lungs

Introduction The lungs are audible and dry and wet, and even snoring and wheezing are symptoms of clinical diagnosis of chlamydia pneumonia. Chlamydia pneumoniae is a newly discovered chlamydia that mainly causes respiratory and pulmonary infections. Chlamydia trachomatis (Chlamydia is a Gram-negative pathogen, spreads widely in nature. It has no ability to synthesize high-energy compounds ATP, GTP, must be provided by host cells, and thus becomes an energy parasite, mostly spherical, heap It has cell walls that are generally parasitic in animal cells. They were previously classified as viruses and later found to be self-contained.

Cause

In the case of intracellular parasitic chlamydia as a pathogen, inhalation of droplets when sneezing can infect the disease.

an examination

Related inspection

Lung ventilation imaging chest CT examination

Teenagers often have hoarseness, dry cough, sometimes fever, sore throat and other symptoms such as pharyngitis, laryngitis, sinusitis, otitis media and bronchitis, and for several weeks, pneumonia is usually mild, similar to the clinical manifestations of Chlamydia pneumoniae infection. And may be associated with extrapulmonary manifestations such as erythema nodules, thyroiditis, encephalitis, and Guillain-Barré syndrome. Adult pneumonia is more serious, especially elderly people often have to be hospitalized and respiratory support treatment. Some authors have found a link between Chlamydia pneumoniae infection and coronary heart disease by serological investigation, but it needs to be further determined.

Differential diagnosis

Chlamydia pneumonia pneumonia and streptococcal pneumonia, viral pneumonia, bronchitis and other identification.

1. Chlamydia trachomatis pneumonia In 1975, it was reported that neonatal chlamydial pneumonia was secondary to the inclusion of purulent sputum. The disease is mostly transmitted by the infected mother, and the eye infection can be transmitted to the respiratory tract through the nasolacrimal duct. Most of the symptoms appear 2 to 12 weeks after birth. The onset is slow, and there may be upper respiratory tract infections. Most of them do not have fever or occasionally low fever. Then there is cough and shortness of breath. When inhaling, there are often fine wet rales or sputum sounds. There is exhalation wheezing. Chest radiographs showed extensive bilateral interstitial and alveolar infiltration, and hyperinflation was common, occasionally large leaf consolidation. Peripheral white blood cell counts were generally normal and eosinophils increased. It is necessary to scrape the epithelial cells from the nasopharyngeal swab. The nasopharyngeal specimen Chlamydia trachomatis antigen can also be detected by direct fluorescent antibody test (DFA) and enzyme immunoassay (EIA). The diagnostic criteria for serological specific antibodies were a 4-fold increase in the titer of the serum antibody, or IgM > 1:32, IgG > 1:512. PCR technology can also be used to directly detect Chlamydia DNA.

2, parrots Chlamydia pneumonia from poultry contact or infected with bird droppings, is an occupational disease of poultry breeding, trafficking and slaughter. Human and human infections are rare. Pathogens are excreted from excretions and excretions and can be carried for a long time. Chlamydia psittaci enters the human body through the respiratory tract, multiplies and releases toxins in monocytes, and spreads through the bloodstream to the lungs and whole body tissues, causing lung sound quality and perivascular cell infiltration, and hilar lymph nodes. The incubation period is 6 to 14 days. The onset is a flu-like symptom. It usually has fever of 38 to 40.5 °C. The initial stage of cough is dry cough. After the operation, there is convulsion, difficulty breathing or light or heavy. There are relatively slow pulse, myalgia, chest pain, loss of appetite, occasional nausea and vomiting.

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