Epidemiological and clinical characteristics of psittacosis among cases with complicated or atypical pulmonary infection using metagenomic next-generation sequencing: a multi-center observational study in China

Autor: Weifeng Huang, Fengge Wang, Qingqing Cai, Huiliang Xu, Dengwei Hong, Han Wu, Lu Zhou, Linjie Hu, Yihan Lu
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Annals of Clinical Microbiology and Antimicrobials, Vol 22, Iss 1, Pp 1-8 (2023)
Druh dokumentu: article
ISSN: 1476-0711
DOI: 10.1186/s12941-023-00631-w
Popis: Abstract Background Chlamydia psittaci (C. psittaci) causes parrot fever in humans. Development of metagenomic next-generation sequencing (mNGS) enables the identification of C. psittaci. Methods This study aimed to determine the epidemiological and clinical characteristics of parrot fever cases in China. A multi-center observational study was conducted in 44 tertiary and secondary hospitals across 14 provinces and municipalities between April 2019 and October 2021. Results A total of 4545 patients with complicated or atypical pulmonary infection were included in the study, among which the prevalence of C. psittaci was determined to be 2.1% using mNGS. The prevalence of C. psittaci was further determined across demographic groups and types of specimens. It was significantly higher in patients with senior age (2.6% in those > 50 years), winter-spring (3.6%; particularly in December, January, and February), and southwestern (3.4%) and central and southern China (2.7%) (each P 0.05). Conclusion Parrot fever remains low in patients with complicated or atypical pulmonary infection. It is likely to occur in winter-spring and southwestern region in China. BALF may be the optimal specimen in the application of mNGS. Co-infection of multiple microorganisms should be further considered.
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