The application of metagenomic next-generation sequencing in diagnosing Chlamydia psittaci pneumonia: a report of five cases

Author:

Gu Lei,Liu Wei,Ru Meng,Lin Jing,Yu Guoqing,Ye Jia,Zhu Zheng-an,Liu Yuebin,Chen Jian,Lai Guoxiang,Wen Wen

Abstract

Abstract Background Chlamydia psittaci pneumonia is a zoonotic infectious disease caused by Chlamydia psittaci. Diagnostic tools, including culture, serologic test and PCR-based methods, are available but prone to false negative results. Case presentation This report included five cases of Chlamydia psittaci pneumonia. Symptoms and signs common to all 5 cases included fever, coughing, generalized muscle ache, and most notably, inflammatory infiltration of the lungs upon chest CT and X-ray. Metagenomic next-generation sequencing (mNGS) revealed the presence of Chlamydia psittaci in biopsy lung tissue in 3 cases and bronchoalveolar lavage fluid in the remaining 2 cases. Three patients responded to doxycycline plus moxifloxacin; two patients responded to moxifloxacin alone. Conclusions mNGS could be used to diagnose Chlamydia psittaci pneumonia.

Funder

National Key Clinical Specialty Discipline Construction Program of China

Publisher

Springer Science and Business Media LLC

Subject

Pulmonary and Respiratory Medicine

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