When the body has a fever, we generally think it is a cold, but in fact, many diseases can also cause high fever in the body. Therefore, if you feel uncomfortable, it is best to go to the hospital for examination and let the doctor peel off the cocoons and prescribe the right medicine!
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I have had fever for several days
I can’t find the reason
Aunt Xu, who lives in Xiaoshan, Hangzhou, has been ill recently, with chills and high fever. She originally thought it was a common cold or influenza A after the temperature dropped suddenly. Aunt Xu took cold medicine at home for a few days, but the effect was average. She had fever repeatedly for three consecutive days. When the fever was high, it reached 40°C. She even suffered from nausea and vomiting. Her body was getting worse and worse.
Accompanied by her family, Aunt Xu, who was still suffering from a high fever of 39.3℃, came to Xiaoshan District Second People's Hospital overnight. After completing routine blood tests, chest CT and other examinations in the outpatient clinic, the results showed pneumonia, so he was hospitalized in the respiratory department of the hospital.
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On the second day of hospitalization, Wei Zhifan, director of the hospital's Department of Respiratory Medicine, carefully understood Aunt Xu's disease process during ward rounds and repeatedly checked her chest CT. Through years of clinical diagnosis and treatment experience, Director Wei felt that Aunt Xu might have pneumonia. There is also "something strange".
At the doctor's suggestion, Aunt Xu performed another bronchoalveolar lavage and sent for testing to identify the infectious pathogen , so as to determine as soon as possible whether the current anti-infection regimen was correct.
The next day, Director Wei received the inspection report from the laboratory - Chlamydia psittaci infection.
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What is "parrot fever"?
Severe cases can be life-threatening
What is "parrot fever"? In this regard, Director Wei said that Psittacosis is a zoonotic infectious disease, mainly caused by the intracellular parasitic Chlamydia psittaci, a gram-negative bacterium. Chlamydia psittaci is an obligate intracellular parasitic Gram-negative bacterium in eukaryotic cells. It can infect a variety of birds and mammals. It has a higher prevalence in birds that are in close contact with humans, such as domestic pigeons, parrots, poultry and wild animals. infection rate.
Patients who are infected with "parrot fever" will develop flu-like symptoms such as fever, cough, sore throat, muscle aches, etc. Severe cases can lead to multiple complications such as pneumonia, endocarditis, and encephalitis, which can even be life-threatening. High fever that persists is one of its characteristics.
"Parrot Fever" behaves like an ordinary lung infection, but the symptoms are more severe. The incubation period is generally 1 to 2 weeks, and it can last up to 4 weeks in the elderly. Chlamydia psittaci infection usually occurs from October each year to February of the following year. The onset of the disease is slow. After infection, it can cause systemic symptoms, manifested by fever, headache and obvious myalgia (especially in the back and neck), and the body temperature gradually increases. rises and can exceed 40℃ after 3 to 4 days.
Symptoms of pneumonia such as coughing, dry cough, or coughing up a small amount of sticky or bloody sputum, difficulty breathing, etc. may occur in about a week. A few patients may also develop liver, heart, and nervous system complications, leading to abnormal liver function, jaundice, myocarditis, and even drowsiness and delirium. , stupor, convulsions and other symptoms, severe cases may lead to multiple organ failure, which is life-threatening.
So the question is, where did Aunt Xu get infected?
After repeated questioning by the doctor, Aunt Xu’s daughter reacted and said: “I know, it must be those chickens at home! I told my mother not to keep any more chickens, and to remove the chicken coops when I got home. …” Fortunately, after symptomatic treatment, Aunt Xu’s body temperature dropped, and her gastrointestinal symptoms of nausea and vomiting were also significantly improved.
Director Wei said that the main transmission route of "parrot fever" is through animals to humans. The vast majority of patients with psittacosis are infected through contact with poultry, and there are also cases of parrot transmission to humans. Human-to-human transmission is possible, but the probability is very low.
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In life
How to prevent chlamydial pneumonia?
Dr. Wei from the Department of Respiratory Medicine, Xiaoshan District Second People's Hospital, reminds the general public to keep birds and poultry to a minimum, avoid close contact, and wash hands after contact;
If you raise birds or poultry at home, clean up their secretions. When doing so, personal protection should be taken, such as wearing masks and gloves; those who have recently had contact with birds or poultry should seek medical treatment promptly if they develop symptoms such as fever, chills, vomiting, etc., and inform the doctor of the relevant contact situation; "Parrot" Human-to-human transmission of "pyrexia fever" is rare, but people with severe illness can excrete chlamydia through coughing, etc. Family members should pay attention to personal protection when visiting.
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