Case Report: Metagenomic next-generation sequencing applied in diagnosing psittacosis caused by Chlamydia psittaci

Wan Xu1, Qing Wang1, Lin Li1

  • 1Department of Emergency Internal Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Abstract

Insights

Rapid diagnosis of psittacosis is crucial. Metagenomic next-generation sequencing (mNGS) enabled quick identification of Chlamydia psittaci, leading to effective antibiotic treatment and recovery in four patients.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Genomics

Background:

  • Chlamydia psittaci causes psittacosis in humans.
  • Traditional diagnostic methods for psittacosis lack specificity, hindering rapid identification.
  • Prompt etiological diagnosis is essential for effective treatment.

Observation:

  • Four family members presented with psittacosis after contact with a domestic parrot.
  • Clinical manifestations included fever, cough, headache, nausea, and hypodynamia.
  • Metagenomic next-generation sequencing (mNGS) was employed for etiological diagnosis.

Findings:

  • mNGS identified Chlamydia psittaci in two of the four cases.
  • The identified C. psittaci strain was typed as ST100001, a novel strain.
  • Patients received targeted antibiotic therapy based on mNGS results, achieving favorable outcomes.

Implications:

  • mNGS offers rapid etiological identification for psittacosis diagnosis.
  • This facilitates targeted antibiotic therapy and improves patient outcomes.
  • Clinicians should consider psittacosis in cases of unknown fever within family clusters.