Evidence map›Paper›PMID 40990897›Full record

ArticleMicrobiology spectrum2025

Clinical characteristics and risk factors associated with severe community-acquired pneumonia infected by

Tingting Xu, Qi Yuan, Jiayue Wang, Zhenzhen Wu, Zhongqi Chen, Zhengxia Wang, Wenkui Sun, Mingshun Zhang, Ningfei Ji, Mao Huang

Abstract read
In one paragraph

Article in Microbiology spectrum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Severe pneumonia caused byFrontiers in medicine · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tingting Xu *Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0001-9892-7952
Qi Yuan *Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jiayue WangDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Zhenzhen WuDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Zhongqi ChenDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Zhengxia WangDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Wenkui SunDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0002-2992-9783
Mingshun ZhangDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0001-5925-0168
Ningfei JiDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0002-5044-2240
Mao HuangDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Funding

China Postdoctoral Science Foundation 2024M761210Jiangsu Provincial Key Research and Development Program BE2020616National Natural Science Foundation of China 81970031, 81770031, 82400029
6 · The paper itself

Abstract

The study aimed to describe the clinical features of psittacosis pneumonia and identify risk factors associated with severe psittacosis pneumonia. We retrospectively collected data from patients with psittacosis pneumonia, confirmed by metagenomic next-generation sequencing (mNGS) from January 2022 to June 2024 and analyzed differences between severe and non-severe groups. A total of 24 patients (eight severe/16 non-severe) were diagnosed with psittacosis, and 33.3% had severe psittacosis pneumonia. The levels of white blood cells (WBCs), neutrophils, neutrophil-to-lymphocyte ratio (NLR), hypersensitive C-reactive protein (hs-CRP), and procalcitonin (PCT) and the detection rate of fungi by mNGS were significantly higher in the severe group than in the non-severe group. The length of stay and omadacycline use were longer in patients of the severe group when compared to the non-severe group. Receiver operating characteristic (ROC) curves indicated that NLR had a better predictive value of severe conditions than PCT and hs-CRP. Patients with psittacosis pneumonia have a high rate of severe disease, and NLR may be a useful tool to promptly ascertain the severity of the disease and optimal therapies for better outcomes. IMPORTANCE: This study explores the clinical features of psittacosis pneumonia and identifies key factors that may predict the severity of the disease. By analyzing data from 24 patients diagnosed using metagenomic next-generation sequencing (mNGS), the research uncovers important differences between severe and non-severe cases. The study finds that patients with severe psittacosis pneumonia have elevated levels of white blood cells (WBCs), neutrophils, neutrophil-to-lymphocyte ratio (NLR), C-reactive protein (hs-CRP), and procalcitonin (PCT), as well as a higher detection rate of fungi. Notably, the NLR emerges as a strong predictor of severe disease, suggesting its potential as an early diagnostic tool. These findings provide valuable insights that can help healthcare providers identify high-risk patients more quickly, allowing for timely interventions and improved management of the disease. Ultimately, this research could lead to better outcomes by guiding treatment decisions and enhancing our understanding of psittacosis pneumonia.

Indexed as

Chlamydophila psittaciCommunity-Acquired InfectionsPsittacosisAdultAgedCommunity-Acquired PneumoniaC-Reactive ProteinFemaleHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedNeutrophilsProcalcitoninRetrospective StudiesRisk FactorsC-Reactive ProteinProcalcitoninChlamydia psittacimetagenomic next-generation sequencingneutrophil-to-lymphocyte ratioprocalcitoninsevere pneumonia

Identifiers

PMID40990897
PMCPMC12584628

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.