Psittacosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Overview

Rose spots can appear and these are called Horder's spots. Splenomegaly is frequent toward the end of first week. Diagnosis can be suspected in case of respiratory infection associated with splenomegaly and/or epistaxis.

Physical Examination

Vital Signs

• Increase in temperature due to Fever
• Decresae heart rate due to bradycardia

Skin

• Hordor spots - macular rashes that resemble rose spots of typhoid. These appear over face.
• Erythema multiforme / erythema nodosum may be noticed.

Eyes

• In case of hepatitis, jaundice may be noticed.
• Conjunctivitis in a few cases

Throat

• Sore throat

Heart

• Bradycardia may be noticed.
• Culture negative endocarditis
• Myocarditis
• Pericarditis

Lungs

• Consolidation may be suspected on percussion
• Rales may be heard
• Pleural rub can be noticed
• Decrease in breath sounds

Abdomen

Splenomegaly can be noticed by the end of first week Hepatitis Renal complications include

• Acute interstitial nephritis
• Acute renal failure
• Glomerulonephritis

Extremities

• Arthritis in a few cases.

Neurologic

In cases of encephalitis

• Confusion
• Seizure

Palsy of cranial nerves II, IV, VI and VII

References

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