Psittacosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with psittacosis usually appear in significant respiratory distress. Physical examination of patients with psittacosis is usually remarkable for [[rose spots]] which can appear anywhere on the body 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]].<ref name="pmid3343952">{{cite journal| author=Yung AP, Grayson ML| title=Psittacosis--a review of 135 cases. | journal=Med J Aust | year= 1988 | volume= 148 | issue= 5 | pages= 228-33 | pmid=3343952 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3343952 }} </ref> | Patients with psittacosis usually appear in significant [[respiratory distress]]. Physical examination of patients with psittacosis is usually remarkable for [[rose spots]] which can appear anywhere on the body 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]].<ref name="pmid3343952">{{cite journal| author=Yung AP, Grayson ML| title=Psittacosis--a review of 135 cases. | journal=Med J Aust | year= 1988 | volume= 148 | issue= 5 | pages= 228-33 | pmid=3343952 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3343952 }} </ref> | ||
==Physical Examination== | ==Physical Examination== | ||
===Appearance=== | ===Appearance=== | ||
* Patients with psittacosis usually appear in significant respiratory distress. | * Patients with psittacosis usually appear in significant [[respiratory distress]]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
* [[Fever]] | * [[Fever]] (rare) | ||
===Skin=== | ===Skin=== | ||
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* [[Conjunctivitis]] in a few cases<ref name="pmid9636859">{{cite journal| author=Lietman T, Brooks D, Moncada J, Schachter J, Dawson C, Dean D| title=Chronic follicular conjunctivitis associated with Chlamydia psittaci or Chlamydia pneumoniae. | journal=Clin Infect Dis | year= 1998 | volume= 26 | issue= 6 | pages= 1335-40 | pmid=9636859 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9636859 }} </ref> | * [[Conjunctivitis]] in a few cases<ref name="pmid9636859">{{cite journal| author=Lietman T, Brooks D, Moncada J, Schachter J, Dawson C, Dean D| title=Chronic follicular conjunctivitis associated with Chlamydia psittaci or Chlamydia pneumoniae. | journal=Clin Infect Dis | year= 1998 | volume= 26 | issue= 6 | pages= 1335-40 | pmid=9636859 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9636859 }} </ref> | ||
===Throat === | ===Throat === | ||
* Pharyngeal exudates | * Pharyngeal exudates (rare) | ||
=== Heart === | === Heart === | ||
* [[Bradycardia]] | * [[Bradycardia]] / [[tachycardia]] | ||
=== Lungs === | === Lungs === | ||
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* Decrease in [[breath sounds]] | * Decrease in [[breath sounds]] | ||
=== Abdomen === | === Abdomen === | ||
* [[Splenomegaly]] can be noticed by the end of first week | * [[Splenomegaly]] can be noticed by the end of first week | ||
=== Extremities === | === Extremities === | ||
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* [[Seizure]] | * [[Seizure]] | ||
* Cranial nerves palsy II, IV, VI and VII | * [[Cranial nerve palsy|Cranial nerves palsy]] II, IV, VI and VII | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 15:18, 27 July 2017
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Psittacosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Psittacosis physical examination On the Web |
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American Roentgen Ray Society Images of Psittacosis physical examination |
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Risk calculators and risk factors for Psittacosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]Omodamola Aje B.Sc, M.D. [3]
Overview
Patients with psittacosis usually appear in significant respiratory distress. Physical examination of patients with psittacosis is usually remarkable for rose spots which can appear anywhere on the body 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.[1]
Physical Examination
Appearance
- Patients with psittacosis usually appear in significant respiratory distress.
Vital Signs
- Fever (rare)
Skin
- Horder spots - macular rashes that resemble rose spots of typhoid. These appear over face.
- Erythema multiforme / erythema nodosum may be noticed[2].
Eyes
- In case of hepatitis, jaundice may be noticed.
- Conjunctivitis in a few cases[3]
Throat
- Pharyngeal exudates (rare)
Heart
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
Extremities
- Arthritis in a few cases.
Neurologic
- Cranial nerves palsy II, IV, VI and VII
References
- ↑ Yung AP, Grayson ML (1988). "Psittacosis--a review of 135 cases". Med J Aust. 148 (5): 228–33. PMID 3343952.
- ↑ Macheta MP, Ackrill P, August PJ (1994). "Psittacosis, panniculitis and clofazimine". J Infect. 28 (1): 69–71. PMID 8163836.
- ↑ Lietman T, Brooks D, Moncada J, Schachter J, Dawson C, Dean D (1998). "Chronic follicular conjunctivitis associated with Chlamydia psittaci or Chlamydia pneumoniae". Clin Infect Dis. 26 (6): 1335–40. PMID 9636859.