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]Omodamola Aje B.Sc, M.D. [3]
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[1].
Physical Examination
Vital Signs
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
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. Some renal complications include;
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.