Psittacosis history and symptoms

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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

In humans, after an incubation period of 5-14 days, the symptoms of the disease range from mild illness to systemic illness with severe pneumonia. A history of exposure to birds, while not always present, is a major risk factor for infection. Psittacosis is characterized by a wide range in both disease severity and in spectrum of clinical features, but typically presents with fever, prominent headache, myalgia, and a nonproductive cough.

History

In a case of suspicion of psittacosis, appropriate history is the key for diagnosis and management.

  • History of exposure to parrots
  • History of handling birds
  • Occupational history - cage cleaners, veterinarians
  • Recent visit to zoo or bird park

Symptoms

In psittacosis, symptoms are due to secondary bacteremia from reticuloendothelial system (lymph nodes). Psittacosis is associated with constitutional symptoms like:[1]

Symptoms of pneumonia/respiratory system:[2][3][4]

Symptoms due to complications include:[5]

References

  1. "Psittacosis - PubMed Health".
  2. Verweij PE, Meis JF, Eijk R, Melchers WJ, Galama JM (1995). "Severe human psittacosis requiring artificial ventilation: case report and review". Clin Infect Dis. 20 (2): 440–2. PMID 7742452.
  3. Taniguchi H, Mukae H, Ihiboshi H, Ashitani J, Ihi T, Sakamoto A; et al. (1995). "[A case of fulminant psittacosis necessitating mechanical ventilation diagnosed by chlamydial isolation form BALF]". Kansenshogaku Zasshi. 69 (12): 1396–401. PMID 8586893.
  4. Garo B, Garre M, Boles JM, Pennec Y, Beaudre F (1987). "[Severe pneumopathy and acute renal insufficiency disclosing Chlamydia psittaci infection: resistance to the treatment with erythromycin]". Ann Med Interne (Paris). 138 (4): 296–7. PMID 3631830.
  5. Lanham JG, Doyle DV (1984). "Reactive arthritis following psittacosis". Br J Rheumatol. 23 (3): 225–6. PMID 6331560.