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Abstract

Introduction:

Psittacosis is a rare cause of pneumonia, caused by . The disease is transmitted to humans via inhalation of dried bird faeces, feather dust, urine or respiratory secretions. The disease can range from a mild form with non‐specific symptoms to severe systemic disease with prominent respiratory symptoms. Psittacosis causing severe respiratory failure requiring mechanical ventilation is uncommon.

Case presentation:

A 64‐year‐old male tourist from Hong Kong presented to the emergency department with a 5 day history of headache, myalgia and fever. He had a productive cough and was short of breath. The patient developed septic shock with multiorgan failure requiring intensive care support. We received information from the Centre for Health Diseases in Hong Kong about a psittacosis outbreak in an animal management centre where our patient had been working with recent occupational exposure to dead parrots. Despite a significant increased mortality rate associated with respiratory and renal involvement in psittacosis, our patient survived the sepsis and multiorgan failure and was repatriated back for further rehabilitation.

Conclusion:

The case illustrates the importance of exploring a patient’s occupational history to establish an infection exposure. The respiratory symptoms, myalgia and fever warranted consideration of an atypical pneumonia. The patient had bilateral pulmonary infiltrates contrary to the unilateral involvement in the majority of the patients with chest X‐ray abnormalities. Despite a high mortality rate associated with respiratory and renal involvement, our patient survived the severe sepsis.

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2015-02-01
2019-11-18
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References

  1. Byrom N.P., Walls J., Mair H.J.. ( 1979;). Fulminant psittacosis. Lancet17:1353–1356
    [Google Scholar]
  2. Department of Health and Ageing( 2013;). National Notifiable Diseases Surveillance System. http://www9.health.gov.au/cda/source/Rpt_2_sel.cfm (accessed 17 January 2013)
  3. Mandell G., Bennett J., Dolin R.. ( 2010;). Mandell, Doughlas, and Bennett’s Principles and Practice of Infectious Diseases 7th edn Philadelphia, PA: Churchill Livingstone Elsevier;
    [Google Scholar]
  4. National Association of State and Public Health Veterinarians( 2010;). Compendium of measures to control Chlamydophila psittaci infection among humans (psittacosis) and pet birds (avian chlamydiosis), 2010. http://www.nasphv.org/Documents/Psittacosis.pdf (accessed 14 January 2015)
  5. Pandeli V., Ernest D.. ( 2006;). A case of fulminant psittacosis. Crit Care Resusc8:40–42
    [Google Scholar]
  6. Petrovay F., Balla E.. ( 2008;). Two fatal cases of psittacosis caused by Chlamydophila psittaci . J Med Microbiol57:1296–1298[CrossRef]
    [Google Scholar]
  7. Williams J., Tallis G., Dalton C., Ng S., Beaton S., Catton M., Elliott J., Carnie J.. ( 1998;). Community outbreak of psittacosis in a rural Australian town. Lancet6:1697–1699[CrossRef]
    [Google Scholar]
  8. Yung A.P., Grayson M.L.. ( 1988;). Psittacosis – a review of 135 cases. Med J Aust148:228–233
    [Google Scholar]
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