1887

Abstract

Introduction:

Psittacosis is a zoonotic infectious disease contracted from birds and caused by an obligate intracellular pathogen. In humans, the symptoms of the disease range from inapparent illness to systemic illness with severe pneumonia.

Case presentation:

A severe case of atypical pneumonia requiring extra‐corporeal membrane oxygenation in a duck breeder is described. Because of the critical urgency of the case described here, and without any clear identification of the pathogen during the first days of hospitalization, treatment had to be adjusted daily. While conventional clinical methods failed to identify the causative agent, was finally identified using broad‐range 16S rDNA PCR analysis performed on a sample of broncho‐alveolar fluid.

Conclusion:

Owing to the non‐specific clinical signs of psittacosis, early identification of cases of the disease remains a challenge. should be sought in patients presenting severe acute respiratory distress syndrome without any evidence of other infectious causes and especially when exposure to birds or bird products is reported. PCR is a very useful method to help identify fastidious organisms of this kind.

Keyword(s): ECMO , psittacosis and severe dyspnoea
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2014-09-01
2019-11-15
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References

  1. Andersen A.A., Rogers D.G.. ( 1998;). Resistance to tetracycline and sulfadiazine in swine C. trachomatis isolates . In Chlamydial Infections. Proceedings of the Ninth International Symposium on Human Chlamydial Infection313–316 Stephens R. S., Byrne G. I., Christiansen G., Clarke I. N., Grayston J. T., Ranks R. G., Ridgway G L, Saikku P., Schachter J., Stamm W. E.. San Francisco, CA: International Chlamydia Symposium;
    [Google Scholar]
  2. Bonacchi M., Di Lascio G., Harmelin G., Pasquini A., Peris A., Sani G.. ( 2012;). Extracorporeal membrane oxygenation for refractory, life‐threatening, and herpes simplex virus 1‐induced acute respiratory distress syndrome. Our experience and literature review. Am J Emerg Med30:1014.e3–1014.e10[CrossRef]
    [Google Scholar]
  3. Borel N., Regenscheit N., Di Francesco A., Donati M., Markov J., Masserey Y., Pospischil A.. ( 2012;). Selection for tetracycline‐resistant Chlamydia suis in treated pigs. Vet Microbiol156:143–146[CrossRef]
    [Google Scholar]
  4. Clarridge J.E. III. ( 2004;). Impact of 16S rRNA gene sequence analysis for identification of bacteria on clinical microbiology and infectious diseases. Clin Microbiol Rev17:840–862[CrossRef]
    [Google Scholar]
  5. Combes A., Bréchot N., Luyt C. E., Schmidt M.. ( 2012a;). What is the niche for extracorporeal membrane oxygenation in severe acute respiratory distress syndrome?. Curr Opin Crit Care18:527–532[CrossRef]
    [Google Scholar]
  6. Combes A., Bacchetta M., Brodie D., Müller T., Pellegrino V.. ( 2012b;). Extracorporeal membrane oxygenation for respiratory failure in adults. Curr Opin Crit Care18:99–104[CrossRef]
    [Google Scholar]
  7. Cunha B.A.. ( 2006;). The atypical pneumonias: clinical diagnosis and importance. Clin Microbiol Infect12:12–24[CrossRef]
    [Google Scholar]
  8. Davies A., Jones D., Bailey M., Beca J., Bellomo R., Blackwell N., Forrest P., Gattas D., Granger E.. other authors( 2009;). Extracorporeal membrane oxygenation for 2009 influenza A (H1N1) acute respiratory distress syndrome. JAMA302:1888–1895[CrossRef]
    [Google Scholar]
  9. Di Francesco A., Donati M., Rossi M., Pignanelli S., Shurdhi A., Baldelli R., Cevenini R.. ( 2008;). Tetracycline‐resistant Chlamydia suis isolates in Italy. Vet Rec163:251–252[CrossRef]
    [Google Scholar]
  10. Dreyfuss D., Ricard J.D.. ( 2005;). Acute lung injury and bacterial infection. Clin Chest Med26:105–112[CrossRef]
    [Google Scholar]
  11. File T.M.. ( 2009;). The science of selecting antimicrobials for community‐acquired pneumonia (CAP). J Manag Care Pharm15:S5–S11
    [Google Scholar]
  12. Frei C.R., Attridge R.T., Mortensen E.M., Restrepo M.I., Yu Y., Oramasionwu C.U., Ruiz J.L., Burgess D.S.. ( 2010;). Guideline‐concordant antibiotic use and survival among patients with community‐acquired pneumonia admitted to the intensive care unit. Clin Ther32:293–299[CrossRef]
    [Google Scholar]
  13. Gyles C.L.. ( 2008;). Antimicrobial resistance in selected bacteria from poultry. Anim Health Res Rev9:149–158[CrossRef]
    [Google Scholar]
  14. Hinton D.G., Shipley A., Galvin J.W., Harkin J.T., Brunton R.A.. ( 1993;). Chlamydiosis in workers at a duck farm and processing plant. Aust Vet J70:174–176[CrossRef]
    [Google Scholar]
  15. Huminer D., Samra Z., Weisman Y., Pitlik S.. ( 1988;). Family outbreaks of psittacosis in Israel. Lancet2:615–618[CrossRef]
    [Google Scholar]
  16. Huminer D., Pitlik S., Kitayin D., Weissman Y., Samra Z.. ( 1992;). Prevalence of Chlamydia psittaci infection among persons who work with birds. Isr J Med Sci28:739–741
    [Google Scholar]
  17. Jaton K., Greub G.. ( 2005;). Chlamydia: diagnostic and treatment. Rev Med Suisse1:895–898
    [Google Scholar]
  18. Lamoth F., Greub G.. ( 2010;). Fastidious intracellular bacteria as causal agents of community‐acquired pneumonia. Expert Rev Anti Infect Ther8:775–790[CrossRef]
    [Google Scholar]
  19. Laroucau K., de Barbeyrac B., Vorimore F., Clerc M., Bertin C., Harkinezhad T., Verminnen K., Obeniche F., Capek I.. other authors( 2009;). Chlamydial infections in duck farms associated with human cases of psittacosis in France. Vet Microbiol16:82–89[CrossRef]
    [Google Scholar]
  20. Lewandowski K.. ( 2000;). Extracorporeal membrane oxygenation for severe acute respiratory failure. Crit Care4:156–168[CrossRef]
    [Google Scholar]
  21. Loock M.V., Loots K., Zande S.V., Heerden M.V., Nauwynck H., Goddeeris B.M., Vanrompay D.. ( 2006;). Pathogenic interactions between Chlamydophila psittaci and avian pneumovirus infections in turkeys. Vet Microbiol112:53–63[CrossRef]
    [Google Scholar]
  22. Mandell L.A., Wunderink R.G., Anzueto A., Bartlett J.G., Campbell G.D., Dean N.C., Dowell S.F., File T.M. Jr, Musher D.M.. other authors( 2007;). American Thoracic Society consensus guidelines on the management of community‐acquired pneumonia in adults. Clin Infect Dis44:S27–S72[CrossRef]
    [Google Scholar]
  23. Ménard A., Clerc M., Subtil A., Mégraud F., Bébéar C., Barbeyrac B.. ( 2006;). Development of a real‐time PCR for the detection of Chlamydia psittaci . J Med Microbiol55:471–473[CrossRef]
    [Google Scholar]
  24. Moloney E.D., Griffiths M.J.. ( 2004;). Protective ventilation of patients with acute respiratory distress syndrome. Br J Anaesth92:261–270[CrossRef]
    [Google Scholar]
  25. Petrovay F., Balla E.. ( 2008;). Two fatal cases of psittacosis caused by Chlamydophila psittaci . J Med Microbiol57:1296–1298[CrossRef]
    [Google Scholar]
  26. Rehn M., Ringberg H., Runehagen A., Herrmann B., Olsen B., Petersson A.C., Hjertqvist M., Kühlmann‐Berenzon S., Wallensten A.. ( 2013;). Unusual increase of psittacosis in southern Sweden linked to wild bird exposure, January to April 2013. Euro Surveill,18:20478
    [Google Scholar]
  27. Pilly E.. ( 2000;). Maladies Infectieuses et Tropicales. Montmorency: 2M2639
    [Google Scholar]
  28. Saito T., Ohnishi J., Mori Y., Iinuma Y., Ichiyama Kohi S.. F.( 2005;). Infection by Chlamydophilia avium in an elderly couple working in a pet shop. J Clin Microbiol43:3011–3013[CrossRef]
    [Google Scholar]
  29. Schautteet K., De Clercq E., Miry C., Van Groenweghe F., Delava P., Kalmar I., Vanrompay D.. ( 2013;). Tetracycline‐resistant Chlamydia suis in cases of reproductive failure on Belgian, Cypriote and Israeli pig production farms. J Med Microbiol.62:331–334[CrossRef]
    [Google Scholar]
  30. Schlossberg D.. ( 2000;). Chlamydia psittaci (psittacosis). In Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 5th edn pp.2004–2006 Edited by Mandell G. L., Bennett J. E., Dolin R.. New York: Churchill Livingstone;
    [Google Scholar]
  31. Senn L., Hammerschlag M.R., Greub G.. ( 2005;). Therapeutic approaches to Chlamydia infections. Expert Opin Pharmacother6:2281–2290[CrossRef]
    [Google Scholar]
  32. Tiruvoipati R., Botha J., Peek G.. ( 2012;). Effectiveness of extracorporeal membrane oxygenation when conventional ventilation fails: valuable option or vague remedy?. J Crit Care27:192–198[CrossRef]
    [Google Scholar]
  33. Vandenbroucke‐Grauls C.M., Beaujean D.J.. ( 2006;). Methicillin‐resistant Staphylococcus aureus in pig breeders and cattle breeders. Ned Tijdschr Geneeskd.150:1710–1712
    [Google Scholar]
  34. Van Loock M., Loots K., Van Heerden M., Vanrompay D., Goddeeris B.M.. ( 2006;). Exacerbation of Chlamydophila psittaci pathogenicity in turkeys superinfected by Escherichia coli . Vet Res37:745–755[CrossRef]
    [Google Scholar]
  35. Verweij P.E., Meis J.F., Eijk R., Melchers W.J., Galama J.M.. ( 1995;). Severe human psittacosis requiring artificial ventilation: case report and review. Clin Infect Dis20:440–442[CrossRef]
    [Google Scholar]
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