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Published on: August 2, 2011
Psittacosis. A flu like syndrome
1Victorian Infectious Diseases Service, Royal Melbourne Hospital, Victoria. julian.elliott@mh.org.au
Background:
Psittacosis is a relatively common cause of community acquired pneumonia in adults in Australia. Although the illness is usually mild to moderate in severity, it can, be life threatening. It should be considered as a possible cause of any flu like illness.
Objective:
This article aims to describe the clinical presentation, diagnostic investigation and outpatient management of psittacosis.
Discussion:
The key to the management of psittacosis is considering the diagnosis. If a history is obtained of contact with birds, a careful search for respiratory symptoms, signs or chest X-ray changes should take place. If the clinical likelihood is high, empirical therapy with doxycycline should be started. Acute and convalescent serology should then be taken to help establish the diagnosis.
Insights
Psittacosis, a pneumonia caused by bird-associated bacteria, is often mild but can be severe. Early diagnosis and doxycycline treatment are key for managing this flu-like illness.
Area of Science:
- Infectious Diseases
- Respiratory Medicine
- Public Health
Background:
- Psittacosis is an emerging cause of community-acquired pneumonia in Australian adults.
- While often mild, psittacosis can present with severe, life-threatening respiratory illness.
- It mimics a flu-like illness, necessitating consideration in differential diagnoses.
Observation:
- This article details the clinical presentation of psittacosis.
- Diagnostic investigations for psittacosis are outlined.
- Outpatient management strategies for psittacosis are described.
Findings:
- A history of bird contact is a critical clue for psittacosis diagnosis.
- Clinical suspicion should prompt investigation of respiratory symptoms, signs, and chest X-ray findings.
- Empirical doxycycline therapy is recommended for suspected psittacosis.
Implications:
- Prompt consideration of psittacosis is crucial for effective patient management.
- Early empirical treatment with doxycycline can improve outcomes.
- Confirmatory serological testing aids in establishing the diagnosis post-treatment.
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