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Published on: March 17, 2014
[Two familial cases of psittacosis]
Shintaro Kanda1, Hiroshi Yamamoto, Toshimichi Horiuchi
1Department of Internal Medicine, Komoro General Hospital.
Abstract:
We report here 2 cases of psittacosis in a family. In the first case, a 51-year-old woman was admitted with fever, dry cough, and a chest radiograph showed increased opacity in the right upper lung field. On a diagnosis of atypical pneumonia, minocycline was given and her clinical symptoms and abnormal laboratory data were improved. The second case was her husband, a 58-year-old man who presented with fever 4 days after his wife's admission. His chest radiograph revealed increased opacity in the left lower lung field. The administration of azithromycin for 3 days attenuated his clinical symptoms and his abnormal laboratory data improved. The serum titer of complement fixation (CF) test and ELISA test against Chlamydophila psittaci were elevated in both cases on analysis of paired acute- and convalescent-phase serum speciments. The antigen of Chlamydophila was revealed from these parrots, which had been raised in their family. Therefore, we concluded that the psittacosis had originated from the parrots.
Insights
This study details two family members diagnosed with psittacosis, a bacterial infection. The source was identified as pet parrots, highlighting zoonotic disease transmission risks.
Area of Science:
- Infectious Diseases
- Zoonotic Infections
- Respiratory Medicine
Background:
- Psittacosis is an infection caused by Chlamydophila psittaci, a bacterium often transmitted from birds to humans.
- Human cases of psittacosis can present with pneumonia-like symptoms, requiring accurate diagnosis and prompt treatment.
Observation:
- Two family members presented with distinct respiratory symptoms and radiographic findings suggestive of pneumonia.
- Initial treatment for atypical pneumonia showed partial improvement, but serological tests confirmed Chlamydophila psittaci infection.
Findings:
- Elevated serum titers (complement fixation and ELISA) against Chlamydophila psittaci were confirmed in both patients.
- The causative agent, Chlamydophila psittaci antigen, was identified in the family's pet parrots.
- The clinical presentation and diagnostic findings strongly indicated a zoonotic transmission from the parrots to the family.
Implications:
- This case series underscores the importance of considering psittacosis in patients with pneumonia, especially those with avian contact.
- Identifying the source of infection, in this case pet parrots, is crucial for effective treatment and preventing further transmission.
- Awareness of zoonotic diseases like psittacosis is vital for public health, particularly for individuals in close contact with birds.
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