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[Keratoconjunctivitis caused by Chlamydia psittaci].

G J Jahn, A A Bialasiewicz

    Klinische Monatsblatter Fur Augenheilkunde
    |January 1, 1986
    PubMed
    Summary
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    A woman developed severe eye inflammation due to Chlamydia psittaci infection, likely from her cat. Treatment with tetracycline successfully cleared the infection in both patient and pet.

    Area of Science:

    • Ophthalmology
    • Infectious Diseases
    • Veterinary Medicine

    Background:

    • Chlamydia psittaci is an obligate intracellular bacterium that can cause psittacosis in humans, often transmitted from birds.
    • Ocular infections can manifest as severe keratoconjunctivitis, potentially leading to vision impairment.

    Observation:

    • A 25-year-old female presented with acute follicular keratoconjunctivitis and corneal infiltrates.
    • Serological tests revealed IgM antibodies against Chlamydia psittaci, while Chlamydia trachomatis infection was excluded.
    • The patient's cat exhibited similar symptoms (rhinitis, conjunctivitis) and tested positive for C. psittaci IgM antibodies.

    Findings:

    • The patient's ocular condition was diagnosed as acute follicular keratoconjunctivitis caused by Chlamydia psittaci.

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  • A zoonotic transmission from the pet cat to the human patient was strongly suggested by the parallel infections and serological results.
  • Successful treatment with systemic tetracycline led to rapid symptom resolution in both the patient and her cat.

    • Implications:

    • This case highlights the importance of considering zoonotic Chlamydia psittaci infections in human ocular disease, especially in individuals with close animal contact.
    • Prompt diagnosis and treatment are crucial for preventing complications and ensuring recovery in both human and animal patients.
    • Veterinary and human medical professionals should collaborate for effective management of zoonotic diseases.