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Chlamydia psittaci enteric infection in an adult man: A case report
Haohui Deng1, Xiaoting Liang1, Shuyuan Dang1
1Department of Infectious Disease, The Fifth People's Hospital of Shunde District, Foshan City (Longjiang Hospital of Shunde District, Foshan City), Guangdong, China.
Objectives:
Psittacosis, a zoonotic disease caused by Chlamydia psittaci (Cps), typically manifests as respiratory symptoms following the inhalation of aerosols from infected birds. Here, we report a case of Cps causing enteric infection in an adult man.
Methods:
An atypical case of psittacosis was reported in a 62-year-old man who presented with initial symptoms of fever and severe diarrhea after consuming undercooked pigeon meat and offal.
Results:
This patient was admitted to our hospital with the main complaints of fever and severe diarrhea for 4 days and a mild dry cough for half a day, initial diagnosis and treatment for acute gastroenteritis before hospitalization were ineffective. On the fourth day of symptom onset, the patient developed a mild dry cough, and pulmonary imaging showed significant changes. Subsequently, targeted next-generation sequencing (tNGS) of bronchoalveolar lavage fluid, stool, and blood samples was positive for Cps DNA, with ompA genotype A identified in both the patient and pigeons from the source. The patient was treated with levofloxacin and doxycycline, which alleviated clinical symptoms and improved the pulmonary imaging.
Conclusions:
This case highlights the potential of Cps causing enteric infection and emphasizes the need to consider psittacosis in patients with fever and diarrhea, particularly with relevant epidemiological history. Early diagnosis and appropriate treatment are essential for preventing severe complications and improving clinical outcomes.
Insights
This study reports a rare case of Chlamydia psittaci (Cps) causing enteric infection in a man who consumed undercooked pigeon meat. Early diagnosis and treatment are crucial for this zoonotic disease.
Area of Science:
- Zoonotic diseases
- Infectious diseases
- Microbiology
Background:
- Psittacosis, caused by Chlamydia psittaci (Cps), is a zoonotic disease typically presenting with respiratory symptoms.
- Infection usually occurs via inhalation of aerosols from infected birds.
Observation:
- A 62-year-old man presented with fever and severe diarrhea after consuming undercooked pigeon meat.
- Initial gastroenteritis treatment was ineffective; respiratory symptoms and pulmonary changes developed later.
- Next-generation sequencing confirmed Cps DNA in patient samples and source pigeons.
Findings:
- Chlamydia psittaci (Cps) was identified as the cause of enteric infection in this patient.
- The ompA genotype A was consistent between the patient and the pigeons.
- Treatment with levofloxacin and doxycycline successfully resolved symptoms and improved pulmonary findings.
Implications:
- This case underscores Cps's potential to cause enteric illness, not just respiratory disease.
- Clinicians should consider psittacosis in patients with fever and diarrhea, especially with relevant exposure history.
- Prompt diagnosis and treatment are vital to prevent severe outcomes of this zoonotic infection.
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