A Pediatric Case of Pigeon Breeder′s Disease in Nova Scotia

Abstract

Pigeon breeder's disease has been reported sporadically in the pediatric population since it was first described in children in 1967. Because of its infrequent occurrence in children, a high level of suspicion is often required before a diagnosis is made. A case of pigeon breeder's disease in a child in Nova Scotia, where the disease is virtually unseen or at least unrecognized, is described. The need for prompt recognition of the condition is paramount because its complications may be irreversible.

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“…Bird Fancier's disease is a hypersensitivity pneumonitis (allergic alveolitis) induced by inhalation of bird antigens in sensitized individuals 4, 5, 9. It can result from contact with birds1, 6, 7 or feather duvets 8, 9.…”

“…It can result from contact with birds1, 6, 7 or feather duvets 8, 9. It is rare in children2, 3 (38 paediatric cases reported in English) 2, 3, 5, 12–16…”

“…Prompt recognition and management is critical to prevent fibrosis 2, 5. Treatment primarily involves avoidance and oral prednisolone 2, 5.…”

“…Prompt recognition and management is critical to prevent fibrosis 2, 5. Treatment primarily involves avoidance and oral prednisolone 2, 5. The varied clinical presentation, (acute progressive with breathlessness, cough, fever, shivering, and malaise <8 hr after exposure; intermittent non‐progressive; recurrent non‐acute)4, 5 makes diagnosis challenging.…”

“…“Bird Fancier's Disease” is the most common allergic alveolitis in adults1 but is rare in children 2, 3. It may present acutely and progressively, intermittently or as recurrent disease4 and eventual lung fibrosis 2, 5. It results from contact with pets,1 sports birds,6 game birds,7 exotic birds, and feather duvets 8, 9.…”