ARDS in Fulminant Ornithosis and Treatment with Extracorporeal Lung Assist

Wichert, Astrid von; Lukasewitz, P.; Hauser, Mark; Bittersohl, J.; Lennartz, H

doi:10.1177/039139880002300605

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…Fulminant psittacosis may be accompanied by varying degrees of septic shock and cognitive function impairment, kidney and liver failure, and abnormalities in the blood system. In some cases, extracorporeal circulation and hemodialysis may be required for treatment (8). Our patient's condition was worsening rapidly, and respiratory failure was aggravated at 17 hours after the admission.…”

Section: Psittacosis (Ornithosis) Is a Naturally Occurring Infectiousmentioning

confidence: 80%

Next-generation sequencing diagnosis of severe pneumonia from fulminant psittacosis with multiple organ failure: a case report and literature review

Zhang¹,

Zhan²,

Chen³

et al. 2020

Ann Transl Med

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This study includes a retrospective analysis of the diagnosis and treatment of a case of severe pneumonia from fulminant psittacosis with multiple organ failure. Next-generation sequencing (NGS) of the pathogen was conducted. The purpose of this study was to summarize the clinical, laboratory, and imaging characteristics of the case and to improve understanding of the value of NGS in the diagnosis of severe community-acquired pneumonia (CAP). Fulminant psittacosis can be manifested as severe pneumonia with rapid progression, acute respiratory distress syndrome, sepsis, and multiple organ failure. Imaging shows unilateral lung consolidation, which is difficult to differentiate from CAP caused by common pathogens.The NGS technology can early detect rare pathogens, thus reducing unnecessary use of antibiotics and shortening the course of the disease.

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Section: Psittacosis (Ornithosis) Is a Naturally Occurring Infectiousmentioning

confidence: 80%

Next-generation sequencing diagnosis of severe pneumonia from fulminant psittacosis with multiple organ failure: a case report and literature review

Zhang¹,

Zhan²,

Chen³

et al. 2020

Ann Transl Med

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“…Transmission to humans often occurs via the inhalation of contaminated aerosols from the excretions of infected birds. The clinical presentation of psittacosis can range from subclinical or an influenza-like illness to fulminant severe pneumonia with multi-organ failure (2)(3)(4)(5)(6)(7). It has been estimated that C. psittaci is the causative organism of approximately 1% of cases of communityacquired pneumonia (CAP), when it is known as C. psittaci pneumonia (8).…”

Section: Introductionmentioning

confidence: 99%

Severe Chlamydia psittaci pneumonia: clinical characteristics and risk factors

Su¹,

Su²,

Zhou³

et al. 2021

Ann Palliat Med

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Background: Psittacosis ranges from a mild illness to fulminant severe pneumonia with multi-organ failure.It's crucial to understand the clinical characteristics and identify risk factors for a better outcome. Methods:We conducted a retrospective analysis designed to identify risk factors for severe Chlamydia psittaci pneumonia (C. psittaci pneumonia) by comparing the clinical characteristics of patients with severe and less severe forms of the disease. Epidemiological, clinical, laboratory, computed tomography (CT) imaging, and outcome data were collected.Results: We enrolled 27 patients with C. psittaci pneumonia, with a median age of 63 (range, 47-82) years, and 23 of whom (85.2%) had a history of avian exposure. Dyspnea was seen in 15 patients with severe C. psittaci pneumonia (100%), and four in 12 non-severe patients (33.3%) (P<0.01). Compared to nonsevere patients, those with severe C. psittaci pneumonia had significantly higher levels of procalcitonin, urea nitrogen, lactate dehydrogenase, creatine kinase (CK), B natriuretic peptide (BNP), myoglobin, IL-6, and IL-10, as well as lower lymphocyte and CD8+ T cell counts, and P a O 2 /F i O 2 ratio. Among patients with severe infection, CT showed that 46.7% had multi-lobar (more than two lobes) pneumonia, whereas its incidence was 0% in non-severe patients (P=0.01). Multivariate analysis revealed that the independent risk factors associated with severe C.

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Psittacosis

Stewardson

Grayson

2010

Infectious Disease Clinics of North America

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Psittacosis is a systemic zoonotic infection with protean clinical features. The major risk factor is exposure to birds; bird owners, veterinarians, those involved with breeding and selling birds, and commercial poultry processors are most at risk. Patients typically present with 1 week of fevers, headache, myalgias, and a nonproductive cough. Although pneumonia is the most common manifestation, all organ systems can be involved. Serology remains the mainstay of diagnosis; however, polymerase chain reaction techniques offer a rapid and specific alternative. Doxycycline is the treatment of choice.

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ARDS in Fulminant Ornithosis and Treatment with Extracorporeal Lung Assist

Cited by 3 publications

References 25 publications

Next-generation sequencing diagnosis of severe pneumonia from fulminant psittacosis with multiple organ failure: a case report and literature review

Next-generation sequencing diagnosis of severe pneumonia from fulminant psittacosis with multiple organ failure: a case report and literature review

Severe Chlamydia psittaci pneumonia: clinical characteristics and risk factors

Psittacosis

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