Psitacose: A Propósito de Um Caso Clínico

Cipriano, Ana; Machado, Ana; Santos, Fábio Videira; Abreu, Miguel Araújo; Castro, Rui Sarmento e

doi:10.20344/amp.10079

Cited by 3 publications

(4 citation statements)

References 10 publications

(19 reference statements)

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“…Nos restantes, mais comumente, é visível uma condensação unilateral, densa no lobo inferior (3) (18), mas infiltrados bilaterais, nodulares, miliares ou intersticiais podem, também, estar presentes (20). O diagnóstico baseia-se na clínica, no contexto epidemiológico, no estudo serológico e na pesquisa por Polymerase Chain Reaction-PCR (urina, secreções orofaríngeas e sangue) (6).…”

Section: Diagnósticounclassified

“…De acordo com estudos in vitro, os macrólidos são a alternativa mais comum, podendo, inclusivamente, ser utilizados em grávidas e crianças até aos oito anos (15). A velocidade de desenvolvimento de resistência à azitromicina é muito rápida e, portanto, deve ser utilizada com precaução (5) (6).…”

Section: Tratamentounclassified

“…A transmissão pode ocorrer por inalação de poeiras das penas, secreções nasais ou fezes das aves contaminadas (6), mas também através do contato direto seja por boca-bico, manipulação da plumagem, eliminação inapropriada de carcaças, produtos de abortamento ou placentas, ou picadas dos animais (7).…”

Section: Introductionunclassified

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Psitacose e Saúde Ocupacional

Pereira¹,

Vieira²,

Pintó³

et al. 2022

RPSO

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Introduction/framework/objectives Psittacosis is a rare entity caused by Chlamydophila psittaci. This bacterium is transmitted through contact with contaminated birds, namely psittaciformes, which include parrots, macaws and parakeets, as pigeons and chickens. The objective of this work is to highlight the pathology and the role of Occupational Health in it. Methodology A bibliographic search was carried out on original articles published in Portuguese and English, in June 2022, in the PubMed and Cochrane Library databases, using the keywords “Psittacosis”, “Occupational exposure” and “Occupational health”. Three articles were also included, not covered by the research, relevant to the work, for reporting the Portuguese reality. Contents Outbreaks can occur in workers with occupations that involve contact with live birds or carcasses, such as veterinarians, breeders, or pet store workers. However, it is difficult to establish the precise incidence and prevalence of psittacosis, probably due to the lack of routine screening. Transmission occurs mainly by aerosols, inhalation of urine, feces or other contaminated particles; transmission between humans, although possible, is rare. The incubation period ranges from five to 14 days, but may extend to weeks in cases of subacute or latent infection. It has a clinical presentation like a flu-like syndrome and can cause disseminated and even potentially fatal disease. The most frequent findings on chest radiography are segmental or lobar consolidation, especially in the lower lobes. It can occasionally cause marked leukocytosis, c-reactive protein (CRP) is often elevated, and liver enzymes change in approximately half of hospitalized patients, with elevation of aspartate aminotransferase (AST) and low serum albumin levels. Tetracyclines are the drug of choice for treatment. Discussion and Conclusions Although the number of cases is apparently small, the impact of the disease is most likely underestimated. Thus, it is necessary to increase the awareness of this pathology both for Occupational Health professionals and for employers and workers themselves. On the other hand, an approach is needed that encompasses collaboration between human and animal health agencies, laboratories and medical and veterinary professionals, for timely surveillance, reporting and treatment. Thus, anamnesis and early recognition of the epidemiological context are extremely important, with a view to diagnosing and instituting appropriate therapy. In addition, occupational risk factors and exposure control among workers should be considered to prevent transmission in the workplace. KEYWORDS: psittacosis, occupational exposure, occupational health.

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Section: Diagnósticounclassified

Section: Tratamentounclassified

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Psitacose e Saúde Ocupacional

Pereira¹,

Vieira²,

Pintó³

et al. 2022

RPSO

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“… 1 , 2 The incubation period of psittacosis is usually 5 to 14 days and can also be several weeks or months. 3 Due to similar clinical symptoms to C. psittaci pneumonia and non C. psittaci bacterial pneumonia, and less proportion in community-acquired pneumonia, physicians have low perceptions and it is often overlooked, difficult to identify, and misdiagnosed. 4 …”

Section: Introductionmentioning

confidence: 99%

Compare Clinical Characteristics of Psittacosis Pneumonia in 35 Patients and of Non Psittacosis Bacterial Pneumonia in 46 Patients

Chen,

Wang,

Deng

et al. 2024

IDR

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Clinical Analysis of Metagenomic Next-Generation Sequencing Confirmed Chlamydia psittaci Pneumonia: A Case Series and Literature Review

Teng¹,

Gong²,

Qi³

et al. 2021

IDR

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Introduction: Chlamydia psittaci infection is a zoonotic infectious disease, which mainly inhaled through the lungs when exposed to the secretions of poultry that carry pathogenic bacteria. The traditional respiratory specimens or serological antibody testing is slow, and the false-negative rate is high. Metagenomic next-generation sequencing (mNGS) gives a promising rapid diagnosis tool. Methods: We retrospectively summarized the clinical characteristics of five C. psittaci pneumonia patients diagnosed by mNGS, conducted a literature review summarizing the clinical characteristics of patients with C. psittaci pneumonia reported since 2010. Results: Five C. psittaci pneumonia patients confirmed by mNGS aged from 36 to 66 years with three males. About 60% of patients had a history of contact with avian or poultry. All patients had a high fever over 38.5 °C, cough, hypodynamia, hypoxemia, and dyspnea on admission. Two patients had invasive ventilator support and extracorporeal membrane oxygenation support. Inflammatory index levels on admission and follow-up were all higher than normal values. Doxycycline or moxifloxacin and their combination therapy were used in patients. Four patients improved and were discharged, and one patient died due to multiple organ failures and disseminated intravascular coagulation. We summarized 19 articles including 69 C. psittaci pneumonia patients and patients in 11 publications were identified by mNGS, and most patients are treated with tetracycline and quinolone with good outcomes. Conclusion: mNGS is a promising rapid diagnosis tool, which may increase the detection rate and shorten the diagnosis time of C. psittaci pneumonia. Further case-control studies are needed to confirm.

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Psitacose: A Propósito de Um Caso Clínico

Cited by 3 publications

References 10 publications

Psitacose e Saúde Ocupacional

Psitacose e Saúde Ocupacional

Compare Clinical Characteristics of Psittacosis Pneumonia in 35 Patients and of Non Psittacosis Bacterial Pneumonia in 46 Patients

Clinical Analysis of Metagenomic Next-Generation Sequencing Confirmed Chlamydia psittaci Pneumonia: A Case Series and Literature Review

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