Sepsis due to Gestational Psittacosis: a Multidisciplinary Approach

Janssen, Mirjam J; Wetering, J. van de; Arabin, B

doi:10.1055/s-2005-923262

Cited by 5 publications

(9 citation statements)

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“…Fetal infection was diagnosed by C. psittaci cultured from fetal organs in patient 5, positive C. psittaci serology in patient 13, and chlamydia inclusions in fetal organs in patients 16 and 17. However, because abortion or stillbirth had occurred even without fetal infection, impaired uteroplacental perfusion by placental infection is more likely to be the fetal cause of death, as previously reported …”

Section: Discussionsupporting

confidence: 56%

“…The other case of maternal mortality was our case; although macrolide or tetracycline was not administered and the placenta remained, it is unclear whether they were the cause of maternal death. However, previous reports show that early delivery can reportedly help reduce fetal mortality and maternal morbidity, since the source of infection is located in the placenta; once the placenta was infected, neither macrolide nor tetracycline were proven able to maintain pregnancy. The focus should then be redirected for clinical recovery .…”

Section: Discussionmentioning

confidence: 97%

“…Chest X‐ray findings: lobe consolidation or infiltration, not adult respiratory distress syndrome. Patients reference (ref): 1, our report; 2, ref ; 3, ref ; 4, ref ; 5, ref ; 6, ref ; 7, ref ; 8, ref ; 9, ref ; 10, ref ; 11, ref ; 12, ref ; 13, ref ; 14, ref ; 15, ref ; 16, ref ; 17, ref ; 18, ref ; 19, ref ; 20, ref ; 21, ref ; 22, ref ; 23, ref . + = present, − = absent, blank = not described.…”

Section: Discussionmentioning

confidence: 99%

“…Gestational psittacosis is reportedly a rare disease but associated with significant morbidity and mortality . Previous reports suggest that pregnant women should be advised to avoid close contact with sheep, goats, and birds; if a C. psittaci infection is suspected, doxycycline or erythromycin is the treatment of choice; early administration is mandatory . However, the details of the clinical course, especially with regard to factors that raise the suspicion of gestational psittacosis, remain unclear.…”

Section: Introductionmentioning

confidence: 99%

“…We report a case of gestational psittacosis that could not be diagnosed as psittacosis during treatment and resulted in maternal and fetal death despite intensive treatment and present a review of gestational psittacosis literature …”

Section: Introductionmentioning

confidence: 99%

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Gestational psittacosis: A case report and literature review

Katsura

Tsuji

Kimura

et al. 2020

J of Obstet and Gynaecol

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Gestational psittacosis is a rare disease that is associated with significant maternal and fetal morbidity and mortality. Currently, there is no examination method which allows for a quick diagnosis. We report a case of gestational psittacosis that could not be diagnosed as psittacosis during treatment and resulted in maternal and fetal death despite intensive treatment. We also reviewed 23 cases of gestational psittacosis. Fetal and maternal mortality was 82.6% (19/23) and 8.7% (2/23), respectively. In pregnant women with high fever and flu-like symptoms, we should suspect Chlamydia psittaci infection if at least one of the following is present; contact with sheep, parrots, parakeets or goats; normal or moderately decreased leucocyte count, thrombocytopenia and hepatic and/or renal dysfunction; cough and/or lobe consolidation or infiltration on chest X-ray. Antibiotic therapy with macrolide prenatally, macrolide or tetracycline postnatally and termination of pregnancy should be considered.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gestational psittacosis: A case report and literature review

Katsura

Tsuji

Kimura

et al. 2020

J of Obstet and Gynaecol

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An outbreak of psittacosis at a veterinary school demonstrating a novel source of infection

Chan

Doyle²,

Branley

et al. 2017

One Health

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In November 2014, New South Wales Health was notified of a cluster of respiratory illness in a veterinary school. Active case finding identified another case at a local equine stud. All cases had exposure to the equine fetal membranes of Mare A. This tissue subsequently tested positive for Chlamydia psittaci using quantitative real-time polymerase chain reaction. We conducted a cohort study of the university and stud farm staff to determine risk factors for disease. Nine people were exposed to the fetal membranes of Mare A. Of these, five cases of psittacosis were identified. Two required hospital admission. Contact with birds was not associated with illness (RR = 0.5, 95% CI = 0.09–2.73). People who had direct contact with the abnormal fetal membranes were more likely to develop disease (RR = 11.77, 95% CI = 1.02–∞). The emergence of an association between horse exposure and C. psittaci infection has important implications for the prevention and control of psittacosis.Article summary line: Investigation of an outbreak of psittacosis in a rural veterinary school demonstrates novel source of infection for psittacosis through exposure to abnormal equine fetal membranes.

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