Chronicles from the Nest: A Case of Psittacosis in India.

Autor:	Soni J; DNB Trainee, Department of Internal Medicine, Sir Ganga Ram Hospital, Delhi, India, Corresponding Author., Khosla P; Senior Consultant, Department of Internal Medicine, Sir Ganga Ram Hospital, Delhi, India., Taneja V; Associate Consultant, Department of Internal Medicine, Sir Ganga Ram Hospital, Delhi, India., Sondhi M; Clinical Assistant, Department of Internal Medicine, Sir Ganga Ram Hospital, Delhi, India.
Jazyk:	angličtina
Zdroj:	The Journal of the Association of Physicians of India [J Assoc Physicians India] 2024 Nov; Vol. 72 (11), pp. 105-106.
DOI:	10.59556/japi.72.0720
Abstrakt:	Psittacosis is a rare zoonotic disease caused by a gram-negative obligate intracellular bacterium Chlamydia psittaci , which is transmitted through contact with infected birds. It comprises approximately 1% of all community-acquired pneumonia cases. However, this can be just the tip of the iceberg pertaining to the lack of routine testing and awareness of this disease entity, thereby requiring a high index of suspicion for its diagnosis. We report a case of a 37-year-old male presenting with high-grade fever with chills, acute onset of dyspnea, dry cough, arthralgia, and myalgia which was not responding to broad-spectrum empirical antibiotics and supportive care. We started evaluating the patient as a case of pyrexia of unknown origin (PUO), but the fever workup turned out to be inconclusive. This prompted us to revisit the history. It was found that the patient owned a parrot that was sick for the last 15 days. The temporal correlation of the illness with a history of exposure made us suspect psittacosis, which was confirmed by treatment with doxycycline resulting in a drastic improvement in the patient's condition. By this, we want to highlight that history remains the time-tested guide for diagnosing and treating PUO. (© Journal of the Association of Physicians of India 2024.)
Databáze:	MEDLINE
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