A patient with psittacosis from a pigeon: A reminder of the importance of detailed interviews and relative bradycardia. (2021)

• Record Type: Journal Article
• Authors: Fukui, Sayato; Kawamura, Wataru; Uehara, Yuki; Naito, Toshio
• Is Part Of: IDCases. Volume 25(2021)
• Publication Date: 2021
• Subjects: Chlamydophila psittaci -- Psittacosis -- Atypical pneumonia -- Relative bradycardia; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2021.e01164
• Languages: English
• ISSNs: 2214-2509

Abstract

Abstract: A 43-year-old man was brought to our hospital with fever. The initial diagnosis was bacterial pneumonia, and ampicillin/sulbactam was administered. However, defervescence was not achieved, and relative bradycardia was observed. Detailed history-taking revealed that the patient had been involved in caring for a wild pigeon before hospitalization. We changed the antimicrobial therapy to minocycline and the patient' s condition improved. Chlamydophila psittaci antibody was subsequently found to be increased four-fold, and psittacosis was diagnosed. This case acts a reminder to clinicians of the importance of both the history of exposure to any birds and vital signs, including relative bradycardia.