Chlamydophila psittaci - Revision history

ClaireLewis at 21:45, 28 August 2019

2019-08-28T21:45:30Z

← Older revision		Revision as of 21:45, 28 August 2019
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	==Clinical Features==		==Clinical Features==
	*High [[fever]] (up to 40.5C)		*High [[fever]] (up to 40.5C)
	*Common: Bradycardia, chills, headache, myalgia, nonproductive staccato cough		*Common: [[Bradycardia]], chills, [[headache]], [[myalgia]], nonproductive staccato [[cough]]
	*Less common: [[vomiting]], [[abdominal pain]], [[diarrhea]], trace [[hemoptysis]]		*Less common: [[vomiting]], [[abdominal pain]], [[diarrhea]], trace [[hemoptysis]]
	*Extrapulmonary complications: [[myocarditis]], [[endocarditis]], [[icterus]], [[encephalitis]], [[ARDS]], MODs		*Extrapulmonary complications: [[myocarditis]], [[endocarditis]], [[icterus]], [[encephalitis]], [[ARDS]], MODs
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	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
	*CBC-leukopenia in 25% of cases		*CBC-[[leukopenia]] in 25% of cases
	*Chemistry		*Chemistry
	*CRP		*CRP
	*~~LFT~~		*[[LFTs]]
	*[[CXR]]-usually lower lobe consolidation		*[[CXR]]-usually lower lobe consolidation, lobar or interstitial infiltrates
	*Sputum culture		*Sputum culture

	~~===Evaluation===~~
	*Pneumonia is atypical - nonproductive cough, lobar or interstitial infiltrates on CXR.

	==Management==		==Management==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-24T01:51:12Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 01:51, 24 July 2016
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	{{Lower respiratory zoonotic infections}}		{{Lower respiratory zoonotic infections}}

	==~~Diagnosis~~==		==Evaluation==
	===Workup===		===Workup===
	*CBC-leukopenia in 25% of cases		*CBC-leukopenia in 25% of cases

Rossdonaldson1: /* Clinical Features */

2016-06-05T13:30:02Z

Clinical Features

← Older revision		Revision as of 13:30, 5 June 2016
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	*Common: Bradycardia, chills, headache, myalgia, nonproductive staccato cough		*Common: Bradycardia, chills, headache, myalgia, nonproductive staccato cough
	*Less common: [[vomiting]], [[abdominal pain]], [[diarrhea]], trace [[hemoptysis]]		*Less common: [[vomiting]], [[abdominal pain]], [[diarrhea]], trace [[hemoptysis]]
	*~~Complications~~: [[myocarditis]], [[endocarditis]], [[icterus]], [[encephalitis]], [[ARDS]], MODs		*Extrapulmonary complications: [[myocarditis]], [[endocarditis]], [[icterus]], [[encephalitis]], [[ARDS]], MODs
	*Extrapulmonary manifestations - heart, CNS, liver, spleen, kidneys

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Clinical Features */

2016-06-05T13:29:38Z

Clinical Features

← Older revision		Revision as of 13:29, 5 June 2016
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	==Clinical Features==		==Clinical Features==
	*Incubation period of 5-14 days
	*High [[fever]] (up to 40.5C)		*High [[fever]] (up to 40.5C)
	*Common: Bradycardia, chills, headache, myalgia, nonproductive staccato cough		*Common: Bradycardia, chills, headache, myalgia, nonproductive staccato cough

Rossdonaldson1: /* Management */

2016-06-05T13:29:19Z

Management

← Older revision		Revision as of 13:29, 5 June 2016
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	*[[Doxycycline]] 100mg PO Q12h x 10-14 days '''OR'''		*[[Doxycycline]] 100mg PO Q12h x 10-14 days '''OR'''
	*[[Azithromycin]] 500mg PO Qday x 7 days		*[[Azithromycin]] 500mg PO Qday x 7 days




	*[[Macrolides]] ([[azithromycin]], [[clarithromycin]], or [[erythromycin]]) for 7-14 days
	or
	*[[Tetracyclines]] ([[doxycycline]] 100 mg PO BID) for 7-14 days


	==Disposition==		==Disposition==

Rossdonaldson1: /* Diagnosis */

2016-06-05T13:29:00Z

Diagnosis

← Older revision		Revision as of 13:29, 5 June 2016
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	==Diagnosis==		==Diagnosis==
			===Workup===
	*CBC-leukopenia in 25% of cases		*CBC-leukopenia in 25% of cases
	*Chemistry		*Chemistry
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	*[[CXR]]-usually lower lobe consolidation		*[[CXR]]-usually lower lobe consolidation
	*Sputum culture		*Sputum culture

			===Evaluation===
			*Pneumonia is atypical - nonproductive cough, lobar or interstitial infiltrates on CXR.

	==Management==		==Management==

Rossdonaldson1: /* Clinical Features */

2016-06-05T13:28:31Z

Clinical Features

← Older revision		Revision as of 13:28, 5 June 2016
Line 7:		Line 7:

	==Clinical Features==		==Clinical Features==
			*Incubation period of 5-14 days
	*High [[fever]] (up to 40.5C)		*High [[fever]] (up to 40.5C)
	*Common: Bradycardia, chills, headache, myalgia, nonproductive staccato cough		*Common: Bradycardia, chills, headache, myalgia, nonproductive staccato cough
	*Less common: [[vomiting]], [[abdominal pain]], [[diarrhea]], trace [[hemoptysis]]		*Less common: [[vomiting]], [[abdominal pain]], [[diarrhea]], trace [[hemoptysis]]
	*Complications: [[myocarditis]], [[endocarditis]], [[icterus]], [[encephalitis]], [[ARDS]], MODs		*Complications: [[myocarditis]], [[endocarditis]], [[icterus]], [[encephalitis]], [[ARDS]], MODs



	*Incubation period of 5-14 days
	*Abrupt onset fever, chills, headache, myalgias, malaise
	*Pneumonia is atypical - nonproductive cough, lobar or interstitial infiltrates on CXR.
	*Extrapulmonary manifestations - heart, CNS, liver, spleen, kidneys		*Extrapulmonary manifestations - heart, CNS, liver, spleen, kidneys




	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Background */

2016-06-05T13:27:53Z

Background

← Older revision		Revision as of 13:27, 5 June 2016
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	*6 avian serovars (A-F) and 2 mammalian isolates (WC and M56)		*6 avian serovars (A-F) and 2 mammalian isolates (WC and M56)
	*Reservoirs: birds (465 species), duck, geese, turkeys, cattle, muskrats		*Reservoirs: birds (465 species), duck, geese, turkeys, cattle, muskrats
	*Transmission: inhalation from aerosolized urine, feces, dried feces, eye secretions. Person-to-person transmission is possible but rare.		*Transmission: inhalation from aerosolized urine, feather dust, feces, dried feces, eye secretions. Person-to-person transmission is possible but rare.
	*Incubation period usually 5-14 days but can be up to 1 month		*Incubation period usually 5-14 days but can be up to 1 month
	*All transmittable to humans with potential for severe disease		*All transmittable to humans with potential for severe disease



	*Lower respiratory zoonotic infection
	*Caused by C. psittaci, an organism common to most birds
	*Contracted by inhaling dust from dried bird feces, feather dust, or avian respiratory droplets

	==Clinical Features==		==Clinical Features==

Rossdonaldson1 at 13:26, 5 June 2016

2016-06-05T13:26:49Z

← Older revision		Revision as of 13:26, 5 June 2016
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	*Incubation period usually 5-14 days but can be up to 1 month		*Incubation period usually 5-14 days but can be up to 1 month
	*All transmittable to humans with potential for severe disease		*All transmittable to humans with potential for severe disease



			*Lower respiratory zoonotic infection
			*Caused by C. psittaci, an organism common to most birds
			*Contracted by inhaling dust from dried bird feces, feather dust, or avian respiratory droplets

	==Clinical Features==		==Clinical Features==
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	*Less common: [[vomiting]], [[abdominal pain]], [[diarrhea]], trace [[hemoptysis]]		*Less common: [[vomiting]], [[abdominal pain]], [[diarrhea]], trace [[hemoptysis]]
	*Complications: [[myocarditis]], [[endocarditis]], [[icterus]], [[encephalitis]], [[ARDS]], MODs		*Complications: [[myocarditis]], [[endocarditis]], [[icterus]], [[encephalitis]], [[ARDS]], MODs



			*Incubation period of 5-14 days
			*Abrupt onset fever, chills, headache, myalgias, malaise
			*Pneumonia is atypical - nonproductive cough, lobar or interstitial infiltrates on CXR.
			*Extrapulmonary manifestations - heart, CNS, liver, spleen, kidneys




	==Differential Diagnosis==		==Differential Diagnosis==
	{{Causes of pneumonia}}		{{Causes of pneumonia}}

			{{Lower respiratory zoonotic infections}}

	==Diagnosis==		==Diagnosis==
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	*[[Azithromycin]] 500mg PO Qday x 7 days		*[[Azithromycin]] 500mg PO Qday x 7 days

	~~==Disposition==~~
	*Generally may be discharged

	~~==See Also==~~
	*[[Psittacosis]]

	~~==References==~~
	~~<references/>~~

	~~[[Category:ID]]~~

	~~== Background ==~~
	*Lower respiratory zoonotic infection
	*Caused by C. psittaci, an organism common to most birds
	*Contracted by inhaling dust from dried bird feces, feather dust, or avian respiratory droplets

	~~== Clinical Features ==~~
	*Incubation period of 5-14 days
	*Abrupt onset fever, chills, headache, myalgias, malaise
	*Pneumonia is atypical - nonproductive cough, lobar or interstitial infiltrates on CXR.
	*Extrapulmonary manifestations - heart, CNS, liver, spleen, kidneys

	~~== Differential Diagnosis ==~~
	~~{{Lower respiratory zoonotic infections}}~~

	~~== Treatment ==~~
	*[[Macrolides]] ([[azithromycin]], [[clarithromycin]], or [[erythromycin]]) for 7-14 days		*[[Macrolides]] ([[azithromycin]], [[clarithromycin]], or [[erythromycin]]) for 7-14 days
	or		or
	*[[Tetracyclines]] ([[doxycycline]] 100 mg PO BID) for 7-14 days		*[[Tetracyclines]] ([[doxycycline]] 100 mg PO BID) for 7-14 days


			==Disposition==
			*Generally may be discharged

	==See Also==		==See Also==
	*[[~~Chlamydophila psittaci~~]]		*[[Psittacosis]]

	== ~~Source~~ ==		==References==
	~~Tintinalli~~		<references/>

	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1 at 13:25, 5 June 2016

2016-06-05T13:25:16Z

@@ Line 35: / Line 35: @@
 ==References==
 <references/>
 [[Category:ID]]