Familial outbreak of psittacosis as the first Chlamydia psittaci infection reported from Turkey
Psitakoz, papağan hastalığı ve kuş hastalığı olarak da bilinen, insanlara infekte olmuş kanarya, güvercin veya papağan gibi kuşların kurumuş salgılarından bulaşan bir hastalıktır. Bu tanı özellikle akla getirilip özel testlerle araştırılmazsa spesifik tanı konulmadan atipik pnömoni tanısı ile takip ve tedavi edilir. Evlerinde iki adet papağan besleyen bir anne ve Friedreich ataksisi olan oğlunda psitakoz tespit ettik. Hastalarda pnömoniye ek olarak santral sinir sistemi ve karaciğer tutulumu da saptandı. Ülkemizden daha önce yayınlanan psitakoz olgusu olmaması nedeniyle anneyi ve oğlunu ülkemizden kanıtlanmış ilk psitakoz olguları olarak sunmayı uygun bulduk.
Aile içi psitakoz: Türkiye’den bildirilen ilk Chlamydia psittaci infeksiyonu
Psittacosis, also known as parrot disease, parrot fever and ornithosis, can be transmitted to humans by inhaling dried excreta of infected birds like canaries, parakeets, parrots, pigeons and turkeys. Unless it is specifically thought of and investigated, the diagnosis of psittacosis can easily be missed and without identifying the exact etiology, the disease is usually treated as atypical pneumonia. We diagnosed psittacosis in a mother and her son with Friedreich ataxia, who took care of two parrots in their house. In addition to pneumonia, central nervous system and liver involvement were also identified in those patients. Since there was no any other case of psittacosis reported from Turkey, we thought to be important to report this mother and her son as first cases from Turkey.
___
- 1. Mufson MA. Mycoplasma, Chlamydia and “Atypical pneumonias”. In: Fishman AP, Elias JA, Fishman JA (eds). Fishman’s Pulmonary Diseases and Disorders. New York: McGraw Hill Companies, 1998: 2247-55.
- 2. Henry K, Crossley K. Wild-pigeon-related psittacosis in a family. Chest 1986; 90: 708-10.
- 3. Yung AP, Grayson ML. Psittacosis-a review of 135 cases. Med J Aust 1988; 148: 228-33.
- 4. CDC. Summary of notifiable diseases, United States.MMWR 1996; 45: 74-7.
- 5. Monsieur I, Meysman M, Vincken W, et al. Severe community acquired pneumonia caused by atypical organisms.Acta Clin Belg 1997; 52: 112-5.
- 6. Weston VC, Mansell P, Allison SP. Family outbreak of psittacosis. Lancet 1990; 335: 1226-7.
- 7. Ito I, Ishida T, Mishima M, et al. Familial cases of psittacosis: Possible person-to-person transmission. Intern Med 2002; 41: 580-3.
- 8. Anderson DC, Stoesz PA, Kaufmann AF. Psittacosis outbreak in employees of a turkey-processing plant. Am J Epidemiol 1978; 107: 140-8.
- 9. Bourke SJ, Carrington D, Frew CE, et al. Serological cross-reactivity among chlamydial strains in a family outbreak of psittacosis. J Infect 1989; 19: 41-5.
- 10. De Schrijver K. A psittacosis outbreak in customs officers in Antwerp (Belgium). Bull Inst Marit Trop Med Gdynia 1998; 49: 97-9.
- 11. Gosbell IB, Ross AD, Turner IB. Chlamydia psittaci infection and reinfection in a veterinarian. Aust Vet J 1999;77: 511-3.
- 12. Kirchner JT. Psittacosis. Is contact with birds causing your patient’s pneumonia? Postgrad Med 1997; 102: 181-2,187-8, 193-4.
- 13. Schossberg D. Chlamydia psittaci (Psittacosis). In: Mandell GL, Bennett JE, Dolin R (eds). Principles and Practise of Infectious Disease. Philadelphia: Churchill Livingstone Company, 2000: 2004-7.
- 14. Begin R, Lupien L, Bureau MA, et al. Regulation of respiration in Friedreich’s ataxia. Can J Neurol Sci 1979; 6:159-65.
- 15. Gregory DW, Schaffner W. Psittacosis. Semin Respir Infect 1997; 12: 7-11.
- 16. Samra Z, Pik A, Guidetti-Sharon A, et al. Hepatitis in a family infected by Chlamydia psittaci. J R Soc Med 1991;84: 347-8.
- 17. Saeki S, Hirata I, Fukusako T, et al. A case of psittacosis with psychiatric symptoms, abnormal EEG, andabnormal SPECT. No To Shinkei 1996; 48: 1141-5.
- 18. Reis J, Le Faou A, Levy F, et al. Confusional form of Chlamydia psittaci encephalitis. Diagnostic value of microimmunofluorescence. A Case Presse Med 1985; 14: 87-9.
- 19. Illowsky BP, Kirch DG. Polydipsia and hyponatremia in psychiatric patients. Am J Psychiatry 1988; 145: 675-83.
- 20. Kanazawa Y, Suga S, Niwayama S. A case of psittacosis treated with rifampicin. Jpn J Antibiot 1976; 29: 601-6.
- 21. Kirchner JT, Boyarsky SA. Chlamydia psittaci. An uncommon cause of community-acquired pneumonia.Arch Fam Med 1993; 2: 997-1001.
- 22. Ragnaud JM, Dupon M, Echinard E, et al. Hepatic manifestations of psittacosis. Gastroenterol Clin Biol 1986; 10: 234-7.