TY - JOUR
T1 - A patient with psittacosis from a pigeon
T2 - A reminder of the importance of detailed interviews and relative bradycardia
AU - Fukui, Sayato
AU - Kawamura, Wataru
AU - Uehara, Yuki
AU - Naito, Toshio
N1 - Publisher Copyright:
© 2021 The Author(s)
PY - 2021/1
Y1 - 2021/1
N2 - 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.
AB - 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.
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U2 - 10.1016/j.idcr.2021.e01164
DO - 10.1016/j.idcr.2021.e01164
M3 - Article
AN - SCOPUS:85105927915
VL - 25
JO - IDCases
JF - IDCases
SN - 2214-2509
M1 - e01164
ER -