Gestational psittacosis: A case report and literature review.

1.

Stewardson AJ, Grayson ML. Psittacosis. Infect Dis Clin North Am 2010; 24: 7-25.

2.

Yung AP, Grayson ML. Psittacosis--a review of 135 cases. Med J Aust 1988; 148: 228-233.

3.

Hogerwerf L, de Gier B, Baan B, van der Hoek W. Chlamydia psittaci (psittacosis) as a

cause of community-acquired pneumonia: a systematic review and meta-analysis.

Epidemiol Infect 2017;145: 3096-3105.

4.

Schlossberg D. Chlamydia psittaci (psittacosis). In: Mandell G, Bennet J, Dolin R (eds)

Principles and practice of infectious diseases. 4th edn. New York: Churchill Livingstone,

1995: 1693-1695.

5.

Hyde SR, Benirschke K. Gestational psittacosis: case report and literature review. Mod

Pathol 1997; 10: 602-607.

6.

Janssen MJ, van de Wetering K, Arabin B. Sepsis due to gestational psittacosis: A

multidisciplinary approach within a perinatological center--review of reported cases. Int J

Fertil Womens Med 2006; 51:17-20.

7.

Kampinga GA, Schröder FP, Visser IJ, Anderson JM, Buxton D, Möller AV. [Lambing ewes

as a source of severe psittacosis in a pregnant woman). Ned Tijdsch Geneeskd 2000; 144:

2500-2504.

10

8.

Jorgensen DM. Gestational psittacosis in a Montana sheep rancher. Emerg Infect Dis

1997; 3: 191-194.

9.

Wong SY, Gray ES, Buxton D, Finlayson J, Johnson FW. Acute placentitis and spontaneous

abortion caused by chlamydia psittaci of sheep origin: a histological and ultrastructural

study. J Clin Pathol 1985; 38: 707-711.

10. Walder G, Hotzel H, Brezinka C, et al. An unusual cause of sepsis during pregnancy:

recognizing infection with chlamydophila abortus. Obstet Gynecol 2005; 106: 1215-1217.

11. McGivern D, White R, Paul ID, Caul EO, Roome AP, Westmoreland D. Concomitant

zoonotic infections with ovine Chlamydia and 'Q' fever in pregnancy: clinical features,

diagnosis, management and public health implications. Case report. Br J Obstet Gynaecol

1988; 95: 294-298.

12. Hadley KM, Carrington D, Frew CE, Gibson AA, Hislop WS. Ovine chlamydiosis in an

abattoir worker. J Infect 1992; 25 Suppl 1:105-109.

13. Crosse BA, Gomes P, Muers MM. Ovine psittacosis and sarcoidosis in a pregnant woman.

Thorax 1991; 46: 604-606.

14. Berthier M, Bonneau D, Marechaud M, et al. [Materno-fetal infection by Chlamydia

psittaci transmitted by the goat: a new zoonosis?]. Bull Soc Pathol Exot 1991; 84: 590-596.

15. Khatib R, Thirumoorthi MC, Kelly B, Grady KJ. Severe psittacosis during pregnancy and

suppression of antibody response with early therapy. Scand J Infect Dis 1995; 27: 519-521.

16. Gherman RB, Leventis LL, Miller RC. Chlamydial psittacosis during pregnancy: a case

report. Obstet Gynecol 1995; 86: 648-650.

11

17. Villemonteix P, Agius G, Ducroz B, et al. Pregnancy complicated by severe Chlamydia

psittaci infection acquired from a goat flock: a case report. Eur J Obstet Gynecol Reprod

Biol 1990; 37: 91-94.

18. Helm CW, Smart GE, Cumming AD, et al. Sheep-acquired severe Chlamydia psittaci

infection in pregnancy. Int J Gynaecol Obstet 1989; 28: 369-372.

19. Herring AJ, Anderson IE, McClenaghan M, et al. Restriction endonuclease analysis of DNA

from two isolates of Chlamydia psittaci obtained from human abortions. Br Med J (Clin

Res Ed) 1987; 295: 1239.

20. Johnson FW, Matheson BA, Williams H, et al. Abortion due to infection with Chlamydia

psittaci in a sheep farmer`s wife. Br Med J (Clin Res Ed) 1985; 290: 592.

21.

Roberts W, Grist NR, Diroud P. Human abortion associated with infection by ovine

abortion agent. Br Med J 1967; 4: 37.

22. Helm CW, Smart GE, Gray JA, et al. Exposure to Chlamydia psittaci in pregnancy. Lancet

1987; 1: 1144-1145.

23. McKinlay AW, White N, Buxton D, et al. Severe Chlamydia psittaci Sepsis in Pregnancy. Q J

Med 1985; 57: 689-696.

24. Beer RJ, Bradford WP, Hart RJ. Pregnancy complicated by psittacosis acquired from sheep.

Br Med J (Clin Res Ed) 1982; 284: 1156-1157.

25. Fukumoto H, Sato Y, Hasegawa H, Saeki H, Katano H. Development of a new real-time

PCR system for simultaneous detection of bacteria and fungi in pathological samples. Int J

Clin Exp Pathol 2015; 8: 15479-15488.

Table 1. Comparisons of clinical course of gestational psittacosis.

DIC, disseminated intravascular coagulation; EM, erythromycin; CAM, clarithromycin; TC, tetracycline; DOXY, doxycycline; P, parrot; S,

sheep; G, goat;

Chest X-ray findings: lobe consolidation or infiltration, not adult respiratory distress syndrome.

Patients reference (ref): 1, our report; 2, ref 6; 3, ref 7; 4, ref 8; 5, ref 9; 6, ref 10; 7, ref 5; 8, ref 11; 9, ref 12; 10, ref 13; 11, ref 14; 12, ref

15; 13, ref 16; 14, ref 17; 15, ref 18; 16, ref 19; 17, ref 20; 18, ref 21; 19, ref 22; 20, ref 23; 21, ref 23; 22, ref 24; 23, ref 24.

+ = present, - = absent, blank = not described.

Patients

Age (years)

36

20

25 28

10

32 25

35

32

11

12

13

14

15

16

17

18

19

20

21

22

23

31

26

26

29

24

28

22

30

29

31

34

34

Source

Gestational age (weeks)

31 26

19 28

16 22

19

32

31

32

32

27

14

28

24

27

28

25

34

36

At first visit

Symptom

Fever

Headache

Nausea

Cough

Sore throat

Chest pain

Abdominal

pain

Back pain

Complicati

Thrombop

on

enia

Hepatic

dysfunction

Renal

dysfunction

DIC

Chest

X-

ray

findings

Subsequent progress

EM/CAM

TC/DOXY

Fetal death

Maternal death

Placental infection

Fetal infection

Treatment

...