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167 - Chlamydia Psittaci (Psittacosis)

from Part XX - Specific Organisms – Mycoplasma and Chlamydia

Published online by Cambridge University Press:  05 March 2013

Alfred E. Bacon III
Affiliation:
Jefferson Medical College
David Schlossberg
Affiliation:
Temple University School of Medicine, Philadelphia
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Summary

Chlamydophila psittaci was identified simultaneously by three investigators in 1930. It is one of four species within the genus Chlamydia. Based on RNA sequencing, it is currently considered distinct from Chlamydophila pneumoniae and Chlamydia trachomatis, despite phenotypic and physiologic similarities that have taxonomically bound them for many years. The organism is an obligate intracellular pathogen that contains both RNA and DNA but lacks a classic cell wall. These characteristics contribute to both the clinical manifestations as well as determine therapeutic options. Chlamydophila psittaci has a wide range of host species, including birds, humans, and lower mammals. Chlamydophila pneumoniae, however, is found only in humans, and Chlamydia trachomatis only in humans and mice.

The systemic illness associated with C. psittaci has been termed psittacosis because of its association with parrots and psittacine birds. Subsequently, many avian species have been found to harbor C. psittaci and to transmit the organism to humans, causing disease. The term ornithosis would be more appropriate; however, it is not traditional. The organism can be carried for years in birds, remaining latent causing disease many years after acquisition. Transmission to humans can occur even in the absence of disease in the bird. Excretion in the feces with aerosolization is the typical mode of transmission. Human-to-human transmission has been documented rarely and usually in the setting of severe disease. Health care workers have acquired the disease, but it is not felt warranted to isolate patients when hospitalized.

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Publisher: Cambridge University Press
Print publication year: 2008

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