Psittacosis in a traveller
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Psittacosis in a traveller. / Veletzky, Luzia; Huebl, Lena; Schulze Zur Wiesch, Julian; Schmiedel, Stefan.
in: J TRAVEL MED, Jahrgang 28, Nr. 6, taab062, 27.08.2021.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Psittacosis in a traveller
AU - Veletzky, Luzia
AU - Huebl, Lena
AU - Schulze Zur Wiesch, Julian
AU - Schmiedel, Stefan
PY - 2021/8/27
Y1 - 2021/8/27
N2 - A 48-year-old male with no known pre-existing conditions presented to the emergency room with fever (40°C), myalgia, dyspnea and cough for 7 days. The patient was in stable cardiopulmonary conditions with reduced breath-sounds over the left lung and an oxygen saturation of 96% on ambient air. C-reactive protein (CRP), lactate dehydrogenase (LDH), Glutamat-Oxalacetat-transaminase (GOT)/Glutamat-Pyruvat-transaminase (GPT) and -Gamma-Glutamyltransferase (GT) were elevated to 324 mg/l, 352, 64, 53 and 202 U/l, respectively, while leukocytes, thrombocytes, creatinine and creatin kinase were within normal ranges. A severe acute respiratory syndrome coronavirus 2 PCR on a nasopharyngeal swab was negative. A chest X-ray revealed left-sided consolidations. Ampicillin/sulbactam 3 × 3 g i.v. daily was started empirically for community-acquired pneumonia (CAP) and he was admitted to the infectious disease ward. The next morning his oxygen saturation dropped to 88% under 6L nasal oxygen. Renewed assessment revealed that the patient had just returned from a family visit.
AB - A 48-year-old male with no known pre-existing conditions presented to the emergency room with fever (40°C), myalgia, dyspnea and cough for 7 days. The patient was in stable cardiopulmonary conditions with reduced breath-sounds over the left lung and an oxygen saturation of 96% on ambient air. C-reactive protein (CRP), lactate dehydrogenase (LDH), Glutamat-Oxalacetat-transaminase (GOT)/Glutamat-Pyruvat-transaminase (GPT) and -Gamma-Glutamyltransferase (GT) were elevated to 324 mg/l, 352, 64, 53 and 202 U/l, respectively, while leukocytes, thrombocytes, creatinine and creatin kinase were within normal ranges. A severe acute respiratory syndrome coronavirus 2 PCR on a nasopharyngeal swab was negative. A chest X-ray revealed left-sided consolidations. Ampicillin/sulbactam 3 × 3 g i.v. daily was started empirically for community-acquired pneumonia (CAP) and he was admitted to the infectious disease ward. The next morning his oxygen saturation dropped to 88% under 6L nasal oxygen. Renewed assessment revealed that the patient had just returned from a family visit.
KW - Animals
KW - Humans
KW - Psittacosis/diagnosis
KW - Zoonoses
U2 - 10.1093/jtm/taab062
DO - 10.1093/jtm/taab062
M3 - SCORING: Journal article
C2 - 33851712
VL - 28
JO - J TRAVEL MED
JF - J TRAVEL MED
SN - 1195-1982
IS - 6
M1 - taab062
ER -