{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:56:28Z","timestamp":1760122588327,"version":"3.40.4"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,8,12]]},"abstract":"<jats:p>A 61-year-old man was admitted with a 1-week history of influenza-like symptoms during a period of increased influenza virus activity. He soon developed type 2 respiratory failure and became increasingly drowsy. He later suffered a convulsive episode in the intensive care unit (ICU) which self-terminated. Initial clinical findings suggested community-acquired pneumonia and meningoencephalitis. However, a detailed history revealed that he was a pet bird-keeper, which raised a suspicion of ornithosis.<jats:italic>Chlamydia psittaci<\/jats:italic>DNA was detected in sputum by PCR. He was started on appropriate antibiotics and made a full recovery. We present this uncommon cause of pneumonia as an example of the importance of accurate history-taking to ensure a correct diagnosis for optimal management.<\/jats:p>","DOI":"10.1136\/bcr-2016-216879","type":"journal-article","created":{"date-parts":[[2016,9,12]],"date-time":"2016-09-12T22:52:38Z","timestamp":1473720758000},"page":"bcr2016216879","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Birds of a feather: an uncommon cause of pneumonia and meningoencephalitis"],"prefix":"10.1136","volume":"2016","author":[{"given":"Anne-Marie","family":"Ionescu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Divya","family":"Khare","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Kavi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,9,12]]},"reference":[{"key":"2025042703565879000_2016.aug30_1.bcr2016216879.1","unstructured":"Public Health England. Psittacosis. Health protection guidance, Infectious diseases. 1 April 2013: https:\/\/www.gov.uk\/guidance\/psittacosis (accessed 19 May 2016)."},{"key":"2025042703565879000_2016.aug30_1.bcr2016216879.2","doi-asserted-by":"publisher","DOI":"10.1099\/00207713-47-2-461"},{"key":"2025042703565879000_2016.aug30_1.bcr2016216879.3","doi-asserted-by":"crossref","first-page":"272","DOI":"10.12809\/hkmj144321","article-title":"Three cases of atypical pneumonia caused by Chlamydophila psittaci","volume":"21","author":"Chau","year":"2015","journal-title":"Hong Kong Med J"},{"key":"2025042703565879000_2016.aug30_1.bcr2016216879.4","unstructured":"Health and Safety Executive. Psittacosis: http:\/\/www.hse.gov.uk\/agriculture\/zoonoses-data-sheets\/psittacosis.pdf (accessed 19 May 2016)."},{"key":"2025042703565879000_2016.aug30_1.bcr2016216879.5","unstructured":"Psittacosis\/avian chlamydiosis. The Centre for Food Security & Public Health, and the Institute for International Cooperation in Animal Biologics. College of Vetinary Medicine, Iowa State University. Updated 2009."},{"key":"2025042703565879000_2016.aug30_1.bcr2016216879.6","doi-asserted-by":"publisher","DOI":"10.1080\/0036554021000026984"},{"key":"2025042703565879000_2016.aug30_1.bcr2016216879.7","unstructured":"Schlossberg D . Psittacosis. In: Mandell, Douglas, and Bennett's principles and practice of infectious diseases. 8th edn. Elsevier Philadelphia: Churchill Livingstone, 2014:2174\u201382."},{"key":"2025042703565879000_2016.aug30_1.bcr2016216879.8","first-page":"75","article-title":"Chlamydia psittaci: a relevant cause of community-acquired pneumonia in two Dutch hospitals","volume":"74","author":"Spoorenberg","year":"2016","journal-title":"Neth J Med"},{"key":"2025042703565879000_2016.aug30_1.bcr2016216879.9","doi-asserted-by":"crossref","unstructured":"Dixon L , Diaz-Cano S , Schulte KM . Psittacosis infection and tracheobronchomalacia in a patient undergoing thyroidectomy. 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