Abstract

Psittacosis is a well recognized cause of pneumonia, although in most cases infection remains mild or subclinical. Some patients are more severely ill with involvement of the respiratory, cardiovascular and central nervous systems. The chest radiograph often shows areas of consolidation greater than the physical signs would suggest. Recovery may be prolonged. A case of severe pneumonia due to psittacosis is reported in which a severe restrictive pattern of lung function complicated recovery. This has been described following mycoplasma pneumonia with evolution into diffuse interstitial fibrosis (Kaufman et al. 1980) but not as far as we can discover following psittacosis. Treatment with corticosteroids was associated with complete resolution of the lung function and chest radiograph abnormalities after nine months.

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