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Ornithosis in poultry workers.

An outbreak of ornithosis in duck workers in the winter of 1979 and spring of 1980 was discovered by the investigation of a cluster of cases in Norfolk. A serological survey showed that 61% of duck workers but only 23% of control poultry workers had chlamydia group antibody titres of greater than or equal to 1:8. Altogether 9% of duck workers in the survey had antibody titres greater than or equal to 1:32 and a clinical illness suggestive of ornithosis. The proportions of seropositive tests and clinical attack rates were highest in workers eviscerating ducks and lowest in farm workers. It is suggested that a clinical history of contact with poultry should be considered relevant in the diagnosis of ornithosis and that clinicians caring for poultry workers should consider the possibility of ornithosis as an occupational disease.

Adult↗

Diagnosis of infection caused by Chlamydia pneumoniae (strain TWAR) in patients with "ornithosis" in southern Sweden 1981-1987.

Serological distinction between ornithosis and infection by Chlamydia pneumoniae (strain TWAR) was attempted by microimmunofluorescence (MIF) of 156 cases previously considered as ornithosis on the ground of a positive complement fixation test with a chlamydia group antigen. At least 23% of these cases were TWAR infections according to the results at retesting by MIF. The highest frequency of TWAR infections was demonstrated during 1981 with a decreasing number and proportion thereafter. We contend that the sudden increase in the reported number of ornithosis cases in 1981 may have been caused by TWAR infections which seem to vary in incidence over time. Family clusters of respiratory infections were much more common with TWAR infections than with ornithosis.

Antibodies, Bacterial↗

[Results of identifying ornithosis strains isolated in Tajikistan (author's transl)].

Studies were carried out aimed at isolation of the causative agent of ornithosis from the organs of pigeons and budgerigars. The present study was based on the results of a serological survey which had revealed a high rate of infection with ornithosis in pigeons as well as a case of ornithosis in an owner of budgerigars. The isolates were identified, their pathogenicity for some animal species was determined; morphological studies were carried out in cell culture; antigens and immune sera were prepared. The results of identification permited allocation of the isolated strains to the agent of ornithosis and confirmed the role of pigeons and parrots in spread of this infection in Tajikistan.

Adult↗

[Natural foci of ornithosis in Kazakhstan].

An investigation (clinical, immunological and epidemiological) of the workers of various fowl-farms was carried out in various regions of Kazakhstan for a number for years; the sera of domestic fowl and birds was studied as well. On the basis of examination of 6264 persons the greatest percentage of ornithosis was revealed among the workers of the slaughter house and the shop for the processing of the fowl. Examination of 4749 sera of bird blood showed that the highest incidence of ornithosis was among doves and ducks (43.2 and 11.6%), and the least--in chickens (5.3%); there proved to be a direct relationship between the infection of man and birds. Thus, it was shown that domestic fowl and also doves served as the source of ornithosis infection; foci of ornithosis were revealed in a number of Kazakhstan regions as a result of these investigations.

Animals↗

[Prevalence of ornithosis in the Lithuanian SSR].

As a result of immunological examination of 658 domestic ducks of 6 poultry farms and 269 doves caught in Vilnius, antiornithosis antibodies were revealed in 3.1 +/- 0.7% of ducks and in 36.4 +/- 2.9% of doves. They were also found in 20 of 34 wild waterfowl. The causative agent of ornithosis was isolated in virological examination of the organs of a coot. Ornithosis nature of an epizootic outbreak among ducks of a poultry farm was proved by virological examination. The population was examined immunologically (2285 persons) and by intradermal test with the ornithosis antigen (80 persons). Positive specific reactions were revealed in 32.6% of persons engaged in poultry tending, and in 7.6% of other rural population. A case of ornithosis in man engaged in fowling (of doves) for their examination is described.

Animals↗

A prolonged outbreak of ornithosis in duck processors.

In 1985 an outbreak of ornithosis affected 13 of 80 (16%) workers in a duck-processing plant. New employees were three times more likely to become cases than established employees. The highest attack rate was in those on the production line. Following the outbreak, an occupational health scheme was set up to monitor the health of new recruits to the company. Serological evidence of recent infection was demonstrated in 18 of 37 (49%) new employees tested in the first 3 months of employment. Five (14%) also had clinical evidence of ornithosis. Veterinary investigation of the ducks demonstrated a high proportion with asymptomatic chlamydial infection. It is suggested that ornithosis may be more common in duck processors than is currently supposed. Strategies to reduce occupational risks are discussed.

Abattoirs↗

Comparison of the ultrastructure of several rickettsiae, ornithosis virus, and Mycoplasma in tissue culture.

Anderson, Douglas R. (National Cancer Institute, Bethesda, Md.), Hope E. Hopps, Michael F. Barile, and Barbara C. Bernheim. Comparison of the ultrastructure of several rickettsiae, ornithosis virus, and Mycoplasma in tissue culture. J. Bacteriol. 90:1387-1404. 1965.-In an effort to make a valid comparison of the ultrastructure of several intracellular parasites, selected agents were propagated under identical conditions in a single type of tissue culture cell; such infected preparations were processed for examination by electron microscopy by use of a standardized procedure for fixation and embedding. The organisms studied were: the Breinl and E strains of epidemic typhus, Rickettsia prowazeki; the Bitterroot strain of R. rickettsii; the Karp strain of R. tsutsugamushi (R. orientalis); R. sennetsu; the P-4 strain of ornithosis virus; and the HEp-2 strain of Mycoplasma hominis type I. Each of the rickettsial species examined had a cell wall and a plasma membrane, and contained ribosomes and deoxyribonucleic acid (DNA) in a ground substance. However, certain differences were noted. Both strains of R. prowazeki contained numerous intracytoplasmic electron-lucent spherical structures (4 to 10 mmu), not previously described. R. sennetsu, unlike the other rickettsiae, was not free in the host cytoplasm but was always enclosed in a vacuole. R. rickettsii was observed intranuclearly and in digestive organelles of the host cell as well as in the cytoplasm. Cells infected with ornithosis virus contained several forms representing the stages in its life cycle. The "initial bodies," made up of ribosomes and DNA strands, were morphologically similar to the rickettsiae. In cultures infected with M. hominis, most of the cells became large and multinucleate. Although the Mycoplasma organisms were readily cultivated from these cultures, only a few could be found in the electron microscope preparations. These organisms were extracellular and lacked a cell wall, being bound only by a unit membrane. Again, the internal components were ribosomes and DNA strands. Under the uniform preparative conditions employed here, the three groups of organisms were morphologically distinguishable from one another.

Chlamydia↗

An outbreak of ornithosis in Norway in 1981.

During 1981 there were 508 laboratory confirmed cases of ornithosis in Norway. This represents a 7-fold increase compared with previous years. Among 370 patients examined by the National Institute of Public Health, Oslo, 148 stated some contact with birds. There were also small family outbreaks and cases of ornithosis in school friends etc. where no bird exposure had occurred, suggesting that interhuman transmission might be involved. The clinical picture was that of a respiratory disease with pneumonia in more than half the cases. The clinical course was mild to moderately severe. At present we have no explanation for this change in the epidemiologic pattern of ornithosis in Norway.

Adolescent↗

Chlamydia pneumoniae infections in Norway 1981-87 earlier diagnosed as ornithosis.

Ornithosis has been a notifiable disease in Norway since 1957. During an outbreak of respiratory disease in 1981-82, described as ornithosis, contact with birds was stated in only 50% of the cases, suggesting that the infection was spread by interhuman transmission. A similar outbreak occurred in the western part of Norway in 1987. Serum specimens from altogether 260 patients, collected during the outbreaks in 1981-82 and in 1987, were investigated for antibodies against Chlamydia pneumoniae (strain TWAR). Evidence of recent infection with C. pneumoniae was found in 67.7% of the cases. The results indicate that the increased incidence of ornithosis in 1981-82 and in 1987 was due mainly to C. pneumoniae infections.

Chlamydia Infections↗

[Ornithosis--studies in correlation with an outbreak].

An outbreak of ornithosis with 8 cases of ornithosis pneumonia and 2 lethal complications was investigated in workers in a poultry farm and processing plant and a comparative seroepidemiological study of antigen responses was performed in 3 collectives: No. I: n = 82/87 workers in the processing plant, where the outbreak occurred; No. II: n = 83 workers in a chicken slaughter-house; No. III: n = 82 as matched-pair group to collective No. I with the same age and sex, but without occupational risk. The test systems were: genus specific complement fixation reaction (CFR), Ipazyme commercial slide kit containing LGV antigen and a type-specific microimmunofluorescence (MIF) technique with antigens binding C. psittaci, pneumonia and trachomatis IgA, IgG and IgM. 57/82 (71.9%) workers in group No. I were chlamydial antibody-positive, whereas only 22/82 of the population Nr. III--control group (odds ratio 6.2/3.2-12.3 p < or = 0.05). 16/83 (19.3%) of the workers in the chicken slaughterhouse had antibodies against chlamydia group antigens. 30/82 of the collective No. I had serological evidence of a recent or current infection with higher antibody titres in CFR and IPAZYME-Test and/or antibody response against IgA and IgM (MIF). 43.3% of the latter could be serologically detected as specific infections with C. psittaci. 10 of 18 (55%) workers employed in the recent 3 months had serological signs of an acute infection. There was no association between the point of contact with the poultry (live hang areas, slaughtery, evisceration, cooling carcasses) and the prevalence of antibody response. The possible routes of infection, inhalation of dried excretions or aerosols and via hand-to-mouth contacts are discussed. In specimens of cloacal swabs and faeces of the ducks chlamydiae could be found although the animals were asymptomatic. The results of this study demonstrate that in poultry plants, where ducks and other poultry living in an aqueous habitat are slaughtered and processed, a high risk of C. psittaci infection (70.2%) and ornithosis morbidity (25%) with a lethality of 8.3% can exist. Since the eradication of C. psittaci in poultry does not seem to be possible at the moment, preventive measures e.g. gloves, masks, information and medical examinations of the workers must be implemented in those slaughterhouses and plants where C. psittaci is suspected or common.

Abattoirs↗

ARDS in fulminant ornithosis and treatment with extracorporeal lung assist.

We report a 47-year-old male patient with fulminant ornithosis who developed severe respiratory failure leading to acute respiratory distress syndrome (ARDS) complicated by gastrointestinal, neurological and renal symptoms. ARDS was successfully treated by extracorporeal lung assist. As leukocytosis is typically absent in ornithosis, C-reactive protein, interleukin 6 and procalcitonin were used as infection parameters in order to monitor clinical development. The English-language literature on severe cases of ornithosis requiring respiratory support over the past 30 years is reviewed.

C-Reactive Protein↗

[Typing of ornithosis strains with species-specific antigens].

Species-specific antigens of three ornithosis strains of varying origin were isolated. These antigens were used in the complement-fixation test to study immune sera to different strains. The ornithosis strains studied were represented by three serotypes. To differentiate ornithosis from other chlamidia infections and for the preparation of diagnostic immune sera it is recommended to use species-specific antigens of serotype 3, while for vaccine production the corresponding strains should be used.

Antigens, Viral↗

Cooperative state-federal turkey ornithosis task force, Texas, 1974.

Ornithosis was suggested by a routine analysis of tissue specimens from Texas turkey flocks submitted to the Texas A&M University Poultry Disease Laboratory at Gonzales on April 30, 1974, and of subsequent specimens from four additional flocks. Subsequently, illness in humans at turkey processing plants in Texas, Nebraska, and Missouri, implicating turkeys from Texas, was confirmed as ornithosis in July 1974; and, associated with this outbreak, ornithosis was suspected as the cause of the death of one human. Action was taken by state and federal poultry disease control and inspection officials, public health agencies, and the turkey industry in Texas.

Animals↗

A common-source outbreaks of ornithosis in veterinary surgeons.

Presumed or confirmed ornithosis developed in 15 of 46 veterinary surgeons within 3 weeks of their attending a training course on the supervision of poultry processing plants. A duck processing plant was the probable source of infection. The attack rate in those visiting this plant was 44% (15/34) and the rate in those who had close contact with duck feathers was 1.7 times the rate in the remainder of the group who visited the plant. The incubation period ranged from 6 to 20 days. This is the second outbreak of the duck-associated ornithosis to be recognised in the U.K.

Animals↗

Erythromycin for treatment of ornithosis.

Patients with pneumonia not responding to treatment with betalactam drugs and patients where an "atypical" etiology is suspected from the beginning, are often given erythromycin to cover mycoplasma and legionella. Erythromycin has also been effective for Chlamydia pneumoniae. If, however, ornithosis is suspected the recommended drug has been tetracycline. Since we noted that several patients had a favourable course on erythromycin despite a final serological diagnosis of ornithosis, we retrospectively studied patients admitted with acute lower respiratory tract infection and a 4-fold titer rise to C. psittaci. We found 35 patients treated with a betalactam drug (n = 12), tetracycline (n = 2), or erythromycin (n = 5) alone, or with a betalactam, which because of non-responsiveness was followed by either tetracycline (n = 4) or erythromycin (n = 12). The data were analysed with survival analysis by a Cox' regression model. There was a significant (p less than 0.001) effect of treatment on the time to defervescence, mainly due to a difference between the erythromycin treated group and the betalactam treated group. We found erythromycin to be at least as effective as tetracycline for treating C. psittaci pneumonia. Since erythromycin has to be used to cover legionella in patients with severe pneumonia when an atypical etiology cannot be excluded, it is an important conclusion that this drug seems to cover C. psittaci as well.

Anti-Bacterial Agents↗

An outbreak of ornithosis.

An outbreak of ornithosis occurred in Lidköping, a small town in Southwest Sweden, in January 1967 through May 1969. 24 proved cases were known, aged from 10 to 72 years, 19 patients gave a history of contact with birds (parrots, canaries, parakeets), 13 of them with birds from the same pet shop. Five patients had visited the pet shop only once before their illness. Attempts to prove infection with ornithosis agent in 7 birds from the pet shop were unsuccessful. Three patients, 2 of them in the same household, had no contact with birds and infection from person to person was strongly suspected. All patients had pneumonia. Fever, cough and headache were predominant clinical symptoms. There were relapses in 4 patients and 2 patients had symptoms of encephalitis. No deaths occurred.

Adolescent↗

[Production of a noninfectious ornithosis hemagglutinin preparation].

One of the main obstacles to introduction of the HI test in to extensive use is the high infectivity of the causative agent suspensions used as the source of hemagglutinin (HA). The sterilizing effect of UV-rays, high temperature (56 -60 degrees C) and beta-propiolactone was studied in attempts at preparation of noninfectious ornithosis HA. Only BPL was found to be effective. By this method of treatment of the allantoic fluid a noninfectious preparation of ornithosis HA was obtained which was highly active and stable upon storage. It may be used for diagnostic studies in clinical laboratories.

Chlamydophila psittaci↗

[Ornithosis--an overlooked cause of atypical pneumonia].

A case illustrating the potential severity of infection with Chlamydia psittaci (ornithosis) is reported. The importance of considering Chlamydia psittaci as an option in patients with severe respiratory failure is emphasized with a view to early PCR diagnosis of ornithosis.

Chlamydophila psittaci↗