TABLE 3. Clinical findings, hospitalization status, and real-time PCR test results in patients* with confirmed psittacosis cases (n = 13) associated with a psittacosis outbreak — Georgia and Virginia, 2018.
Clinical findings and hospitalization status |
Real-time PCR result by specimen type (Ct value)† |
||||||
---|---|---|---|---|---|---|---|
Patient
|
Pneumonia§
|
Hospitalized
|
Admitted to ICU
|
Sputum
|
BAL
|
NP swab
|
Stool
|
A |
Yes |
Yes |
No |
Pos (30) |
—¶ |
Neg |
Pos (37) |
B |
Yes |
Yes |
No |
Pos (30) |
— |
Neg |
— |
C |
Yes |
No |
No |
Pos (28) |
— |
Neg |
— |
D** |
Yes |
Yes |
No |
Pos (26) |
— |
Neg |
— |
E |
Yes |
Yes |
No |
Pos (26) |
— |
Neg |
— |
F†† |
Yes |
Yes |
Yes |
Pos (27) |
— |
Pos (33) |
— |
G |
Yes |
Yes |
No |
Pos (28) |
— |
— |
Pos (32) |
H |
Yes |
Yes |
No |
Pos (30) |
— |
— |
Neg |
I |
Yes |
Yes |
No |
— |
Pos (31) |
— |
— |
J |
Yes |
Yes |
Yes |
— |
Pos (30) |
— |
— |
K§§ |
No |
Yes |
No |
— |
— |
Pos/Neg (31) |
— |
L |
Yes |
Yes |
No |
— |
— |
Neg |
Pos (38) |
M | Yes | No | No | — | — | — | Pos (32) |
Abbreviations: BAL = bronchoalveolar lavage; Ct = cycle threshold; ICU = intensive care unit; Neg = negative; NP = nasopharyngeal; PCR = polymerase chain reaction; Pos = positive.
* All specimens associated with an individual patient were collected on the same day unless otherwise noted. For example, sputum, NP swab, and stool specimens for patient A were all collected on the same day, but specimens from patient A were not necessarily collected on the same day as were those from patient B.
† ”Pos” indicates Chlamydia psittaci was detected. “Neg” indicates C. psittaci was not detected. Ct values represent the real-time PCR amplification cycle at which CPSIT_RS01985 amplification was first detected. Ct values are displayed only for C. psittaci–positive specimens, because CPSIT_RS01985 was not detected in C. psittaci–negative specimens.
§ Radiograph-confirmed pneumonia.
¶ Dashes indicate specimen type was not submitted to CDC.
** Sputum was collected 3 days after the NP swab.
†† Sputum was collected 1 day after the NP swab.
§§ Two NP swabs were tested; one tested positive and one tested negative. The negative NP swab was collected 2 days after the positive NP swab.