Reis J, Le Faou A, Levy F, Kapfer M T, Gut J P
Presse Med. 1985 Jan 19;14(2):87-9.
A rare case of Chlamydia psittaci encephalitis is reported. The disease started with anxiety, agitation and fever (38.5 degrees C) accompanied with hallucinations and regressed within 48 hours, but a confusional syndrome persisted for 9 days. Alterations in the blood-brain barrier with low CSF protein levels and signs of lateralization could be demonstrated. The inflammatory syndrome remained discrete. The cause of the disease was disclosed by serology and epidemiological investigations. The spontaneous outcome was favourable, thus confirming that neurological forms of psittacosis are benign. This case shows that microimmunofluorescence is more sensitive than the complement fixation test and that significant levels of antibodies directed against Chlamydia psittaci may persist for almost one year in the absence of treatment.
报告了一例罕见的鹦鹉热衣原体脑炎病例。疾病以焦虑、躁动和发热（38.5摄氏度）起病，伴有幻觉，并在48小时内消退，但意识模糊综合征持续了9天。可证实存在血脑屏障改变，脑脊液蛋白水平低且有定位体征。炎症综合征不明显。通过血清学和流行病学调查揭示了疾病病因。自发转归良好，从而证实鹦鹉热的神经学形式是良性的。该病例表明，微量免疫荧光法比补体结合试验更敏感，且在未治疗的情况下，针对鹦鹉热衣原体的显著抗体水平可能持续近一年。
