What lung diseases can birds cause and how are they transmitted and treated?

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Last updated: June 21, 2025View editorial policy

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From the Guidelines

Birds can cause several lung diseases in humans, primarily through exposure to bird droppings, feathers, and secretions, with psittacosis being a significant concern, as it can be transmitted through inhalation of aerosolized particles from infected birds, as noted in 1. The most common bird-related lung diseases include hypersensitivity pneumonitis, specifically bird fancier's lung or bird breeder's lung, which occurs when a person develops an allergic reaction to avian proteins, and psittacosis, a bacterial infection caused by Chlamydia psittaci. Some key points to consider:

  • Psittacosis can be transmitted through exposure to pet psittacine birds, as well as free-ranging birds, including doves, pigeons, birds of prey, and shore birds, as indicated in 1.
  • Infection with C. psittaci usually occurs when a person inhales the organism, which has been aerosolized from dried feces or respiratory secretions of infected birds, as noted in 1.
  • Other means of exposure include mouth-to-beak contact and the handling of infected birds' plumage and tissues, as mentioned in 1.
  • Prevention is crucial and includes wearing protective masks when cleaning bird cages, ensuring good ventilation in areas where birds are kept, and regular cleaning of bird habitats to minimize dust and dander, as recommended in 1.
  • Treatment for psittacosis typically involves antibiotics, such as doxycycline (100mg twice daily for 10-14 days) or azithromycin (500mg on day one, then 250mg daily for 4 days) for those who cannot take doxycycline. Some measures to control the spread of psittacosis include:
  • Isolating newly acquired birds for 30-45 days and testing or prophylactically treating them before adding them to a group, as suggested in 1.
  • Practicing preventive husbandry, such as positioning cages to prevent the transfer of fecal matter, feathers, food, and other materials from one cage to another, and using solid-sided cages or barriers if cages are adjoining, as recommended in 1.
  • Cleaning all cages, food bowls, and water bowls daily, and disinfecting them regularly, as noted in 1.
  • Preventing the spread of infection by isolating birds requiring treatment, and thoroughly cleaning and disinfecting rooms and cages where infected birds were housed, as recommended in 1.

From the FDA Drug Label

Psittacosis (ornithosis) caused by Chlamydia psittaci. The lung disease that birds can cause is Psittacosis (ornithosis), which is caused by the bacterium Chlamydia psittaci.

  • Transmission: Although the drug label does not explicitly state how Psittacosis is transmitted, it is known that birds can transmit the disease to humans through their droppings or respiratory secretions.
  • Treatment: The drug label indicates that doxycycline is effective in treating Psittacosis 2.

From the Research

Lung Diseases Caused by Birds

  • Psittacosis: a respiratory infection caused by the bacterium Chlamydia psittaci, which can be transmitted to humans through contact with infected bird droppings or respiratory secretions 3, 4, 5, 6
  • Hypersensitivity pneumonitis: an allergic reaction to bird antigens, such as those found in owl droppings or wild bird feathers 7

Transmission of Lung Diseases

  • Psittacosis: transmitted through inhalation of infected bird droppings or respiratory secretions, often occurring in people who work with birds or have contact with infected birds 3, 4, 5, 6
  • Hypersensitivity pneumonitis: transmitted through inhalation of bird antigens, often occurring in people who work with birds or have contact with infected birds 7

Treatment of Lung Diseases

  • Psittacosis: treated with antibiotics, such as azithromycin or doxycycline, and can be severe if left untreated 3, 4, 5, 6
  • Hypersensitivity pneumonitis: treated by avoiding exposure to the allergen and managing symptoms with medication, and can be severe if left untreated 7

Symptoms of Lung Diseases

  • Psittacosis: symptoms include fever, headache, cough, and pneumonia, and can range from mild to severe 3, 4, 5, 6
  • Hypersensitivity pneumonitis: symptoms include fever, cough, and shortness of breath, and can range from mild to severe 7

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

An unusual presentation of a case of human psittacosis.

Respiratory medicine case reports, 2018

Research

Psittacosis. A flu like syndrome.

Australian family physician, 2001

Research

Psittacosis in the RSA.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1986

Research

Severe human psittacosis requiring artificial ventilation: case report and review.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 1995

Research

Hypersensitivity pneumonitis in a raptor handler and a wild bird fancier.

Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 1995

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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