Chlamydia psittaci in garden birds in Sweden

Increased numbers of human infections with Chlamydia psittaci have been associated with bird feeding activities in southern Sweden. Information on occurrence and genotype of C. psittaci in garden birds in Sweden is required to corroborate this finding but data are limited. Additionally, pathogenicity of C. psittaci for garden birds is poorly understood. In this study, C. psittaci infection was investigated in 275 garden birds representing 22 species submitted for wildlife disease surveillance between 2009 and 2019. PCR was used to detect C. psittaci DNA in liver and lung. Positive samples were genotyped, additional PCR was performed on feces, and tissues were examined microscopically. C. psittaci was found in six (2.2 %) birds; three great tits (Parus major), two feral (Columba livia) and one wood pigeon (Columba palumbus). Two great tits and the wood pigeon had inflammatory lesions associated with C. psittaci. In the great tits and wood pigeon, C. psittaci genotype A, the cause of most human cases, was detected. Genotype B, considered endemic in pigeons, was detected in the feral pigeons. Low incidence of C. psittaci in dead Swedish garden birds was similar to studies on apparently healthy Swedish birds. Pathological findings were consistent with C. psittaci being fatal in half of the positive birds, which also had higher bacterial loads in feces. This highlights the risk for human infection via infected garden birds, especially regarding great tits and pigeons.