Avian Chlamydiosis (Psittacosis) in Macaws
- See your vet immediately. Avian chlamydiosis is a contagious bacterial infection caused by *Chlamydia psittaci* that can make macaws seriously ill and can also spread to people.
- Common signs include fluffed feathers, low appetite, weight loss, nasal or eye discharge, breathing changes, diarrhea, and lime-green to yellow-green droppings or urates.
- Some macaws carry the infection with mild or no signs, so testing matters even when symptoms seem vague or come and go.
- Diagnosis often uses PCR testing on combined choanal, conjunctival, and cloacal samples, plus bloodwork and imaging when your vet needs to assess severity.
- Treatment usually involves a long doxycycline course, often about 45 days, along with isolation, careful cleaning, and supportive care for hydration and nutrition.
What Is Avian Chlamydiosis (Psittacosis) in Macaws?
Avian chlamydiosis, also called psittacosis or parrot fever, is an infectious disease caused by the bacterium Chlamydia psittaci. Macaws are part of the psittacine family, so they are among the bird groups commonly affected. The organism can infect the respiratory tract, liver, spleen, eyes, and digestive tract, which is why the signs can look very different from one bird to another.
This disease matters for two reasons. First, it can make a macaw quite sick, especially if the bird is stressed or already dealing with another illness. Second, it is zoonotic, which means people can become infected from contaminated dust, droppings, or respiratory secretions. That does not mean every exposed person gets sick, but it does mean a coughing, lethargic, or diarrhea-prone macaw should be handled carefully until your vet says otherwise.
Some macaws show obvious illness, while others become carriers and shed the organism off and on. Because shedding can be intermittent, a bird may look better for a few days and still need testing and treatment planning. Early veterinary care helps protect both your bird and the people around them.
Symptoms of Avian Chlamydiosis (Psittacosis) in Macaws
- Fluffed feathers and sitting quietly
- Low appetite or refusing favorite foods
- Weight loss or prominent keel bone
- Lethargy or reduced interaction
- Nasal discharge, sneezing, or runny eyes
- Breathing harder, tail bobbing, or open-mouth breathing
- Diarrhea or loose droppings
- Lime-green or yellow-green droppings or urates
- Conjunctivitis or swollen tissues around the eyes
- Sudden worsening or collapse
See your vet immediately if your macaw has breathing changes, marked weakness, rapid weight loss, or is not eating. Birds often hide illness until they are quite sick, so even subtle signs matter. If anyone in the home develops fever, cough, headache, or flu-like symptoms after contact with a sick bird, contact a human physician promptly and mention possible psittacosis exposure.
What Causes Avian Chlamydiosis (Psittacosis) in Macaws?
Avian chlamydiosis is caused by infection with Chlamydia psittaci. Macaws usually become infected by inhaling or ingesting contaminated material from droppings, feather dust, respiratory secretions, or dried debris in the environment. Close housing, poor ventilation, transport, rehoming, breeding stress, and mixing birds from different sources can all increase risk.
A challenging part of this disease is that infected birds do not always shed the organism continuously. A macaw may appear normal, then start shedding during times of stress or illness. That means a newly adopted bird, a bird from a store or breeder, or a bird exposed to other parrots can carry infection without dramatic signs at first.
Spread is more likely when cages are crowded, stacked so droppings fall between birds, or cleaned in ways that aerosolize dust. Dry sweeping and vacuuming around contaminated cages can push infectious particles into the air. Because people can also become infected, your vet may recommend temporary isolation of the sick macaw and extra hygiene steps for everyone in the home.
How Is Avian Chlamydiosis (Psittacosis) in Macaws Diagnosed?
Diagnosis usually starts with a careful history and exam. Your vet will ask about recent bird purchases, boarding, travel, contact with other birds, appetite changes, droppings, breathing signs, and whether anyone in the household has become ill. Because psittacosis can mimic other bird diseases, testing is important rather than guessing from symptoms alone.
PCR testing is commonly used to look for C. psittaci DNA. Your vet may collect a combination of choanal, conjunctival, and cloacal swabs, and in some cases may also recommend fecal testing. A negative result does not always rule the disease out, because infected birds may shed intermittently. If suspicion stays high, repeat testing or additional sample types may be needed.
Bloodwork can help assess inflammation, dehydration, and liver involvement. Radiographs may be recommended if your vet is concerned about pneumonia, enlarged liver, or other internal changes. In a very sick macaw, diagnosis and treatment may overlap, with supportive care started right away while confirmatory results are pending.
Treatment Options for Avian Chlamydiosis (Psittacosis) in Macaws
Spectrum of Care means you have options. Here are treatment tiers at different price points.
Budget-Conscious Care
- Exam with an avian-experienced veterinarian
- Initial isolation guidance for the macaw at home
- Targeted PCR testing if finances allow, or treatment plan based on strong clinical suspicion
- Oral doxycycline plan when appropriate
- Home supportive care instructions for warmth, reduced stress, hydration support, and careful monitoring
- Cleaning and zoonotic safety guidance for the household
Recommended Standard Treatment
- Full exam and weight tracking
- PCR testing from appropriate swab sites
- CBC and chemistry panel to assess systemic illness and liver involvement
- Doxycycline treatment, often for about 45 days, with recheck planning
- Supportive care such as fluids, assisted feeding, nebulization, or oxygen if needed
- Isolation and environmental sanitation plan
- Follow-up testing or recheck exam to confirm recovery
Advanced / Critical Care
- Emergency stabilization and hospitalization
- Oxygen therapy or intensive respiratory support
- Injectable medications when oral dosing is not tolerated
- Advanced imaging such as radiographs and expanded lab work
- Crop feeding, fluid therapy, and close nursing care
- Management of severe liver disease, dehydration, or secondary infections
- More intensive biosecurity planning for multi-bird homes
Cost estimates as of 2026-03. Actual costs vary by location, clinic, and individual case.
Questions to Ask Your Vet About Avian Chlamydiosis (Psittacosis) in Macaws
Bring these questions to your vet appointment to get the most out of your visit.
- You can ask your vet which tests are most useful for my macaw right now, and whether PCR from multiple sites would improve accuracy.
- You can ask your vet how strongly psittacosis is suspected versus other causes of green droppings or breathing signs.
- You can ask your vet whether my macaw is stable for home treatment or needs hospitalization.
- You can ask your vet how long treatment is expected to last and what side effects I should watch for during doxycycline therapy.
- You can ask your vet how to isolate my macaw safely if I have other birds at home.
- You can ask your vet what cleaning products and cage-cleaning methods are safest without aerosolizing infectious dust.
- You can ask your vet whether other birds in the household should be tested, monitored, or treated.
- You can ask your vet what signs mean the treatment plan is not working and when I should seek emergency care.
How to Prevent Avian Chlamydiosis (Psittacosis) in Macaws
Prevention starts with smart quarantine and low-stress husbandry. Any new bird should be kept separate from resident birds before introductions, and your vet may recommend testing during that period. Avoid housing birds so droppings, dust, or food debris can pass from one cage to another. Good ventilation, daily cleaning of bowls and cage surfaces, and avoiding overcrowding all help lower risk.
How you clean matters. Wet surfaces with water or an appropriate disinfectant before cleaning so dried droppings and feather dust do not become airborne. Avoid dry sweeping or vacuuming around contaminated material. Wash hands well after handling birds, cages, bowls, or droppings, and do not clean bird supplies in kitchen sinks or food-prep areas.
If a macaw is suspected or confirmed to have psittacosis, isolate that bird and follow your vet’s instructions closely. In multi-bird homes, your vet may recommend testing or monitoring exposed birds even if they seem healthy. There is no routine vaccine for pet macaws for this disease, so prevention depends on quarantine, sanitation, reduced stress, and early veterinary attention when signs appear.
Medical Disclaimer
The information provided on this page is for general informational and educational purposes only and is not intended as a substitute for professional veterinary advice, diagnosis, or treatment. This content is not a diagnostic tool. Symptoms described may indicate multiple conditions, and only a licensed veterinarian can provide an accurate diagnosis after examining your animal. Never disregard professional veterinary advice or delay seeking it because of something you have read on this website. Always seek the guidance of a qualified, licensed veterinarian with any questions you may have regarding your pet’s health or a medical condition. Use of this website does not create a veterinarian-client-patient relationship (VCPR) between you and SpectrumCare or any veterinary professional. If you believe your pet may have a medical emergency, contact your veterinarian or local emergency animal hospital immediately.
