17th February 2025

A 50-year-old lady presents with a headache and productive cough.

A 50-year-old lady presents with a headache and productive cough. She is an avid ornithologist and her favourite Norwegian blue parrot has recently died. On examination, she has a macular rash over her trunk. 

Observations are as follows: temperature 38.5°C, AMTS 8/10

What is the likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.