Keakei, a 4 year old male (DNA sexed) Congo African Grey Parrot, presented to the Triage Service at the Cornell University Hospital for Animals due to decreased activity, inappetence, yellow-stained urates and "quiet behavior". Six days prior to presentation at Cornell, Keakei was admitted to the referring veterinarian (rDVM) for evaluation of similar signs and regurgitation. Oral Nystatin and Trimethoprim-Sulfonamide were prescribed to treat for presumed gastrointestinal bacterial or fungal infection. There was a slight increase in activity and appetite noted the next day, but three days later the bird became inappetant and "quiet" again. Yellow-colored urates and dark stool continued to be noted over the next two days and Keakei was then brought to Cornell. Keakei's environment had recently been going through changes as its owner was in the process of moving. Throughout most of its life, the bird lived in a non-painted metal cage and had been exposed to finches who were housed in the same room, but in a separate cage. Keakei's regular diet consisted of Pretty Boy Parrot pellets, an unknown seed mixture (majority of diet), fruits and random feedings of the owner's food. No previous medical problems or exposure to inhaled or ingested toxins were reported. The finches had not been exhibiting any clinical signs of illness recently.