Chlamydia pneumoniae

Česká verzia

Authors: V. Stripajová; L. Svobodová; M. Marel; J. Homolka
Authors place of work: Přednosta: prof. MUDr. Jiří Homolka, DrSc. ; I. klinika TRN 1. LF UK a VFN, Praha
Published in the journal: Prakt. Lék. 2008; 88(7): 422-424
Category: Case Report

Summary

Two cases of Chlamydia pneumoniae pneumonia are described. The first case is a primary infection in a young woman with mild course of the disease. The second case is a re-infection in an older woman with a modified clinical picture of pneumonia because of concomitant diseases. At present, there is no “gold standard” for the diagnosis of Chlamydia pneumoniae pneumonia. The diagnosis is based on the results of serology. Quinolones and macrolides are useful in the treatment.

Key words:
Ch. pneumoniae, primary infection, reinfection, serology, diagnosis, therapy.

Zdroje

1. Kolek, V. Pneumonie, diagnostika a léčba. Praha: Triton, 2003, s. 18-21.

2. File, T. M. Jr., Tan, J.S. Chlamydia pneumoniae pneumonia. Semin. Resp. Care Med. 21, 2000, 4, p. 285-294.

3. Miyashita, N., Fukano, H., Okimoto, N. et al. Clinical presentation of community-acquired Chlamydia pneumoniae pneumonia in adults. Chest, 121, 2002, 6, p. 1776-1781.

4. Medková, Z., Kalousek, I., Jarčuška, P. Chlamydiové infekce. Praha: Triton, 2001, č.14, s. 55-77.

5. Ewig, S., Torres, A. Is Chlamydia pneumoniae an important pathogen in patients with community-acquired pneumonia? Eur. Resp. J. 21, 2003, 5, p. 741-742.

6. Sopena, N., Pedro-Botet, M.L., Síria, M. et al. Comparative study of community-acquired pneumonia, caused by Streptococcus pneumoniae, Legionella pneumophila or Chlamydia pneumoniae. Scand. J. Infect. Dis. 36, 2004, 5, p. 330-334.

7. Hammerschlag, M.R. Pneumonia due to Chlamydia pneumoniae in children: Epidemiology, diagnosis, and treatment. Pediatr. Pulm. 36, 2003, 5, p. 384-390.

8. Boersma, W.G., Daniels, J.M., Löwenberg A. et al. Reliability of radiographic findings and the relation to etiologic agens in community- acquired pneumonia. Resp. Med. 2006, 5, p. 926-932.

9. Miyashita, N., Saito, A., Kohno, S. et. al. Multiplex PCR for the simultaneous detection of Chlamydia pneumoniae, Mycoplasma pneumoniae and Legionella pneumophila in community acquired pneumonia. Resp. Medicine 98, 2004, 6, p. 542-550.

10. Miyashita, N., Niki, Y., Matsushima, T., Okimoto, N. Community-acquired Chlamydia pneumoniae pneumonia. Chest 117, 2000, 2, p. 615.

11. Miyashita, N., Fukano, H., Hara, H. et al. Recurrent pneumonia due to persistent Chlamydia infection. Intern Med 41, 2002, 1, p. 30-33.