Latorre G, Girala M, Gómez F, Lucas I
Departamento de Medicina Interna, Facultad de Medicina, Universidad de Navarra.
Rev Med Univ Navarra. 1998 Jan-Mar;42(1):14-7.
Chlamydia pneumoniae causes respiratory tract infections, and it is transmitted by air and fomites. It is probably more frequent than it is described, due to asymptomatic or mild symptomatic patients. They respond to macrolides, tetracyclines and quinolones, though patients may recover slowly. An increase of the incidence of pneumonia, caused by Chlamydia pneumoniae, is shown in recent multicenter surveys, being even more frequent than Streptococcus pneumoniae and Mycoplasma pneumoniae. Recently it has been demonstrated an association between coronary artery disease and atherosclerosis with Chlamydia pneumoniae infection. Special attention must be paid to the cardiovascular complications of Chlamydia pneumoniae. We describe six clinical cases of Chlamydia pneumoniae pneumonia in which two of them suffered from ischemic artery disease as a complication of the infection.
肺炎衣原体可引起呼吸道感染,通过空气和污染物传播。由于存在无症状或症状轻微的患者,其实际感染率可能比所描述的更高。尽管患者恢复可能较慢,但肺炎衣原体感染对大环内酯类、四环素类和喹诺酮类药物有反应。最近的多中心调查显示,由肺炎衣原体引起的肺炎发病率有所上升,甚至比肺炎链球菌和肺炎支原体更为常见。最近已证实肺炎衣原体感染与冠状动脉疾病和动脉粥样硬化之间存在关联。必须特别关注肺炎衣原体的心血管并发症。我们描述了6例肺炎衣原体肺炎的临床病例,其中2例患有缺血性动脉疾病,为感染的并发症。