Terada K, Kishimoto T, Niizuma T, Kataoka N
Department of Pediatrics, Kawasaki Medical School.
Kansenshogaku Zasshi. 1999 Sep;73(9):939-42. doi: 10.11150/kansenshogakuzasshi1970.73.939.
Mycoplasma pneumoniae infection is often experienced as community-acquired pneumonia, whereas Chlamydia trachomatis pneumonia is sometimes experienced as a vertical infection from mother to child through delivery, but is rare after six months of age. We reported the first case to date of a seven-year-old boy with coinfection of C. trachomatis and M. pneumoniae. The patient, who was referred to our hospital because of suspected pneumonia, had had severe cough and pyrexia for four days before his admission. The coinfection was confirmed because the antibodies to both bacteria were significantly increased. In addition the PCR for C. trachomatis detected the presence of C. trachomatis in the throat even after treatment. The PCR from a cervix swab of his mother and from a throat swab of his father were negative, but their antibodies to C. trachomatis were positive. We think that this may have been community-acquired pneumonia or due to persistent infection after a vertical transmission.
肺炎支原体感染通常表现为社区获得性肺炎,而沙眼衣原体肺炎有时表现为母婴经分娩垂直感染,但6个月龄后罕见。我们报道了首例7岁男孩沙眼衣原体与肺炎支原体合并感染的病例。该患者因疑似肺炎转诊至我院,入院前4天出现严重咳嗽和发热。由于两种细菌的抗体均显著升高,确诊为合并感染。此外,即使经过治疗,沙眼衣原体的PCR检测仍在其咽喉部检测到沙眼衣原体的存在。其母亲宫颈拭子和父亲咽喉拭子的PCR检测均为阴性,但他们沙眼衣原体抗体呈阳性。我们认为这可能是社区获得性肺炎,或者是垂直传播后持续感染所致。