Boitout A, Lion C, Chabot F, Delorme N, Burdin J C, Polu J M
Service des Maladies respiratoires et réanimation respiratoire de Nancy-Brabois, Vandoeuvre-lès-Nancy.
Rev Pneumol Clin. 1991;47(5):208-13.
The authors present the main characteristics of respiratory pasteurellosis on the basis of 32 personal cases. The predominant background is chronic obstructive lung disease consecutive, in most cases, to chronic bronchitis. In patients without chronic lung disease the infection occurs when the terrain is deficient. The most common clinical form is bronchitis; pneumonia, pleurisy and lung abscess are rare. The existence of asymptomatic carriers has been recognized. Clinical manifestations are devoid of pathognomonic signs and symptoms. Diagnosis rests on isolation of the micro-organism and can be completed by serodiagnosis and intradermal reaction to pasteurelline. The severity of respiratory pasteurellosis depends on the clinical form and the background. The curative treatment is simple and effective as a rule, but prevention is possible and recommended since pasteurellosis is a potentially severe infection.
作者基于32例个人病例介绍了呼吸道巴氏杆菌病的主要特征。主要背景是多数情况下继发于慢性支气管炎的慢性阻塞性肺疾病。在没有慢性肺部疾病的患者中,当地体状况不佳时会发生感染。最常见的临床形式是支气管炎;肺炎、胸膜炎和肺脓肿较为罕见。无症状携带者的存在已得到确认。临床表现缺乏特征性的体征和症状。诊断基于微生物的分离,血清学诊断和对巴氏杆菌菌素的皮内反应可作为补充。呼吸道巴氏杆菌病的严重程度取决于临床形式和背景。通常,治疗简单有效,但由于巴氏杆菌病是一种潜在的严重感染,预防是可行且推荐的。