Rýzlová M, Gregor P
III. interní-kardiologická klinika 3. lékarské fakulty UK a FN Královské Vinohrady Praha.
Vnitr Lek. 2008 Sep;54(9):866-70.
The article presents the case of a 52-year-old patient who was treated in our clinic for very serious acute Chlamydia pericarditis (a Chlamydia pneumonia infection) with a large pericardial exudate. The clinical progression was that of an acute systematic illness. The article describes the differential diagnostic algorithm used during hospitalisation and the corresponding treatments provided. Similar cases are very rarely described in the literature. The discussion includes an analysis of the possible organic manifestations of acute and chronic Chlamydia pneumoniae infections. This bacterium most frequently attacks the respiratory tract but in humans may also cause separate organic complications such as effects on joints, the lungs, the CNS and the heart. The medicine of choice is always long-term antibiotic therapy (macrolides, fluoroquinolones and tetracyclines).
本文介绍了一名52岁患者的病例，该患者因非常严重的急性衣原体心包炎（衣原体肺炎感染）伴有大量心包积液在我们诊所接受治疗。临床进展为急性全身性疾病。本文描述了住院期间使用的鉴别诊断算法以及相应的治疗措施。类似病例在文献中很少被描述。讨论内容包括对急性和慢性肺炎衣原体感染可能出现的器官表现的分析。这种细菌最常侵袭呼吸道，但在人类中也可能引发单独的器官并发症，如对关节、肺部、中枢神经系统和心脏的影响。首选药物始终是长期抗生素治疗（大环内酯类、氟喹诺酮类和四环素类）。
