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[: 更新与新挑战]

[: update and new challenges].

作者信息

Dumoulin Alexis

机构信息

Biologiste adjoint, Service des maladies infectieuses, Institut central des Hôpitaux, Hôpital du Valais, Avenue du Grand-Champsec 86, 1950 Sion.

出版信息

Rev Med Suisse. 2016 Oct 12;12(534):1694-1697.

Abstract

Mycoplasma pneumoniae is a frequent cause of community acquired pneumonia, especially in children. Discovered by Eaton in the 1940s, it has long been considered as a virus, in part because of its difficult growth in cultures. M. pneumoniae can cause many complications, some of which are severe such as dermatological lesions or affections of the central nervous system. The laboratory diagnosis of M. pneumoniae is difficult, notably because of the fastidious growth conditions, the persistence of IgM antibody after acute infection and the debated existence of asymptomatic carriers. In recent years, the spread of mutants resistant to macrolides caused an additional challenge linked to this pathogen.

摘要

肺炎支原体是社区获得性肺炎的常见病因,尤其在儿童中。它于20世纪40年代由伊顿发现,长期以来一直被认为是一种病毒,部分原因是其在培养物中难以生长。肺炎支原体可引起许多并发症,其中一些较为严重,如皮肤病变或中枢神经系统感染。肺炎支原体的实验室诊断很困难,特别是由于其苛刻的生长条件、急性感染后IgM抗体的持续存在以及无症状携带者是否存在存在争议。近年来,对大环内酯类耐药的突变体的传播给这种病原体带来了额外的挑战。

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