Piéron R, Lesobre B, Mafart Y, Meyniel D, Coppin M
Poumon Coeur. 1976;32(4):161-7.
The authors report four observations of rickettsioses with R. conori (3 cases) or R. mooseri (1 case) with pericardial, pleural or pulmonary manifestations (2 cases). On this occasion, they recall that diagnosis of rickettsiosis can only be made on precise conditions: compatible clinical syndrome, significantly increasing then decreasing antibodies level, negative bacteriological and viral investigations and effectiveness of particular antibiotics. They also recall the main characteristics of pericardites, pleurisies, and pneumopathies produced by rickettsiae, probably more frequently than previously thought.
作者报告了4例由康氏立克次体(3例)或莫氏立克次体(1例)引起的立克次体病观察病例,伴有心包、胸膜或肺部表现(2例)。在此,他们回顾指出,立克次体病的诊断只能在精确条件下做出:具有相容的临床综合征、抗体水平先显著升高后下降、细菌学和病毒学检查呈阴性以及特定抗生素治疗有效。他们还回顾了立克次体引起的心包炎、胸膜炎和肺炎的主要特征,其发生频率可能比之前认为的更高。