Chikumi H, Kanamoto Y, Matsumoto Y, Sugimoto Y, Sakata T, Teramoto H, Yamasaki S, Konishi T, Tatsukawa T, Sasaki T
Third Department of Internal Medicine, Faculty of Medicine, Tottori University.
Kansenshogaku Zasshi. 1994 Mar;68(3):407-10. doi: 10.11150/kansenshogakuzasshi1970.68.407.
We diagnosed a 41-year-old female patient to be suffering from Chlamydia pneumoniae (C. pneumoniae) by using PCR and culture methods. She had a prolonged dry cough and slight fever. Her chest roentgenogram showed a segmental infiltration in the middle of the right lung field. We treated her with 400 mg of cefpodoxime proxetil (CPDX-PR) per day. On the 4th day after beginning the treatment with CPDX-PR, she still complained of a productive cough. We changed the treatment by using 300 mg of roxithromycin per day and these symptoms disappeared. To diagnose C. pneumoniae early, PCR, MIF and culture methods are very useful diagnostic tools.
我们通过聚合酶链反应（PCR）和培养方法诊断出一名41岁女性患者感染了肺炎衣原体（C. pneumoniae）。她长期干咳并伴有低热。她的胸部X线片显示右肺野中部有节段性浸润。我们每天用400毫克头孢泊肟酯（CPDX-PR）对她进行治疗。在开始使用CPDX-PR治疗后的第4天，她仍诉说有咳痰。我们改为每天使用300毫克罗红霉素进行治疗，这些症状消失了。为了早期诊断肺炎衣原体，PCR、微量免疫荧光法（MIF）和培养方法是非常有用的诊断工具。
