Huminer D, Pitlik S, Levy R, Samra Z
Department of Internal Medicine, Beilinson Medical Center, Petah Tiqva, Israel.
Ann Otol Rhinol Laryngol. 1994 Feb;103(2):135-8. doi: 10.1177/000348949410300209.
The prevalence of mycoplasmal and chlamydial infection was assessed in 83 children undergoing adenoidectomy, tonsillectomy, or both procedures for recurrent adenotonsillitis or obstructive symptoms. Throat smears (surface specimens) and minced adenoids and tonsils (core specimens) were cultured for Mycoplasma spp and for Chlamydia spp. Isolation rates in adenoidal specimens were as follows: Mycoplasma hominis, surface 7.1% core 2.9%; and Ureaplasma urealyticum, surface 1.4%, core 2.9%. Mycoplasma hominis was also found in tonsillar specimens: surface 14.3%, core 20%. Chlamydia trachomatis was isolated only from a single core adenoidal specimen. The rate of mycoplasma isolation was significantly higher in children with recurrent adenotonsillitis (34.5%) than in those with obstructive symptoms (3.7%). Our findings document colonization of genital mycoplasmas in adenoids and tonsils of children with recurrent adenotonsillitis. Further studies are needed to evaluate the possible pathogenetic role of these microorganisms in adenotonsillar infection.
对83例因复发性腺样体扁桃体炎或阻塞性症状而接受腺样体切除术、扁桃体切除术或两者联合手术的儿童进行了支原体和衣原体感染率评估。对咽喉涂片（表面标本）以及切碎的腺样体和扁桃体（核心标本）进行支原体属和衣原体属培养。腺样体标本的分离率如下：人型支原体，表面7.1%，核心2.9%；解脲脲原体，表面1.4%，核心2.9%。扁桃体标本中也发现了人型支原体：表面14.3%，核心20%。沙眼衣原体仅从一份腺样体核心标本中分离出来。复发性腺样体扁桃体炎患儿的支原体分离率（34.5%）显著高于有阻塞性症状的患儿（3.7%）。我们的研究结果证明复发性腺样体扁桃体炎患儿的腺样体和扁桃体中存在生殖支原体定植。需要进一步研究来评估这些微生物在腺样体扁桃体感染中可能的致病作用。
