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支原体肺炎:越南住院美国肺炎患者的一项研究。

Mycoplasma pneumonia: a study on hospitalized American patients with pneumonia in Vietnam.

作者信息

Arnold K, Kilbridge T M, Miller W C, Smith T J, Cutting R T

出版信息

Am J Trop Med Hyg. 1977 Jul;26(4):743-7. doi: 10.4269/ajtmh.1977.26.743.

Abstract

A prospective study on consecutively hospitalized pneumonia patients showed that 41.5% of 58 patients had a fourfold rise in the complement-fixation titer for Mycoplasma pneumoniae. Viral isolation techniques and serologic tests for influenza A1, A2 and B, parainfluenza 1 and 3, respiratory syncytial virus and the adeno virus group yielded only a single positive isolate for influenza A2. Serologic tests for melioidosis, leptospirosis, scrub, murine and epidemic typhus and psittacosis were all negative. The clinical manifestations were not distinctive for the positive M. pneumoniae patients when compared with the patients having a negative M. pneumoniae complement-fixation test. The symptoms and signs and laboratory and radiologic findings were similar to those described in other reports on primary atypical pneumonia.

摘要

一项对连续住院的肺炎患者进行的前瞻性研究表明,58例患者中有41.5%的肺炎支原体补体结合滴度升高了四倍。对甲型流感病毒1型、2型和乙型流感病毒、副流感病毒1型和3型、呼吸道合胞病毒以及腺病毒组进行病毒分离技术和血清学检测,仅分离出一株甲型流感病毒2型阳性菌株。类鼻疽、钩端螺旋体病、丛林斑疹伤寒、鼠型斑疹伤寒、流行性斑疹伤寒和鹦鹉热的血清学检测均为阴性。与肺炎支原体补体结合试验阴性的患者相比,肺炎支原体阳性患者的临床表现并无特异性。其症状、体征以及实验室和影像学检查结果与其他关于原发性非典型肺炎的报告中所描述的相似。

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