肺炎衣原体肺炎家庭爆发

An outbreak of chlamydia pneumonia in a family

  • 摘要: 本文报告了一家中父母、女儿、孙女4人在半月内相继出现呼吸道症状,伴或不伴有发热;受累侧肺内X线胸片上见浸润阴影,诊断为肺炎,用微量免疫荧光法(MIF)测肺炎衣原体IgM、IgG抗体,结果父亲双份血清IgG抗体滴度4倍增高,母亲和女儿的IgG抗体最高效价增到1:1024,显示有近期急性感染指征;父、母、孙女3例在治疗中只对大环内酯类和四环素类抗菌素有反应。诊断为肺炎衣原体肺部感染家庭中爆发,并进行了有关文献复习和讨论。

     

    Abstract: Four members of a farnily(father,mother,daughter,5-year-old granddaughter)fell ill one afteranother in two weeks.They had signs and syrnptoms of respiratory infection including cough expectoration,chest pain,auscultatory rales,with or without fever.Pulmonary infiltrations were seen on the chest film,and diagnosis of pneurnonia was made,Sera were tested for immunoglobulin M and G (IgM and IgG)anti-bodies against chlamydia pneumonitqe antigen,using the microimmunofluorescence(MIF)technique(in thecases of the father,mother and daughter).A fourfold rise of IgG antibody titer was found in the case of fa-ther.The IgG titer was 1:1024 in caxes of mother and daughter,therefore acute of recent infection withchlamydia pneumoniae was considered.Upon clinical trail with antibiotics the adult patients(father,motherand granddaughter)responded only to tetracyclines and macrolides antibiotics,According to epidemic analy-sis.an outbreak of chlamydia pneumonae infection in the family was confirmed.Literatures on chlarnvdiapneumoniae infection were reviewed and briefly discussed.

     

/

返回文章
返回