Clinical picture of community-acquired Chlamydia pneumoniae pneumonia requiring hospital treatment: A comparison between chlamydial and pneumococcal pneumonia

被引:102
作者
Kauppinen, MT
Saikku, P
Kujala, P
Herva, E
Syrjala, H
机构
[1] NATL PUBL HLTH INST,DEPT OULU,OULU,FINLAND
[2] OULU UNIV HOSP,DEPT HOSP INFECT CONTROL,OULU,FINLAND
[3] OULU UNIV HOSP,DEPT INTERNAL MED,DIV INFECT DIS,OULU,FINLAND
[4] OULU UNIV HOSP,CLIN MICROBIOL LAB,OULU,FINLAND
关键词
Chlamydia pneumoniae; community-acquired pneumonia; clinical signs;
D O I
10.1136/thx.51.2.185
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background - The importance of Chlamydia pneumoniae as a cause of pneumonia has remained controversial. The clinical picture of C pneumoniae and Streptococcus pneumoniae in patients admitted to hospital with community-acquired pneumonia was compared during a C pneumoniae epidemic in Finland. Methods - Group I consisted of 24 patients in whom serological testing and bacterial culture indicated an association with C pneumoniae only, group II comprised nine patients with both C pneumoniae and S pneumoniae, and group III consisted of 13 patients with S pneumoniae only. Results - The patients with C pneumoniae suffered from headache more frequently than the other patients (group I, 46%; group II, 11%; and group III, 15%) and had received antimicrobial treatment more often before admission to hospital (group I, 54%; groups II and III, 0%). The patients with C pneumoniae produced few good sputum samples and had suffered from respiratory symptoms longer than those with S pneumoniae (group I, 10 days; groups II and III, 4 days). C reactive protein values on admission were lowest in group I and highest in group II. The antimicrobial treatment provided in hospital covered C pneumoniae in 36% of cases in group I and 0% in group II, while S pneumoniae was covered in all patients. C pneumoniae and S pneumoniae together were associated with more severe disease and a longer stay in hospital. Conclusions - Pneumonia caused by C pneumoniae was milder but clinically resembled that caused by S pneumoniae, and required hospital treatment even among young patients. Mixed infections were common and should be taken into account when planning antimicrobial treatment for community-acquired pneumonia. Further studies with more patients are needed to evaluate the severity of C pneumoniae pneumonia.
引用
收藏
页码:185 / 189
页数:5
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