The role of Chlamydia in upper respiratory tract infections

被引:14
作者
Margaret R. Hammerschlag
机构
[1] State University of New York Health Science Center at Brooklyn,Department of Pediatrics and Medicine
关键词
Otitis Medium; Acute Otitis Medium; Chlamydia Trachomatis; Pharyngitis; Otitis Medium With Effusion;
D O I
10.1007/s11908-000-0023-y
中图分类号
学科分类号
摘要
Although Chlamydia pneumoniae and Chlamydia psittaci are well-established causes of community-acquired pneumonia, little is known about the role of Chlamydia species in upper respiratory tract infections. C. pneumoniae may play a role in the pathogenesis of acute otitis media. Although C. pneumoniae has been isolated from the middle-ear fluid of children with otitis, children in whom the organism was isolated from middle-ear fluid improved despite being treated with antibiotics that are not active against C. pneumoniae. Although many patients with community-acquired pneumonia caused by C. pneumoniae have symptoms suggestive of sinusitis, there is only one report of isolation of the organism from the maxillary sinus of a patient with sinusitis. Studies of the association with pharyngitis are all based on serology, which often has a poor correlation with isolation of the organism by culture.
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页码:115 / 120
页数:5
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