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Chlamydia pneumoniae infection

  • 概述
  • 理论
  • 诊断
  • 治疗
  • 随访
  • 资源
最后审阅： 18 Aug 2025
最后更新： 25 Oct 2022

小结

定义

病史和体格检查

关键诊断因素

  • presence of risk factors
完整详情

其他诊断因素

  • illness in other family members
  • cough
  • fever
  • headache
  • rales
  • wheezes on chest auscultation
  • tachypnoea
  • pleuritic chest pain
  • dullness to percussion/reduced air entry/decreased tactile fremitus
完整详情

危险因素

  • overcrowding
完整详情

诊断性检查

首要检查

  • chest x-ray
  • WBC count with differential
完整详情

需考虑的检查

  • C pneumoniae culture of nasopharynx, sputum, or pleural fluid
  • C pneumoniae antibody
  • Nucleic acid amplification tests for C pneumoniae
完整详情

治疗流程

急症处理

adults

children

撰稿人

作者

Margaret R. Hammerschlag, MD

Professor of Pediatrics and Medicine

Director

Division of Pediatric Infectious Diseases

SUNY Downstate Medical Center

Brooklyn

NY

利益声明

MRH is an author of a number of references cited in this monograph.

同行评议者

Yuji Oba, MD, FCCP

Associate Professor of Clinical Medicine

Division of Pulmonary/Critical Care Medicine

School of Medicine

University of Missouri-Columbia

Columbia

MO

利益声明

YO declares that he has no competing interests.

Sebastian Johnston, MB, BS, PhD, FRCP

Professor of Respiratory Medicine

Honorary Consultant Physician in Allergy and Respiratory Medicine

Department of Respiratory Medicine

Imperial College School of Medicine

London

UK

利益声明

SJ has received fees for speaking, and research and consultant fees from Sanofi Pasteur, Aventis, GlaxoSmithKline, AstroZeneca, Merck, Pfizer, Centocor, and Synergen.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Kumar S, Hammerschlag MR. Acute respiratory infection due to Chlamydia pneumoniae: current status of diagnostic methods. Clin Infect Dis. 2007 Feb 15;44(4):568-76.全文  摘要

Rockey DD, Lenart J, Stephens RS. Genome sequencing and our understanding of Chlamydiae. Infect Immun. 2000 Oct;68(10):5473-9.全文  摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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