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Infecção por Chlamydia pneumoniae

  • Visão geral
  • Teoria
  • Diagnóstico
  • Tratamento
  • ACOMPANHAMENTO
  • Recursos
Última revisão: 20 Aug 2025
Última atualização: 25 Oct 2022

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
Detalhes completos

Outros fatores diagnósticos

  • doença em outros membros da família
  • tosse
  • febre
  • cefaleia
  • estertores
  • sibilos à ausculta torácica
  • taquipneia
  • dor torácica pleurítica
  • macicez à percussão/entrada de ar reduzida/frêmito tátil diminuído
Detalhes completos

Fatores de risco

  • superlotação
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • radiografia torácica
  • contagem diferencial de leucócitos
Detalhes completos

Investigações a serem consideradas

  • cultura de C pneumoniae da nasofaringe, do escarro ou do líquido pleural
  • anticorpo contra C pneumoniae
  • Testes de amplificação de ácido nucleico para C pneumoniae
Detalhes completos

Algoritmo de tratamento

AGUDA

adultos

crianças

Colaboradores

Autores

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

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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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