Infección respiratoria por Chlamydia trachomatis en lactantes. Presentación clínica y evolución de 18 casos
- M.A. Marín Gabriel
- Susana de las Heras Ibarra
- Elena Bergón Sendín
- María Baro Fernández
- F. Sanz
- J. García Martínez
- Jesús Ruiz Contreras
ISSN: 1695-4033, 1696-4608
Année de publication: 2004
Volumen: 60
Número: 4
Pages: 349-353
Type: Article
D'autres publications dans: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )
Résumé
Background Among other diseases, Chlamydia trachomatis causes epididymitis and prostatitis in men and urethritis, cervicitis and pelvic inflammatory disease in women. In children, it most usually causes conjunctivitis and is also responsible for lower respiratory tract disease, occasionally requiring hospital admission Objectives To draw attention to this disease, which is usually overlooked and which can be potentially serious Methods We retrospectively reviewed the medical records of infants aged less than 6months with symptoms of lower respiratory tract disease in whom C. trachomatis antigen was detected by enzimoimmunoassay Results We identified 18 patients with C. trachomatis between 1993 and 2002. Of these, 17 patients required hospital admission and five required monitoring in the pediatric intensive care unit. The mean length of hospital stay was 9.6 days. Three patients were immigrants. The mean age at admission was 6.6 weeks. Apnea occurred in five infants. Chest x-ray showed intersitial infiltrates in five infants. Sixteen patients were treated with erythromycin and all made a complete recovery Conclusions Although lower respiratory tract disease caused by C. trachomatis is usually managed on an outpatient basis, it sometimes requires hospital admission or even management in the intensive care unit. Therefore, C. trachomatis infection should be ruled out in infants aged less than 6 months with clinical symptoms of lower respiratory tract disease for which no other pathogen can be found