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Chlamydia pneumoniaeによる耳鼻咽喉科領域感染症の4例

机译:肺炎衣原体引起的4例耳鼻喉科感染

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I detail clinical observation, examination, and treatment of regional otorhinolaryngological infection 3-cases of acute sinusitis and 1 of acute pharyngitis-due to Chlamydia pneumoniae, occurring between January 2002 and December 2004,Special clinical features by infection with C.pneumoniae were not recognized in the 4 cases, while ordinary clinical features by conventional bacterial infection were recognized, such as pharyngalgia and pyrexia for acute pharyngitis and purulent discharge and headache for acute sinusitis.I diagnosed an infection for C. pneumoniae for 1 case with acute sinusitis by detecting a causative factor gene of C.pneumoniae by PCR, I diagnosed C,pneumoniae for the 2 other cases of acute sinusitis and the case of acute pharyngitis by confirming antibody titer of C.pneumoniae ascending by serological verification.The 1 adult acute sinusitis case and the acute pharyngitis case were treated using a new quinolone antimicrobial agent I administered macrolides antimicrobial agent to the 2 acute pediatric sinusitis cases and attained good outcomes without recurrence.We wish to emphasize that C, pneumoniae infectionin in the otorhinolaryngological setting has not been adequately reported and has not received the attention it deserved.If a good outcome cannot be attained using the(3-lactam antimicrobial agent for otorhinolaryngological infection, it should be sought using a macrolides antimicrobial agent or the new quinolone antimicrobial agent for adults and with the macrolides antimicrobial agent for pediatric cases.
机译:我详细介绍了2002年1月至2004年12月之间因肺炎衣原体引起的3例急性鼻窦炎和1例急性咽炎的临床观察,检查和治疗,尚不认识到由肺炎衣原体感染引起的特殊临床特征在这4例病例中,虽然可以识别出常规细菌感染的一般临床特征,例如咽炎和发热导致急性咽炎,化脓性分泌物和头痛导致急性鼻窦炎。我通过检测1例急性鼻窦炎诊断出肺炎衣原体感染。通过PCR检测肺炎衣原体的致病因素基因,我通过血清学证实确认肺炎衣原体的抗体滴度确诊为其他2例急性鼻窦炎和急性咽炎病例中的肺炎衣原体。急性咽喉炎病例采用新的喹诺酮类抗菌药物I给予大环内酯类抗生素治疗这是2例急性小儿鼻窦炎的药物,并且没有复发就取得了良好的效果。我们想强调的是,耳鼻喉科的肺炎C感染尚未得到充分报道,也没有得到应有的重视。使用(3-内酰胺类抗微生物剂用于耳鼻喉科感染),应寻求使用大环内酯类抗微生物剂或新的喹诺酮类抗微生物剂用于成人,以及大环内酯类抗微生物剂用于儿科患者。

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