Chlamydial pneumonia in the low birthweight neonate.

Abstract

SUMMARY Five low birthweight neonates who developed a severe pneumonia are described. Chlamydia trachomatis was isolated from the respiratory tract of all infants. They had protracted respiratory problems despite eradication of the organism by chemotherapy.

Acute neonatal respiratory failure and Chlamydia trachomatis

“…4 5 Attenburrow describes five cases of severe neonatal pneumonia due to C trachomatis in preterm babies (25-32 weeks' gestation) two of whom were delivered by caesarean section; all of them needed ventilation and one of them died. 6 Prematurity increases the risks of respiratory failure as was evident in this cohort; however, our case illustrates that even near to term (36 weeks) babies are at risk and can go on to need ventilatory support.…”

Role of Ureaplasma urealyticum and Chlamydia trachomatis in lung disease in low birth weight infants

“…Overall, 9% (4 of 44) had endotracheal aspirates positive for ureaplasma growth at birth and a further 5% (2/44) developed ureaplasma colonization thereafter (day [6][7][8][9][10][11][12][13][14]. From 30 cases, only one aspirate was taken per patient and in two of these infants Ureaplasma urealyticum was isolated at amounts of 5,000/ ml and 60,000/ml of aspirate.…”

Infecção por Chlamydia trachomatis no período neonatal: aspectos clínicos e laboratoriais. Experiência de uma década: 1987-1998

“…Os achados clínicos, descritos por Benn; Saxon 26 ,em 1977, manifestam-se geralmente entre a segunda e 16ª semana de vida no RN; o quadro respiratório costuma ser mais grave que no lactente, com aumento progressivo da freqüência respiratória (entre 50 e 70 movimentos respiratórios/minuto), cianose, deterioração do estado geral à ausculta pulmonar, roncos e estertores crepitantes difusos 29,30 . Na casuística apresentada, a média de início dos sintomas respiratórios foi de 14,2 dias, sendo que em quatro casos (1,2,7 e 15) ( Tabela 2) o início foi na primeira semana e os RN tiveram quadro ocular iniciado no primeiro dia de vida, com exceção do caso 2 que só teve pneumonia.…”