RESUMO
A 25-day-old boy was admitted to hospital because of pneumonia and additionally developed symptoms of encephalitis. The immune fluorescence test for Chlamydia trachomatis in tracheal fluids was positive. Furthermore, ligase chain reaction for C trachomatis was positive in the cerebrospinal fluid. The antibiotic regimen was changed to erythromycin intravenously. C trachomatis encephalitis is rare in neonates and may result from a defect in the alternative pathway of complement activation which was the case in this patient.
Assuntos
Infecções por Chlamydia/congênito , Chlamydia trachomatis , Encefalite/congênito , Doenças do Recém-Nascido/diagnóstico , Infecções por Chlamydia/diagnóstico , Infecções por Chlamydia/imunologia , Via Alternativa do Complemento/imunologia , Diagnóstico Diferencial , Eletroencefalografia , Encefalite/diagnóstico , Encefalite/imunologia , Humanos , Recém-Nascido , Doenças do Recém-Nascido/imunologia , Masculino , Pneumonia Bacteriana/congênito , Pneumonia Bacteriana/diagnóstico , Pneumonia Bacteriana/imunologiaRESUMO
A young woman developed multiple abscesses in her transplanted kidney. Amplification of the 16S rRNA gene with subsequent sequencing revealed Ureaplasma urealyticum as the infectious agent. Microbiological diagnosis and sensitivity testing led to therapy with levofloxacin, resulting in rapid recovery of the patient.