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Pneumonia Associated with the TWAR Strain of Chlamydia
Abstract
From November 1981 to August 1984, 301 adult patients with community-acquired pneumonia were admitted to the major referral hospital of Nova Scotia. Serologic tests done on these patients included microimmunofluorescence using the TWAR strain of Chlamydia and all Chlamydia trachomatis serovars as antigens. The TWAR strain has been shown to cause mild pneumonia in teenagers and young adults. Of the 301 patients, 18 (6%) had serologic evidence of recent infection with the TWAR organism. Their mean age was 64 years. Pneumonia associated with the presence of acute TWAR antibody had no characteristic clinical or radiographic features when compared with pneumonia without acute chlamydia antibody. Six patients, who all had preexisting serious chronic disease, had severe illness, and 2 died. Both patients who died had complicated hospital courses and other concomitant infections. We conclude that the TWAR organism may cause pneumonia in older adults and persons with chronic diseases that require hospitalization.
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Citations
Cited by
Prognosis and Outcomes of Patients With Community-Acquired Pneumonia: A Meta-analysis
Fine, M. J. (1996) · JAMA · doi:10.1001/jama.1996.03530260048030 · Cited by 1,310
Kuo, C. C., Jackson, L. A., Campbell, L. A., & Grayston, J. T. (1995) · Clinical Microbiology Reviews · doi:10.1128/cmr.8.4.451 · Cited by 819
Self-citationCommunity-Acquired Pneumonia Requiring Hospitalization: 5-Year Prospective Study
Marrie, T. J., Durant, H., & Yates, L. (1989) · Clinical Infectious Diseases · doi:10.1093/clinids/11.4.586 · Cited by 640
Self-citationFile, T. M., Segreti, J., Dunbar, L., Player, R., Kohler, R., Williams, R. R., Kojak, C., & Rubin, A. (1997) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.41.9.1965 · Cited by 360
Persistent Infection with Chlamydia pneumoniae following Acute Respiratory Illness
Hammerschlag, M. R., Chirgwin, K., Roblin, P. M., Gelling, M., Dumornay, W., Mandel, L., Smith, P., & Schachter, J. (1992) · Clinical Infectious Diseases · doi:10.1093/clinids/14.1.178 · Cited by 315
Metadata
- Authors
- MARRIE, T. J., GRAYSTON, J. T., WANG, S.-P., & KUO, C.-C.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 1987-04-01
- Volume
- 106
- Issue
- 4
- Pages
- 507-511
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2017409073
- Cited by
- 240
- References
- 0
- FWCI
- 15.97
- Type
- journal article
- Language
- en
- Open access
- closed
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- MARRIE, T. J., GRAYSTON, J. T., WANG, S.-P., & KUO, C.-C. (1987). Pneumonia Associated with the TWAR Strain of Chlamydia. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-106-4-507
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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