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本文报告了一家中父母、女儿、孙女4人在半月内相继出现呼吸道症状,伴或不伴有发热;受累侧肺内X线胸片上见浸润阴影,诊断为肺炎,用微量免疫荧光法(MIF)测肺炎衣原体IgM、IgG抗体,结果父亲双份血清IgG抗体滴度4倍增高,母亲和女儿的IgG抗体最高效价增到1:1024,显示有近期急性感染指征;父、母、孙女3例在治疗中只对大环内酯类和四环素类抗菌素有反应。诊断为肺炎衣原体肺部感染家庭中爆发,并进行了有关文献复习和讨论。
This article reports that one parent, daughter, and granddaughter had respiratory symptoms one after another within half a month, with or without fever; infiltrating shadow was seen on the X-ray on the affected side of the lung, diagnosed as pneumonia, and immunofluorescence microscopy (MIF ) Test of Chlamydia pneumoniae IgM, IgG antibodies, results double serum IgG antibody titer of his father 4 times higher, the highest titers of mothers and daughters IgG antibody increased to 1: 1024, indicating the recent acute infection indications; parent, mother and granddaughter Three patients were treated only with macrolides and tetracycline antibiotics. Diagnosis of pneumonia Chlamydia pneumonia outbreaks in families, and the relevant literature review and discussion.