Pneumonia Chlamydia pneumoniae

Due to its powerful specific activity against commonly isolated community-acquired respiratory tract pathogens [33,149-158], including penicillin-sensitive and -resistant Streptococcus pneumoniae, methicillin-sensitive Staphylococcus aureus, Haemophilus spp., Moraxella catarrhalis and atypical pathogens such as Mycoplasma pneumoniae, Chlamydia pneumoniae and Legionella pneumophila and Klebsiella pneumoniae and anaerobic bacteria [159-162], moxifloxacin was developed as a respiratory tract anti-infective [163-168]. 

Eile TM, Tan JS, Plouffe JE. The role of atypical pathogens Mycoplasma pneumoniae, Chlamydia pneumoniae and Legionella pneumophila in respiratory infection. Infect Dis Clin North Am 1998 12 569-592. 

Pathogens Streptococcus pneumoniae (most common), Haemophilus influenzae, Salmonella, Mycoplasma pneumoniae, Chlamydia, and viruses (parvovirus B1 9)... 

L., Grimwood, J., Davis, R.W. and Stephens, R.S. (1999) Comparative genomes of Chlamydia pneumoniae dead C. trachomatis. Nature Genetics 21, 385-389. 

Fur-like proteins are found in nearly all bacteria sequenced so far, with some notable exceptions the highly adapted and specialized pathogens, such as Mycoplasma pneumoniae, M. genitalium, Treponema pallidum, Chlamydia, and Ricketsia do not seem to contain genes encoding Fur-like proteins. Only some of the archaea, e.g. Archaeoglobusfulgidus, encode a Fur-like protein. In many cases, the Fur-like proteins... 

Chlamydia infection can be transmitted at birth to the neonate and cause conjunctivitis and a subacute, afebrile pneumonia with onset at 1 to 3 months. 

Generally very resistant to all antimicrobials check sensitivities to ceftazidime 6 ticarcillinChlamydia pneumoniae Doxycyclinee... 

Respiratory viruses are by far the most common infectious agents associated with acute bronchitis. The common cold viruses, rhinovirus and coronavirus, and lower respiratory tract pathogens, including influenza virus, adenovirus, and respiratory syncytial virus, account for the majority of cases. Mycoplasma pneumoniae also appears to be a frequent cause of acute bronchitis. Other bacterial causes include Chlamydia pneumoniae and Bordetella pertussis. 

Differential Diagnosis Q fever usually presents as an undifferentiated febrile illness, or a primary atypical pneumonia, which must be differentiated from pneumonia caused by mycoplasm, Tegionnaires disease, psittacosis or Chlamydia pneumoniae. More rapidly progressive forms of pneumonia may look like bacterial pneumonia including tularemia or plague. 

Kalayoglu, M.V., and Byrne, G.I., 1998a, A Chlamydia pneumoniae component that induces macrophage foam ceU formation is chlamydial hpopolysaccharide, Infect. Immun. 66 5067-5072. 

Clotrimazole is an imidazole antifungal agent indicated for the treatment of fungal infections caused by Candida albicans. The administration of clotrimazole would be of no use in the treatment of infections caused by Chlamydia trachomatis, Neisseria gonorrhoea, Staphylcoccus aureus and Streptococcus pneumoniae. 

The major precipitants of exacerbations of COPD are acute airways infections. The role of bacteria in precipitating exacerbations is controversial. Bacteria may have a primary role in the development of an exacerbation or represent a secondary superinfection of an initial viral process. The major bacterial organisms that have been associated with exacerbations are Haemophilus influenzae. Streptococcus pneumoniae, and Moraxella (Branhamella) catarrhalis. Mycoplasma pneumoniae and Chlamydia pneumoniae may play a part. In COPD patients with a FEVi < 35% predicted gram-negative bacteria, especially Enterobacteriaceae and Pseudomonas spp. play an important part in acute exacerbations. 

A number of infections caused by Chlamydia trachomatis, such as trachoma, inclusion conjunctivitis, pneumonia, and urethritis, can be treated with topical or systemic sulfonamides, although tetracycline or erythromycin is preferred. 

It is indicated in the treatment of lower respiratory tract infection e.g. bronchitis and pneumonia, upper respiratory tract infections e.g. pharyngitis and sinusitis, infections due to chlamydia, legionella and mycoplasma, skin and soft tissue infections and eradication of H. pylori with acid suppressants. 

Some publications desaibed successful use of Enterosgel for treatment of systemic osteoporosis in post-menopausal women [83], reactive arthritis associated with chlamydia or/and yersiniosis infections [84], and severe forms of acute pneumonia in children [85, 86]. 

S pneumoniae, S aureus, H influenzae, Moraxella catarrhaiis, mycoplasmas, Legionella, Chlamydia, H pylori, N gonorrhoeae, fragilis, T gondii, and nontuberculosis mycobacteria. Many macrolide-resistant strains are susceptible to ketolides because the structural modification of these compounds renders them poor substrates for efflux pump-mediated resistance and they bind to ribosomes of some bacterial species with higher affinity than macrolides. 

---