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Chlamydia trachomatis-pneumonie kort na de geboorte

Een voorbeeld van atypisch verlopende luchtweginfecties bij de neonaat

  • casuïstische mededelingen
  • Published:
Tijdschrift voor Kindergeneeskunde

Samenvatting

Infectie door Chlamydia trachomatis is de meest voorkomende seksueel overdraagbare aandoening. Maternale infectie tijdens de zwangerschap kan leiden tot prematuriteit en perinatale morbiditeit. Perinatale infectie leidt meestal tot neonatale conjunctivitis of pneumonie met een mild beloop, optredend enkele weken na de geboorte. Door intra-uteriene besmetting kunnen echter kort na de geboorte al respiratoire problemen optreden met een atypisch begin en een gecompliceerd beloop. In deze casus beschrijven wij een prematuur geboren neonaat met respiratoir falen ten gevolge van Chlamydia trachomatis-pneumonie. Tijdige diagnostiek naar atypische verwekkers en empirische behandeling zijn belangrijk bij neonaten met onverklaarde respiratoire problemen ter voorkoming van ernstige complicaties.

Summary

Chlamydia trachomatis infection is important as it is the most common sexually transmitted disease. Maternal infection during pregnancy is related to premature labour and to perinatal complications. Perinatal infection may lead to conjunctivitis or pneumonia, which occurs several weeks after birth. However, after transmission in utero, respiratory problems may occur shortly after birth, with an atypical onset and complicated course. This case report describes a preterm neonate with respiratory insufficiency associated with Chlamydia trachomatis pneumonia. We emphasize early diagnosis and empirical treatment in newborns with inexplicable respiratory distress shortly after birth to prevent serious respiratory complications.

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Authors and Affiliations

  1. afdeling Kindergeneeskunde/neonatologie, VUmc, Amsterdam, The Nederlands

    S.D.M. Theuns-Valks &  F.A.M. van den Dungen

  2. afdeling Kindergeneeskunde/ neonatologie, afdeling Kindergeneeskunde, VUmc, Zuwe Hofpoort Ziekenhuis, Amsterdam, The Nederlands

    A.L. Vegelin

  3. afdeling Kindergeneeskunde, Zuwe Hofpoort Ziekenhuis, Woerden, The Nederlands

    A.L. Vegelin

  4. afdeling Kindergeneeskunde/ infectieziekten, VUmc, Amsterdam, The Nederlands

    G.Th.J. van Well

  5. afdeling Kindergeneeskunde, MUMC, Maastricht, The Nederlands

    G.Th.J. van Well

  6. afdeling Radiologie, VUmc, Amsterdam, The Nederlands

    J.I.M.L. Verbeke

Authors
  1. S.D.M. Theuns-Valks
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  2. F.A.M. van den Dungen
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  3. A.L. Vegelin
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  4. G.Th.J. van Well
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  5. J.I.M.L. Verbeke
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Theuns-Valks, S., van den Dungen, F., Vegelin, A. et al. Chlamydia trachomatis-pneumonie kort na de geboorte. TIJDSCHR. KINDERGENEESKUNDE 78, 21–25 (2010). https://doi.org/10.1007/s12456-010-0005-4

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  • DOI: https://doi.org/10.1007/s12456-010-0005-4

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