Abstract
The relation between chronic respiratory disease and infection with Chlamydia trachomatis in premature infants was investigated to ascertain the aetiological importance of intrauterine C trachomatis infection and chronic respiratory disease in premature infants. Serum IgM antibodies against C trachomatis were determined by enzyme linked fluorescence assay. Sections of lung tissues obtained by biopsy and at necropsy were also tested for the presence of antigens using fluorescein conjugated monoclonal antibodies to C trachomatis. Of 16 sera from premature infants with chronic respiratory diseases clinically diagnosed as bronchopulmonary dysplasia or the Wilson-Mikity syndrome, five had IgM antibodies to C trachomatis L2 strain by enzyme linked fluorescence assay (titre greater than or equal to 1/500). Of 37 sera from premature infants with extremely low birth weights, two had IgM antibodies to C trachomatis. No specific IgM antibody was detected in 31 neonates who showed raised serum IgM concentrations but who did not have respiratory tract symptoms. C trachomatis was identified from two specimens of lung tissue obtained at necropsy from premature infants with chronic respiratory disease positive for IgM antibody. These findings indicate the aetiological importance of intrauterine C trachomatis infection in chronic respiratory disease in premature infants.
Full text
PDF




Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alexander E. R., Harrison H. R. Role of Chlamydia trachomatis in perinatal infection. Rev Infect Dis. 1983 Jul-Aug;5(4):713–719. doi: 10.1093/clinids/5.4.713. [DOI] [PubMed] [Google Scholar]
- Bell T. A., Kuo C. C., Stamm W. E., Tam M. R., Stephens R. S., Holmes K. K., Grayston J. T. Direct fluorescent monoclonal antibody stain for rapid detection of infant Chlamydia trachomatis infections. Pediatrics. 1984 Aug;74(2):224–228. [PubMed] [Google Scholar]
- Black S. B., Grossman M., Cles L., Schachter J. Serologic evidence of chalmydial infection in children. J Pediatr. 1981 Jan;98(1):65–67. doi: 10.1016/s0022-3476(81)80536-7. [DOI] [PubMed] [Google Scholar]
- Frommell G. T., Rothenberg R., Wang S., McIntosh K. Chlamydial infection of mothers and their infants. J Pediatr. 1979 Jul;95(1):28–32. doi: 10.1016/s0022-3476(79)80077-3. [DOI] [PubMed] [Google Scholar]
- Givner L. B., Rennels M. B., Woodward C. L., Huang S. W. Chlamydia trachomatis infection in infant delivered by cesarean section. Pediatrics. 1981 Sep;68(3):420–421. [PubMed] [Google Scholar]
- Harrison H. R., Taussig L. M., Fulginiti V. A. Chlamydia trachomatis and chronic respiratory disease in childhood. Pediatr Infect Dis. 1982 Jan-Feb;1(1):29–33. doi: 10.1097/00006454-198201000-00008. [DOI] [PubMed] [Google Scholar]
- Heggie A. D., Lumicao G. G., Stuart L. A., Gyves M. T. Chlamydia trachomatis infection in mothers and infants. A prospective study. Am J Dis Child. 1981 Jun;135(6):507–511. doi: 10.1001/archpedi.1981.02130300007005. [DOI] [PubMed] [Google Scholar]
- Mårdh P. A., Johansson P. J., Svenningsen N. Intrauterine lung infection with Chlamydia trachomatis in a premature infant. Acta Paediatr Scand. 1984 Jul;73(4):569–572. doi: 10.1111/j.1651-2227.1984.tb09975.x. [DOI] [PubMed] [Google Scholar]
- Northway W. H., Jr Observations on bronchopulmonary dysplasia. J Pediatr. 1979 Nov;95(5 Pt 2):815–818. doi: 10.1016/s0022-3476(79)80441-2. [DOI] [PubMed] [Google Scholar]
- Numazaki K., Chiba S., Moroboshi T., Kudoh T., Yamanaka T., Nakao T. Comparison of enzyme linked immunosorbent assay and enzyme linked fluorescence immunoassay for detection of antibodies against Chlamydia trachomatis. J Clin Pathol. 1985 Mar;38(3):345–350. doi: 10.1136/jcp.38.3.345. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Numazaki K., Chiba S., Moroboshi T., Tachi N., Aoki K., Nakao T. An application of fluorescein-conjugated monoclonal antibodies to the diagnosis of Chlamydia trachomatis infection in children. Tohoku J Exp Med. 1985 Jan;145(1):57–63. doi: 10.1620/tjem.145.57. [DOI] [PubMed] [Google Scholar]
- Numazaki K., Chiba S., Nakata S., Yamanaka T., Nakao T. Prevalence of antibodies to Chlamydia trachomatis in Japanese persons determined by microimmunofluorescence using reticulate bodies as single antigen. Pediatr Infect Dis. 1984 Mar-Apr;3(2):105–109. doi: 10.1097/00006454-198403000-00004. [DOI] [PubMed] [Google Scholar]
- Numazaki K., Chiba S., Yamanaka T., Moroboshi T., Aoki K., Nakao T. Detection of IgM antibodies against Chlamydia trachomatis by enzyme linked fluorescence immunoassay. J Clin Pathol. 1985 Jul;38(7):733–739. doi: 10.1136/jcp.38.7.733. [DOI] [PMC free article] [PubMed] [Google Scholar]
- San Joaquin V. H., Rettig P. J., Newton J. Y., Marks M. I. Prevalence of Chlamydial antibodies in children. Am J Dis Child. 1982 May;136(5):425–427. doi: 10.1001/archpedi.1982.03970410043010. [DOI] [PubMed] [Google Scholar]
- Schachter J. Chlamydial infections (first of three parts). N Engl J Med. 1978 Feb 23;298(8):428–435. doi: 10.1056/NEJM197802232980805. [DOI] [PubMed] [Google Scholar]
- Schachter J., Cles L., Ray R., Hines P. A. Failure of serology in diagnosing chlamydial infections of the female genital tract. J Clin Microbiol. 1979 Nov;10(5):647–649. doi: 10.1128/jcm.10.5.647-649.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schachter J., Grossman M., Azimi P. H. Serology of Chlamydia trachomatis in infants. J Infect Dis. 1982 Oct;146(4):530–535. doi: 10.1093/infdis/146.4.530. [DOI] [PubMed] [Google Scholar]
- Schachter J., Grossman M. Chlamydial infections. Annu Rev Med. 1981;32:45–61. doi: 10.1146/annurev.me.32.020181.000401. [DOI] [PubMed] [Google Scholar]
- Schachter J., Lum L., Gooding C. A., Ostler B. Pneumonitis following inclusion blennorrhea. J Pediatr. 1975 Nov;87(5):779–780. doi: 10.1016/s0022-3476(75)80309-x. [DOI] [PubMed] [Google Scholar]
- Stephens R. S., Tam M. R., Kuo C. C., Nowinski R. C. Monoclonal antibodies to Chlamydia trachomatis: antibody specificities and antigen characterization. J Immunol. 1982 Mar;128(3):1083–1089. [PubMed] [Google Scholar]



