書誌事項
- タイトル別名
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- CHRONIC TONSILLITIS DUE TO <I>CHLAMYDIA TRACHOMATIS</I>
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抄録
There have been several reports that suggest Chlamydia trachomatis is an important cause of tonsillar infection, nevertheless little is known about distinctive clinical characteristics. We have isolated C. trachomatis from tonsillar crypts in six of 26 (23.1%) patients with chronic tonsillitis in the period from August 1986 to March 1987. Two patients, 29-year-old woman and 38-year-old man, have a history of orogenital sexual relation. In other cases the rout of transmission is not clear. Three female adults have repeatedly denied oral sexual activity. A one-year-old boy with episodes of recurrent tonsillitis and otitis media seems to have acquired chlamydial infection during passage through the birth canal.<BR>Chronic chlamydial tonsillitis is one infectious cause of recurrent or persistent complains of sore throat. It would appear that if the tonsil is once infected by Chlamydia trachomatis, tonsillar tissue becomes more prone to recurrent attacks of other pathogenic organisms.<BR>The two patients whose tonsillitis had developed following heterosexual orogenital contact persistently complained a lumpy throat; obstructive sensation of the throat. It may be due to psychogenic factor such as subconscious repugnance or repentance against oral sex.<BR>In the treatment of chlamydial infection, erythromycin, rokitamycin, minocycline and sulfamethoxazole-trimethoperin have been effective.
収録刊行物
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- 日本耳鼻咽喉科学会会報
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日本耳鼻咽喉科学会会報 91 (3), 333-340,453, 1988
一般社団法人 日本耳鼻咽喉科頭頸部外科学会