Spread of subclinical Chlamydia pneumoniae infection in a closed community

Scand J Infect Dis. 1992;24(4):431-6. doi: 10.3109/00365549209052628.

Abstract

Chlamydia pneumoniae infections may spread subclinically. The present investigation took place in a military setting. Sera drawn when the conscripts had entered their military service 2 months previously had been kept frozen and were available. In a camp with 500 people, 35 (7%) developed clinical symptoms of pneumonia. The infection was serologically verified with C. pneumoniae-specific micro-immunofluorescence technique. Of 40 healthy controls, 21 turned out to fulfil the serological criteria of infection, thus, representing subclinical cases. These 21 cases, when extrapolated to the whole camp, equalled a rate of 49% which, added to the 7% of pneumonic cases, gave a total infection rate of 56%. Pre-existing IgG antibodies were demonstrated in 10% of the pneumonic cases, 48% of the subclinical cases, and 89% of the non-infected, healthy controls. Without the access to pre-epidemic sera permitting us to establish 4-fold titre rises, the spread of subclinical C. pneumoniae infection would have been noted at 5%, and not 49% as here demonstrated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antibodies, Bacterial / blood
  • Chlamydia Infections / epidemiology*
  • Chlamydia Infections / immunology
  • Chlamydia Infections / transmission*
  • Chlamydophila pneumoniae* / immunology
  • Female
  • Humans
  • Immunoglobulin G / blood
  • Male
  • Military Personnel
  • Norway / epidemiology
  • Pneumonia / epidemiology*
  • Pneumonia / immunology

Substances

  • Antibodies, Bacterial
  • Immunoglobulin G