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Correspondence
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Volume 332:62-63 January 5, 1995 Number 1
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More on Chlamydia Pneumonia and Meningoencephalitis

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To the Editor: Socan and colleagues (Aug. 11 issue)1 described an 18-year-old man with pneumonia and meningoencephalitis thought to be due to Chlamydia pneumoniae. Their diagnosis was based on serologic findings (high IgG and IgM antibody titers to C. pneumoniae by microimmunofluorescence assay at presentation, with declining titers thereafter), positive direct-immunofluorescence tests of the cerebrospinal fluid and throat washings, and the exclusion of many other likely agents.

Our experience is that the microimmunofluorescence test for C. pneumoniae antibody lacks both sensitivity and specificity for infection when it is compared with culture and the polymerase chain reaction.2,3 This is especially true . . . [Full Text of this Article]

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