Eosinophilia in Preterm Born Infants Infected with Chlamydia trachomatis

Marcela López-Hurtado, Gabriel Arteaga-Troncoso, Irma E. Sosa-González, Maria de Jesus de Haro-Cruz, Veronica R. Flores-Salazar, Fernando Martín Guerra-Infante

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

A higher than 350 eosinophils/mm3 is strongly associated with Chlamydia trachomatis in term born babies coursing with respiratory distress. However, in preterm newborns infected with this pathogen, the levels of eosinophils are unknown. Forty newborn infants with clinical data of respiratory problems and/or sepsis were analyzed. DNA of leukocytes from peripheral blood was used to identify C. trachomatis. Detection of chlamydial infection was performed by amplifying the ompA gene by an in-house PCR, and eosinophil levels were evaluated in an XT-2000-hematology analyzer. Eighteen infants showed chlamydial infection and 14 of them showed pneumonia (RR = 2.6; CI95% 1.03-6.5; p =.027). Their eosinophil levels were 719 ± 614 cells/mm3. A significant association between eosinophilia ≥1250 cells/mm3 and gestational age of less than 29 weeks (RR = 5.8; 1.35; CI95% [1.4-24.5], p <.008) was observed. The preterm infants with chlamydial infection did not show higher eosinophil levels than uninfected infants.

Original languageEnglish
Pages (from-to)149-158
Number of pages10
JournalFetal and Pediatric Pathology
Volume35
Issue number3
DOIs
StatePublished - 3 May 2016

Keywords

  • Chlamydia trachomatis
  • eosinophilia
  • pneumonia
  • preterm newborn
  • sepsis

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