Chlamydia Pneumonia and Meningoencephalitis

Abstract

To the Editor: Chlamydia pneumoniae causes respiratory 1 and nonrespiratory 2 , 3 clinical syndromes. We describe a case of pneumonia caused by C. pneumoniae and associated with meningoencephalitis. An 18-year-old man who had been in good health had malaise, a high temperature, and a nonproductive cough. Ten days later, he had a headache, double vision, and paresthesias of the right side of the body, predominantly in the upper and the lower limbs. On admission to the hospital, he was somnolent and febrile, with a rigid neck. The next day, patellar reflexes became asymmetric, with an extensor left plantar reflex. The patient became. © 1994, Massachusetts Medical Society. All rights reserved.