Neurological Complications of Chlamydial Infections: Case Report and Review

We describe a patient with Chlamydia pneumoniae infection who presented with cerebellar dysfunction, followed by respiratory failure requiring mechanical ventilation. C. pneumoniae is an important respiratory pathogen, and other clinical manifestations, including neurological syndromes, are being increasingly recognized. Meningoencephalitis and other neurological complications have also been described in patients with infections due to Chlamydia psittaci and Chlamydia trachomatis. Chlamydial infections should be included in the differential diagnosis of neurological syndromes, including cerebellar dysfunction. Neurological complications have been uncommonly reported more pronounced on the left side. No other abnormalities were detected on cranial or peripheral neurological examination. Ex-as manifestations of infections with species of the genus Chlamydia. Chlamydia pneumoniae is being increasingly recog-amination of the chest revealed coarse crackles in the left upper zone, and chest radiography confirmed left-upper-lobe consoli-nized as an important respiratory pathogen, and other clinical manifestations, including neurological syndromes, have been dation. Initial investigations revealed a hemoglobin level of 12.3 reported [1 -5]. A range of neurological sequelae have been attributed to Chlamydia psittaci [6 -24], and Chlamydia tracho-g/dL, a leukocyte count of 11.2 1 10 9 /L (64% neutrophils; 29% band neutrophils), and a platelet count of 168 1 10 9 /L; matis has been associated with meningoencephalitis [25 -29].