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題名 | Fatal Outcome of Erysipelothrix Rhusiopathiae Bacteremia in a Patient with Oropharyngeal Cancer=口腔癌病患的Erysipelothrix rhusiopathiae菌血症致死例 |
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作者 | 盛望徽; 薛博仁; 洪健清; 方啟泰; 張上淳; 陸坤泰; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 99:5 2000.05[民89.05] |
頁次 | 頁431-434 |
分類號 | 416.94 |
關鍵詞 | 口腔癌; 菌血症; Erysipelothrix rhusiopathiae; Bacteremia; Oropharyngeal cancer; |
語文 | 英文(English) |
英文摘要 | Bacteremia due to Erysipelothrix rhusiopathiae is rare; the most common presentation reported in the literature is endocarditis. We report a 32-year-old man with oropharyngeal cancer who developed aspiration pneumonia and E. rhusiopathiae bacteremia, and presented with fever, chills, dyspnea, and productive cough with purulent sputum. Despite treatment with amoxicillin/clavulanate and nutritional support for 9 days, he died of respiratory failure. He had no clinical evidence of endocarditis. He had no history of animal or occupational exposure, and might have been colonized with E. rhusiopathiae in the oral cavity, followed by aspiration pneumonia and bacteremia. A fatal outcome in a patient with bacteremia due to E. rhusiopathiae without endocarditis is rare. |
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