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題 名 | 敗血性類鼻疽:南臺灣一病例報告=Septicemic Melioidosis in Southern Taiwan: A Case Report |
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作 者 | 蔡文正; 劉永慶; 顏慕庸; 王任賢; 陳垚生; 王堯顯; 萬樹人; 林錫勳; | 書刊名 | 微免與感染雜誌 |
卷 期 | 31:2 1998.06[民87.06] |
頁 次 | 頁137-140 |
分類號 | 414.83 |
關鍵詞 | 類鼻疽; 類鼻疽桿菌; 臺灣; Melioidosis; Burkholderia pseudomallei; Taiwan; |
語 文 | 中文(Chinese) |
中文摘要 | 病患為56歲男性,住屏東縣恆春鎮,在南臺灣的墾丁牧場當管理員,並曾經於五 年前去過泰國觀光。他在住院前一個月,因為斷斷續續發燒一週,曾經到本院門診 求診,當時血液常規檢查在正常範圍,胸部X光正常,雖給予口服紅黴素治療,臨 床症狀並未改善。住院前兩天,自覺左髖關節處酸痛,隔天突然開始呼吸急促,胸 部X光變為兩側肺部有結節性病灶。住院當時呈現急性病容,有黃膽,體溫37.4 ℃,血壓110/47 mmHg,心跳137/分,呼吸次數26/分,肺部兩側有囉音,沒有 淋巴結病變或臟器腫大,白血球:1,470/mm�纂A血小板:47,000/mm�纂A血糖: 226 mg/dL,AST:153U/L,ALT:90U/L,Total Bil:6.1 mg/dL,BUN:69mg/ dL,Cr:4.3 mg/dL。動脈血氣體分析呈代謝性酸中毒合併低血氧。雖然一開始懷 疑是類鼻疽,而給予ceftazidime及gentamicin治療,但病情迅速惡化,在住院18 小時後死亡。後來兩套血液培養均長出Burkholderia pseudomallei。類鼻疽被稱 為是疾病的偉大模仿者,且培養結果經常被誤判,甚至使用ceftazidime, cotrimoxazole, amoxicillin-clavulanate, chloramphenicol及tetracycline來治療,死 亡率仍然很高。在南臺灣已有十名確定病例,其中兩名是本土性病例。建議應將類 鼻疽應該列入報告傳染病,而且它在臺灣的盛行率亦應列入研究。 |
英文摘要 | The patient was a 56 year-old man, a resident of Hen-Tsueng Township in Ping-Tung County. He worked as a ranger at Ken-Ting Farm in southern Taiwan, and had been to Thailand for sight-seeing 5 years ago. He came to our outpatient department about one month prior to hospitalization for intermitttent fever of one week duration. At that time, complete blood count was within normal limits and a chest roentgenogram was unremarkable. He was given erythromycin without showing any clinical improvement. Two days prior to admission, the noted pain in the left hip. The next day, severe dyspnea developed suddenly and chest x-ray film revealed bilateral nodular lesions. Physical examination on hospitalization revealed an acutely ill and jaundiced male with temperature of 37.4 ℃, blood pressure:110/47 mmHg, pulse rate:137/min, and respiratory rate:26/min. There were rales in both lungs, but no nlymphadenopathy or organ enlargement. Laboratory study showed WBC:1,470/mm ��, platelet count:47,000/mmm ��, blood sugar:226 mg/dL, mildly elevated transaminases and bilirubin, and BUN: 69mg/dL, Cr:4.3 mg/dL. Arterial blood gas analysis indicated an acute metabolic acidosis with PaO �� of 32 mmHg. Despite the initial impression of melioidosis and administration of ceftazidime plus gentamicin, his condition rapidly deteriorated and expired 18 hours after admission. Two sets of blood cultures grew Burkholderia pseudomallei. Melioidosis has been called a great imitator of diseases and culture results are frequently misinterpreted. The mortality is high even with suggested therapy with ceftazidime, cotrimoxazole, amoxicillin-clavulanate, chloramphenicol, and/or tetracycline. There has been a total of 10 cases reproted in southern Taiwan and 2 of them were clearly indigenous. Melioidosis should be included in teh reportable diseases, and its prevalence in Taiwan also should be investigated. |
本系統中英文摘要資訊取自各篇刊載內容。