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頁籤選單縮合
題名 | Non-septicemic Burkholderia pseudomallei Liver Abscess in a Young Man=非敗血性肝膿瘍類鼻疽於一年輕男性病患 |
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作者 | 班仁知; 蔡毓源; 陳志程; 馮南雄; | 書刊名 | 微免與感染雜誌 |
卷期 | 37:4 2004.08[民93.08] |
頁次 | 頁254-257 |
分類號 | 415.53 |
關鍵詞 | 肝膿瘍; 類鼻疽; Burkholderia pseudomallei; Case reports; Liver abscess; Melioidosis; |
語文 | 英文(English) |
英文摘要 | Melioidosis, caused by Burkholderia pseudomallei, has been increasingly recognized in Taiwan recently. Its isolation in liver abscess is rare compared to pulmonary melioidosis. We report a case of liver abscess due to B. pseudomallei in an immunocompetent 27-year-old male soldier admitted due to fever, sore throat and mild non-productive cough for 1 week. Physical examination was unremarkable except for congestion of the pharyngeal wall, moderate enlargement of the tonsils without pus coating, and palpable tender lymphadenopathy over bilateral submental regions. Antibiotic treatment with cefazolin 1 g every 8 hours intravenously was given without response. Left flank pain, followed by right flank pain associated with epigastric tenderness developed. Sonography and computed tomography scan of the abdomen demonstrated liver abscess. Aspiration of the liver abscess was performed and abscess culture yielded B. pseudomallei. Treatment with ceftazidime 2 g every 8 hours intravenously (4 weeks’ duration) followed by oral regimens of amoxicillin-clavulanate was given. The patient was free of symptoms at 8 months’ follow-up. Early awareness and definite diagnosis as well as institution of proper antimicrobial agents are imperative for successful treatment of melioidosis. |
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