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題名 | Fatal Septicemic Melioidosis in a Young Military Person Possibly Co-infected with Leptospira Interrogans and Orientia Tsutsugamushi=一年輕軍人因類鼻疽菌血症並可能合併鉤端螺旋體病及恙蟲病之致死病例 |
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作者 | 盧柏樑; 曾淑慧; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 21:4 民94.04 |
頁次 | 頁173-178 |
分類號 | 415.725 |
關鍵詞 | 類鼻疽; 鉤端螺旋體病; 恙蟲病; Melioidosis; Scrub typhus; Leptospirosis; |
語文 | 英文(English) |
中文摘要 | 在野外活動後合併感染類鼻疽病、鉤端螺旋體病及恙蟲病為罕見病例報告。一位 19 歲健康男性在二週軍事訓練後因發燒入院,在接受 penicillin 及 minocycline 治療下,於發燒第五天出現肺炎症狀,次日隨即進入急性呼吸衰竭合併有休克、急性腎臟及肝功能惡化而死亡。在發病第三天及第五天之血液培養結果顯示 Burkholderia pseudomallei 菌血症,血清學檢驗顯示合併有感染鉤端螺旋體病及恙蟲病。類鼻疽病近年在台灣陸續有本土病例報告以及此死亡病例未接受類鼻疽病之抗生素經驗療法顯示醫師在病人患有肺炎併敗血症時,尤其是在患者有最近之野外活動時,應小心 B. pseudomallei 為可能的致病菌。 |
英文摘要 | Concurrent melioidosis, leptospirosis, and scrub typhus after rural activities is rarely reported. A 19-year-old previously healthy man had fever onset after 2 weeks of military training. Pneumonia became evident on the fifth day of fever under intravenous penicillin and oral minocycline therapy. Acute respiratory failure developed the next day with shock and acute renal and liver function deterioration, which resulted in death. Blood cultures on the third and fifth days grew Burkholderia pseudomallei. Serology revealed leptospirosis and scrub typhus. The emergence of melioidosis in Taiwan and this death without antibiotic treatment for melioidosis alert us that B. pseudomallei should be included as a possible pathogen of pneumonia and sepsis, especially after rural activities. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。