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題名 | Melioidosis Presenting with Isolated Splenic Abscesses: A Case Report=以單純脾臟膿瘍作為臨床表現的類鼻疽個案 |
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作者 | 林俊祐; 陳惇杰; 盧柏樑; 林蔚如; 陳彥旭; Lin, Chun-Yu; Chen, Tun-Chieh; Lu, Po-Liang; Lin, Wei-Ru; Chen, Yen-Hsu; |
期刊 | The Kaohsiung Journal of Medical Sciences |
出版日期 | 20070800 |
卷期 | 23:8 2007.08[民96.08] |
頁次 | 頁417-421 |
分類號 | 415.725 |
語文 | eng |
關鍵詞 | 類鼻疽; 脾臟膿瘍; Burkholderia pseudomallei; Melioidosis; Splenic abscess; |
中文摘要 | 在台灣地區,脾臟膿瘍鮮少被報導由 Burkholderia pseudomallei 造成。在這裡我們報導一位中年男性,呈現連續數天之發燒、寒顫及全身倦怠。腹部超音波檢查發現單純脾臟膿瘍。起初的血液培養結果為 Serratia marcescens,這位病患也據此接受了 ceftazidime 的治療。然而,發燒並未緩解。此後,這位患者被轉診到本院。我們投予 meropenem 五天後發燒緩解。後續經脾臟膿瘍抽吸出的膿液培養出 Burkholderia pseudomallei,因此我們根據微生物學的證據,診斷這位患者是一個類鼻疽的個案。在台灣,當臨床醫師發現脾臟膿瘍時,必須考慮類鼻疽的可能性。 |
英文摘要 | Splenic abscesses caused by Burkholderia pseudomallei are rarely reported in Taiwan. Here we report a middle-aged man who presented with fever, chills, and general malaise for several days. Abdominal echo revealed isolated splenic abscesses and he received antibiotics treatment according to the initial blood culture result, Serratia marcescens. However, fever did not subside. Then he was referred to our hospital and meropenem was prescribed. Fever subsided 5 days after the beginning of meropenem administration. Repeated fine-needle aspiration of splenic abscesses drained out the pus, which was cultured as B. pseudomallei. He was finally diagnosed as a case of melioidosis based on microbiological evidence. Physicians must take melioidosis into consideration when splenic abscesses are encountered clinically. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。