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題 名 | Pulmonary Melioidosis--A Case Report=肺類鼻疽--一案例報告 |
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作 者 | 黃恆慶; 李欣純; 李政宏; 陳昌文; | 書刊名 | 胸腔醫學 |
卷 期 | 16:4 2001.12[民90.12] |
頁 次 | 頁271-276 |
分類號 | 415.463 |
關鍵詞 | 類鼻疽; Melioidosis; Burkholderia pseudomallei; |
語 文 | 英文(English) |
中文摘要 | 類鼻疽是由Burlkholderia pseudomallei所引起的一種熱帶疾病。在臺灣很少見,但卻可能造成致命性的感染。我們在此報告一例由B. pseudomallei引起肺炎的52歲糖尿病女性病患。此位病患從未出國。一開始的臨床表現,包括發燒、寒顫、及咳嗽。影像檢查著示左上肺葉病變。起初曾被當做肺結核治療,由於無明顯結核感染證據,而改用ciprofloxacin治療。但病人症狀仍然持續,直到改用amoxicillin/clauvulanic acid治療2個月後,病人完全康復。且經三個月後續追蹤,並無復發。由此案例提星我們,在臺灣即使病人並未到過流行地區,也應將肺類鼻疽列入社區感染肺炎的鑑別診斷中。 |
英文摘要 | ilioidosis, caused by the bacterium Burkholderia psuedomallei, is a tropical disease. It is a rare but potentially fatal infectious disease in Taiwan. In this article, we report a 52-year-old female diabetic patient with pneumonia caused by B. psuedomallei. The patient had never been abroad. The initial presentations included fever, chills, and productive treatment in a local hospital. The image study in our hospital revealed left upper lobe lesions, and the patient was treated as pulmonary tuberculosis (TB) initially. The antibiotic therapy was later shifted to ciprofloxacin, for lack of evidence of TB. However, her symptoms persisted despite ciprofloxacin treatment. The pneumonia was cured after a 2-month treatment with amoxicillin/clauvulanic acid, and there was no recurrence in the subsequent 3 months' follow-up. This case implicates that pulmonary melioidosis should be included in the differential diagnosis list of community-acquired pneumonia in Taiwan, since the patient had never been abroad. |
本系統中英文摘要資訊取自各篇刊載內容。