頁籤選單縮合
題名 | Melioidotic Septic Arthritis Treated with Arthroscopic Debridement: A Case Report=以關節鏡沖洗清創治療類鼻疽細菌性關節炎:病例報告 |
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作者 | 楊華偉; 郭明陽; 秦凌霄; 簡基勝; Yang, Hua-wei; Koe, Ming-yang; Chin, Lin-show; Chien, Chi-sheng; |
期刊 | Medical Journal of South Taiwan |
出版日期 | 20070900 |
卷期 | 3:2 2007.09[民96.09] |
頁次 | 頁96-100 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 類鼻疽細菌性關節炎; 關節鏡沖洗清創; Meliodosis; Arthroscopic debridement; |
中文摘要 | 類鼻疽細菌性關節炎是由Burkholderia pseudomallei這支菌種感染所造成的。在2005年的夏季,在台灣南部發生幾起類鼻疽的感染病例。其中有一個病例除了發生急性呼吸窘迫症狀外,還發生類鼻疽細菌性關節炎。我們除了使用抗生素治療外,合併使用關節鏡沖洗治療此種細菌性關節炎,成效良好。故提出此一病例報告以資參考。 |
英文摘要 | Melioidotic septic arthritis may follow infection by Burkholderia pseudomallei. An epidemic of melioidosis was reported in the summer of 2005, in the southern Taiwan following a typhoon. Herein, we report on a case of melioidotic septic arthritis and osteomyelitis, the affected 68-years-old male patient revealing a history of COPD (chronic obstructive pulmonary disease) and DM (Diabetes mellitus). This patient suffered from fever and respiratory failure, the latter receiving treatment incorporating intubation. Further, lower-back pain and left-knee swelling was noted. Subsequent to being treated with both imipenem and tetracycline, the ARDS (acute respiratory distress syndrome) improved and the patient's condition become stabilized. At this stage, we treated the infected arthritis by arthroscopic debridement and irrigation. Following surgical debridement and drainage, the symptoms and signs of arthritis have improved. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。