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題名 | Melioidotic Septic Arthritis in the Emergency Department: A Case Report=類鼻疽敗血性關節炎在急診室的表現:個案報告與文獻回顧 |
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作者 | 李國新; 蔡易廷; 孫灼均; | 書刊名 | 臺灣急診專科醫師期刊 |
卷期 | 3:2 2011.06[民100.06] |
頁次 | 頁59-62 |
分類號 | 416.61 |
關鍵詞 | 敗血性關節炎; 類鼻疽; 類鼻疽桿菌; 急診; Septic arthritis; Melioidosis; Burkholderia pseudomallei; Emergency department; |
語文 | 英文(English) |
中文摘要 | 類鼻疽敗血性關節炎是一種罕見的感染症,在此我們報告一個罕現的類鼻疽敗血性關節炎病例,並且對此種罕見的感染症需要檢驗關節液或膿瘍作細菌培養,尤其是類鼻疽在南台灣已被認為是地方性疾病。 |
英文摘要 | We describe a 49-year-old diabetic man with intermittent left arm pain and frequent episodes of chest tightness, together with elevated serum C-reactive protein and glucose levels. Three days later, he manifested fever and painful swelling of his left elbow joint from which synovial fluid was aspirated. Both synovial fluid and blood culture subsequently revealed growth of Burkholderia Pseudomallei. Ceftazidime 1 gram every 6 hours intravenously was given for 25 days. The patient was discharged uneventfully. Melioidotic septic arthritis is uncommon but potentially fatal, especially in southern Taiwan where melioidosis is endemic. Prompt diagnosis through synovial fluid bacterial study and antibiotic coverage are crucial. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。