頁籤選單縮合
題名 | An Indigenous Melioidosis: A Case Report=本土性類鼻疽病:一病例報告 |
---|---|
作者姓名(中文) | 陳彥旭; 彭健芳; 黃高彬; 蔡季君; 盧柏樑; 陳田柏; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 15:5 1999.05[民88.05] |
頁次 | 頁292-296 |
分類號 | 416.87 |
關鍵詞 | 本土性; 類鼻疽病; 假鼻疽單胞桿菌; Melioidosis; Burkholderia pseudomallei; |
語文 | 英文(English) |
中文摘要 | 類鼻疽病是由假鼻疽單胞桿菌(Burkholderia pseudomallei)所引起之感染症,其臨床之表現相當多樣化且有致命之可能性。此病好發於東南亞熱帶地區的泰國、越南、緬甸等及澳洲北部。國內於1985年發現第一位境外移入之病例後,即罕見新病例之報告,而本土性之病例則更是少見。本文報告一例從未有出國病史之40歲男性糖尿病患者,因Burkholderia pseudomallei感染引起嚴重肺炎及敗血症致死之病例。住院前十天,病患以單純之發燒與咳嗽來表現,且病情在短期間內極速加劇,導致急性呼吸衰竭、休克、意識模糊,最後轉送本院加護病房接受進一步治療。 血液培養於住院第五天時培養出Burkholderia pseudomallei,根據藥物感受性試驗之結果給予適當之抗微生物製劑治療(Ceftazidime, 2g q8h),但病患仍不幸於住院九天後因嚴重敗血性休克而死亡。根據此病例可預知類鼻疽病已成臺灣之本土性疾病,故在臨床上需將此病列入感染症之鑑別診斷,以期早期診斷與治療,降低死亡率。至於此病在臺灣之盛行狀況及環境之污染情形則有待進一步之流行病學的研究與調查。 |
英文摘要 | Melioidosis is a rare but potentially fatal infectious disease in Taiwan, although it has been endemic in Southeast Asia, especially northeast Thailand, and northern Australia. In this article, we report a male diabetes with fulminant pneumonia, and septicemia caused by Burkholderia pseudomallei without traveling abroad before this episode. Productive cough and intermittent chills, high fever for one week, followed by progressively deteriorating dyspnea, shock, disturbed consciousness status were the major presentations. Blood cluture grew B. pseudomallei on the fifth admission day. Unfortunately, the patient died on the 9th admission day, despite intensive care and the broad-spectrum antimicrobial regimen used. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。