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題名 | Life-Threatening Scrub Typhus Complicating Pregnancy: A Case Report=妊娠中罹患威脅生命的恙蟲病:一病例報告 |
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作者 | 李耀泰; 尹長生; 趙德彰; 詹景全; 侯廣瓊; 陳文龍; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷期 | 38:3 1999.09[民88.09] |
頁次 | 頁103-106 |
分類號 | 417.42 |
關鍵詞 | 恙蟲病; 懷孕; Scrub typhus; Rickettsia tsutsugamishi; Pregnancy; |
語文 | 英文(English) |
中文摘要 | 背景:孕婦如果有不易治愈的發燒,和很多身體系統的異常,特別在臺灣的東部,恙蟲的感染應該考慮在內。 病例報告:一位33歲婦女,妊娠22週,發生發燒,食慾不振,頭痛,咳嗽,皮膚紅疹,呼吸困難和心跳加快,雖經cephalosporin和aminoglycoside治療仍沒效。她的情況變壞,有生命危險,經改用minocycline治療後,症狀很快改善。兩週後,實驗室檢查證明她有恙蟲病的感染。 結論:孕婦如有非特異症狀和發燒,且用一般傳統藥物治療無效,可以試著使用minocycline。恙蟲病雖不常見,但在臺灣都應想到它的存在,可避免嚴重的罹病甚至死亡。 |
英文摘要 | BACKGROUND: A pregnant woman presented with unremitting febrile illness and multisystem dysfunction, which could not be controlled with 3rd generation cephalosporins. Rickettsial infection may be considered in this condition. CASE REPORT: A 33-year-old female with pregnancy at 22 weeks, experienced fever, anorexia, headache, cough, skin rash, dyspnea, and tachycardia and did not show improvements even after the use of cephalosporins and aminoglycosides. Subsequently, minocycline rapidly resolved her symptoms. The laboratory studies confirmed the presence of antibodies to Rickettsia tsutsugamishi infection after 2 weeks of initial presentation. CONCLUSION: When confronted with pyrexia of an unremitting nature, multisystem dysfunction and a critical ill patient, empirical trial with minocycline may be indicated when other conventional treatment has failed. Although scrub typhus is an infrequent infection, it should be kept in mind in order to avoid severe morbidity and potential mortality. |
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