发热性中性粒细胞减少症中的肺类鼻疽：罕见且致命的双重奏。

Pulmonary melioidosis in febrile neutropenia: the rare and deadly duet.

作者信息

Mukhopadhyay C, Chawla K, Vandana K E, Krishna S, Saravu K

机构信息

Department of Microbiology, Kasturba Medical College and Hospital, Manipal 576104, India.

出版信息

Trop Doct. 2010 Jul;40(3):165-6. doi: 10.1258/td.2010.090461. Epub 2010 May 17.

DOI:10.1258/td.2010.090461

PMID:20478984

Abstract

We present the first two fulminant cases of pulmonary melioidosis in febrile neutropenic patients with acute and varied presentations seen in our institution and their fatal outcome. A high index of suspicion coupled with microbiological confirmation can facilitate the administration of the appropriate therapy in cases of melioidosis that differ from other bacterial infections in terms of presentation and the response to antimicrobials.

摘要

我们报告了在我们机构中见到的两例发热性中性粒细胞减少患者的暴发性肺类鼻疽病的首例病例，其临床表现急性且多样，最终导致死亡。高度的怀疑指数加上微生物学确诊，有助于在类鼻疽病病例中给予适当治疗，该病在临床表现和对抗菌药物的反应方面与其他细菌感染不同。