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糖尿病合并类鼻疽和肺结核感染

Melioidosis and pulmonary tuberculosis co-infection in a diabetic.

机构信息

Department of Microbiology, Father Muller Medical College, Kankanady, India.

出版信息

Ann Thorac Med. 2010 Apr;5(2):113-5. doi: 10.4103/1817-1737.62476.

DOI:10.4103/1817-1737.62476
PMID:20582178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2883194/
Abstract

Burkholderia pseudomallei is the causative agent of melioidosis. It is endemic in South East Asian countries and North Australia. Sporadic cases of melioidosis have been reported from several parts of South India. Melioidosis may manifest as chronic pneumonia mimicking tuberculosis and generally be seen as a single entity. We report the first case of melioidosis and pulmonary tuberculosis co-infection in a diabetic patient. The causative agents were identified using standard methods and the patient recovered after completion of the recommended antibiotic therapy. Melioidosis is an emerging infectious disease in India. Though melioidosis and tuberculosis present with similar clinical picture, co-infections are rare. Hence, increased awareness among clinicians and microbiologists can help in diagnosing the disease even when there is no clinical suspicion.

摘要

类鼻疽伯克霍尔德菌是类鼻疽病的病原体。它在东南亚国家和澳大利亚北部流行。散发性类鼻疽病例也有报道来自印度南部的几个地区。类鼻疽可能表现为慢性肺炎,类似于肺结核,通常被视为单一实体。我们报告了首例糖尿病患者合并类鼻疽和肺结核感染的病例。通过标准方法确定了病原体,患者在完成推荐的抗生素治疗后康复。类鼻疽病在印度是一种新出现的传染病。尽管类鼻疽和肺结核的临床表现相似,但合并感染很少见。因此,临床医生和微生物学家的意识提高可以帮助诊断疾病,即使没有临床怀疑。

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本文引用的文献

1
Melioidosis: an under-diagnosed entity in western coastal India: a clinico-microbiological analysis.类鼻疽:印度西部沿海地区一种诊断不足的疾病:临床微生物学分析
Indian J Med Microbiol. 2007 Jul;25(3):245-8. doi: 10.4103/0255-0857.34767.
2
Isolation of Burkholderia pseudomallei from a case of septicaemia--a case report.从一例败血症患者中分离出类鼻疽伯克霍尔德菌——病例报告
Indian J Med Microbiol. 2003 Apr-Jun;21(2):129-32.
3
Melioidosis: an emerging infectious disease.类鼻疽:一种新出现的传染病。
J Postgrad Med. 2005 Apr-Jun;51(2):140-5.
4
Risk factors for melioidosis and bacteremic melioidosis.类鼻疽和菌血症性类鼻疽的危险因素。
Clin Infect Dis. 1999 Aug;29(2):408-13. doi: 10.1086/520223.
5
The pseudomallei group: a review.类鼻疽杆菌属:综述
J Infect Dis. 1971 Dec;124(6):598-606. doi: 10.1093/infdis/124.6.598.