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布鲁氏菌病早期误诊导致一名 46 岁马凡综合征患者死亡：布鲁氏菌 suis 感染

Fatal case of brucellosis misdiagnosed in early stages of Brucella suis infection in a 46-year-old patient with Marfan syndrome.

机构信息

University of South Florida, Tampa, Florida, USA.

出版信息

J Clin Microbiol. 2012 Jun;50(6):2173-5. doi: 10.1128/JCM.00573-12. Epub 2012 Apr 11.

DOI:10.1128/JCM.00573-12
PMID:22495564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3372168/
Abstract

We report a fatal case of Brucella suis endocarditis initially misdiagnosed by automated identification systems as Ochrobactrum anthropi infection in a patient with a history of Marfan syndrome and recreational feral swine hunting. This report emphasizes the need to consider brucellosis as a part of the differential diagnosis of acute febrile illness, particularly in patients with known risk of exposure.

摘要

我们报告了一例布鲁氏菌病猪亚种心内膜炎的致死病例，该病例最初被自动识别系统误诊为奥克霍布鲁克氏菌感染，患者有马凡综合征病史且爱好猎捕野猪。本报告强调了在急性发热性疾病的鉴别诊断中需要考虑布鲁氏菌病，特别是在已知有暴露风险的患者中。

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本文引用的文献

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Brucellosis at the animal/ecosystem/human interface at the beginning of the 21st century.21 世纪初动物/生态系统/人类界面的布鲁氏菌病。
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The differential interaction of Brucella and ochrobactrum with innate immunity reveals traits related to the evolution of stealthy pathogens.布鲁氏菌和苍白杆菌与固有免疫的差异相互作用揭示了与潜伏性病原体进化相关的特征。
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