Boonma P, Bhuripanyo K, Sithikaesorn J, Patjanasoontorn B, Sookpranee M
Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
J Med Assoc Thai. 1990 Oct;73(10):543-7.
The clinical manifestations of septicemic melioidosis and other bacterial septicemia were studied at Srinagarind Hospital, Khon Kaen University. Forty-three cases of septicemic melioidosis and 68 non-melioidosis septicemia cases were analysed. By univariate analysis, the following clinical features are associated with septicemic melioidosis: male patients; age below 45 years; underlying diabetes mellitus or renal failure; pulmonary infection, impending respiratory failure and multiorgan involvement, while abdominal pain and urinary tract infection were more common in non-melioidosis septicemia. By using discriminant analysis and logistic regression, 3 features (diabetes mellitus, multiorgan involvement, and no abdominal pain or pulmonary infection) could discriminate the two groups with the accuracy of more than 85 per cent.
孔敬大学诗里拉吉医院对败血性类鼻疽及其他细菌性败血症的临床表现进行了研究。分析了43例败血性类鼻疽病例和68例非类鼻疽败血症病例。通过单因素分析,以下临床特征与败血性类鼻疽相关:男性患者;年龄低于45岁;潜在的糖尿病或肾衰竭;肺部感染、即将发生的呼吸衰竭和多器官受累,而非类鼻疽败血症中腹痛和尿路感染更为常见。通过判别分析和逻辑回归,3个特征(糖尿病、多器官受累以及无腹痛或肺部感染)能够区分这两组,准确率超过85%。