C. H. Ding, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia.
S. Hussin, Department of Medical Microbiology & Immunology, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur, Malaysia.
Pak J Med Sci. 2013 Apr;29(2):666-8. doi: 10.12669/pjms.292.2815.
Burkholderia pseudomallei is an free-living gram-negative bacterium causing melioidosis and is endemic in Southeast Asia. A 56-year-old diabetic construction worker with a 1-month history of abdominal pain and 1-day history of high-grade fever was found to have a left non-dissecting infrarenal mycotic aortic aneurysm by abdominal computerized tomography scan. Bacteriological examination of his blood yielded Burkholderia pseudomallei. The patient was treated with right axillo-bifemoral bypass with excision of aneurysm and high-dose intravenous ceftazidime for two weeks, followed by oral trimethoprim/sulfamethoxazole and oral doxycycline for a minimum of five months.
类鼻疽伯克霍尔德菌是一种自由生活的革兰氏阴性细菌，可引起类鼻疽病，且呈地方性流行于东南亚。一位 56 岁的糖尿病建筑工人，腹痛病史 1 个月，高热病史 1 天，腹部计算机断层扫描发现左肾下非夹层真菌性腹主动脉瘤。对其血液进行细菌学检查，发现类鼻疽伯克霍尔德菌。该患者接受了右腋股旁路移植术，切除了动脉瘤，并接受了两周大剂量静脉注射头孢他啶治疗，随后至少接受了五个月的复方磺胺甲噁唑和多西环素口服治疗。
