Donahue Matthew A, Newcomb Geoffrey, Spinella Sara, Prasad Paritosh, Liesveld Jane, Egan Cristina T, Smith Glenda L, Newman Alexandra P, Bower William A, Blaney David D, Gee Jay E, Elrod Mindy G, Chuang Sally, Babu Tara M
Department of Internal Medicine, University of Rochester Medical Center, Rochester, New York.
Division of Infectious Diseases, Department of Internal Medicine, University of Rochester Medical Center, Rochester, New York.
Open Forum Infect Dis. 2019 Jan 10;6(2):ofz005. doi: 10.1093/ofid/ofz005. eCollection 2019 Feb.
Melioidosis is caused by the gram-negative bacillus , endemic to northern Australia and Southeast Asia. We present a patient who traveled to Mexico, returned to the United States, and developed progressive manifestations of melioidosis, culminating as central nervous system disease. Standard therapy was contraindicated, and a prolonged intensive phase was employed.
类鼻疽由革兰氏阴性杆菌引起,在澳大利亚北部和东南亚地区呈地方性流行。我们报告了一名前往墨西哥、返回美国后出现类鼻疽进行性症状,最终发展为中枢神经系统疾病的患者。标准疗法不适用,因此采用了延长的强化治疗阶段。