Gautam Krishna P, Lijesh Kanakkankotil U, Jude John, Gupta Riddhi D, Paul Thomas V
Department of Endocrinology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
Department of Clinical Microbiology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
J Family Med Prim Care. 2020 Jan 28;9(1):432-434. doi: 10.4103/jfmpc.jfmpc_933_19. eCollection 2020 Jan.
Fever as an indicator of disease has always been and remains a clinical symptom of great importance. It may be a manifestation of any inflammatory process of the thyroid and also may be presenting feature of thyroid storm. Melioidosis, is an infection caused by the gram negative bacterium Burkholderia pseudomallei and the commonest co-morbidity observed in India is diabetes mellitus. Here we present a case of Graves disease (hyperthyroidism) who was referred by primary care physician with history of prolonged fever of more than one month duration and later diagnosed to have melioidosis. It is important in primary care setting as family physicians need to be aware of this infection as it can affect many organs and early diagnosis and treatment will result in cure of this condition.
发热作为疾病的一个指标一直以来且仍然是一个非常重要的临床症状。它可能是甲状腺任何炎症过程的一种表现，也可能是甲状腺危象的首发特征。类鼻疽是由革兰氏阴性菌伯克霍尔德菌引起的一种感染，在印度观察到的最常见的合并症是糖尿病。在此，我们报告一例格雷夫斯病（甲状腺功能亢进症）患者，该患者由初级保健医生转诊，有持续一个多月的长期发热病史，后来被诊断为类鼻疽。在初级保健环境中这很重要，因为家庭医生需要了解这种感染，因为它可影响许多器官，早期诊断和治疗将使这种疾病得以治愈。
