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中国一名在热带丛林工作的矿工出现长期间歇性发热和巨脾。

Prolonged intermittent fever and massive splenomegaly in a miner working in the tropical jungle, China.

机构信息

Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China.

出版信息

PLoS Negl Trop Dis. 2020 Jul 9;14(7):e0008278. doi: 10.1371/journal.pntd.0008278. eCollection 2020 Jul.

DOI:10.1371/journal.pntd.0008278
PMID:32644997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7347091/
Abstract

Prolonged fever is a particular challenge. A 47-year-old man with 5-year intermittent fever and remarkable splenomegaly was diagnosed as chronic melioidosis after splenectomy. The case would help clinicians to raise awareness and include chronic melioidosis in the differential diagnosis for patients with the travel history in melioidosis endemic regions.

摘要

长期发热是一个特殊的挑战。一名 47 岁男性，间歇性发热 5 年，脾肿大明显，行脾切除术后诊断为慢性类鼻疽病。该病例有助于临床医生提高认识，并将慢性类鼻疽病纳入有类鼻疽病流行地区旅行史患者的鉴别诊断中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b367/7347091/0bb22cb12988/pntd.0008278.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b367/7347091/0bb22cb12988/pntd.0008278.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b367/7347091/0bb22cb12988/pntd.0008278.g001.jpg

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本文引用的文献

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The prevalence and distribution of Burkholderia pseudomallei in rice paddy within Hainan, China.中国海南稻田中嗜麦芽窄食单胞菌的流行情况及分布
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Melioidosis.类鼻疽病。
通过宏基因组学下一代测序诊断的不明原因发热患者的慢性脾脏类鼻疽病：一种新出现的病因及文献综述
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PLoS Negl Trop Dis. 2017 May 11;11(5):e0004738. doi: 10.1371/journal.pntd.0004738. eCollection 2017 May.
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Molecular tracking investigation of melioidosis cases reveals regional endemicity in Hainan, China.类鼻疽病例的分子追踪调查揭示了中国海南的区域地方性流行情况。
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