Thurnheer U, Novak A, Michel M, Ruchti C, Jutzi H, Weiss M
Medizinische Abteilung, Anna-Seiler-Haus, Inselspital Bern.
Schweiz Med Wochenschr. 1988 Apr 16;118(15):558-64.
A case is reported of lethal septicemic melioidosis due to Pseudomonas pseudomallei in a 40-year-old woman who had been in India. The epidemiology, clinical findings and management of this unusual disease are discussed. The diagnostic value of serological tests and in vitro sensitivity of Pseudomonas pseudomallei to various antibiotics are outlined. Melioidosis should be considered in the differential diagnosis of any febrile condition in a person returning from a tropical country.
报告了一例由类鼻疽假单胞菌引起的致死性败血症型类鼻疽病例,患者为一名曾去过印度的40岁女性。文中讨论了这种罕见疾病的流行病学、临床发现及治疗。概述了血清学检测的诊断价值以及类鼻疽假单胞菌对各种抗生素的体外敏感性。对于从热带国家归来且有发热症状的患者,鉴别诊断时应考虑类鼻疽。