一名伊朗男子患鼻疽（感染）：病例报告。
Glanders ( infection) in an Iranian man: A case report.
作者信息
Nasiri Maryam, Zarrin Amirali, RoshankarRudsari Sina, Khodadadi Javad
机构信息
Department of Infectious Diseases, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Student Research Committee, faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
出版信息
IDCases. 2023 Apr 29;32:e01779. doi: 10.1016/j.idcr.2023.e01779. eCollection 2023.
BACKGROUND
Glanders is a rare disease that has been eradicated in many countries but may be difficult to diagnose due to its nonspecific symptoms. This disease, which can be highly fatal if left untreated, is caused by a bacterium called Burkholderia mallei. Humans can get the disease through contact with infected animals, such as horses. Over time, various treatment strategies have been proposed for this disease, and attempts haveeven been made to develop a vaccine, but thus far, no effective vaccine has been developed to prevent it.
CASE PRESENTATION
In this article, we describeacase of Glanders disease in KamkarArabnia Hospital in Qom, Iran. The patient was a 22-year-old man with headache, fever, chills, diarrhea, and vomiting of blood, and was admitted to the infectious ward in isolation.
CONCLUSION
The lack of definitive diagnostic symptoms and the rarity of this disease make it difficult to diagnose, and one should be careful in dealing with its symptoms. Also, paying attention to the patient's medical history and travel history to endemic areas, can lead to timely diagnosis and treatment.
背景
鼻疽是一种罕见疾病，在许多国家已被根除，但因其症状不具特异性，可能难以诊断。这种疾病若不治疗可能会致命，它由一种名为鼻疽伯克霍尔德菌的细菌引起。人类可通过接触受感染动物（如马）而感染此病。长期以来，针对这种疾病提出了各种治疗策略，甚至有人尝试研发疫苗，但迄今为止，尚未研发出有效的预防性疫苗。
病例报告
在本文中，我们描述了伊朗库姆的卡姆卡尔阿拉伯尼亚医院的一例鼻疽病病例。患者为一名22岁男性，有头痛、发热、寒战、腹泻和吐血症状，被隔离收治于感染病房。
结论
缺乏明确的诊断症状以及这种疾病的罕见性使其难以诊断，在处理其症状时应谨慎。此外，关注患者的病史和前往流行地区的旅行史，可实现及时诊断和治疗。
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