Chan C K, Hyland R H, Leers W D, Hutcheon M A, Chang D
Can Med Assoc J. 1984 Dec 1;131(11):1365-7.
A 47-year-old Cambodian refugee presented with an acute respiratory illness that featured consolidation of the lower lobe of the left lung and progressive involvement of the adjacent pleura caused by Pseudomonas pseudomallei. Initial difficulty in identifying the organism resulted in an inadequate duration of therapy. Chronic pleural disease followed, and the organism became resistant to many antibiotics during therapy. A diagnosis of pleuropulmonary melioidosis should be entertained and the microbiology laboratory alerted when patients with pneumonia who are from endemic areas are encountered, so that a diagnosis can be made early and the appropriate treatment begun.
一名47岁的柬埔寨难民出现急性呼吸道疾病，其特征为左肺下叶实变以及由类鼻疽假单胞菌引起的邻近胸膜的进行性累及。最初识别该病原体存在困难，导致治疗疗程不足。随后出现慢性胸膜疾病，且该病原体在治疗期间对多种抗生素产生耐药性。当遇到来自流行地区的肺炎患者时，应考虑胸膜肺类鼻疽的诊断并提醒微生物实验室，以便能早期做出诊断并开始适当治疗。
