Turner M O, Lee V T, FitzGerald J M
Department of Medicine, University of British Columbia, Vancouver.
Chest. 1994 Sep;106(3):952-4. doi: 10.1378/chest.106.3.952.
Melioidosis was diagnosed in a diabetic sailor who presented with a history and chest radiograph that suggested tuberculosis. Melioidosis is a tropical disease with protean manifestations: from asymptomatic infection to chronic cavitary lung disease to overwhelming sepsis. The diagnosis is easily made, even in nonendemic areas when duly considered by the clinicians and microbiology laboratory. Ceftazidime has dramatically improved outcomes in hospitalized patients with severe melioidosis.
一名患有糖尿病的水手被诊断出患有类鼻疽，其病史和胸部X光片提示为肺结核。类鼻疽是一种具有多种表现形式的热带疾病：从无症状感染到慢性空洞性肺病，再到严重败血症。即使在非流行地区，只要临床医生和微生物实验室适当考虑，诊断也很容易做出。头孢他啶显著改善了重症类鼻疽住院患者的治疗效果。
