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一名从泰国归来的游客患致命类鼻疽病。

Fatal melioidosis in a tourist returning from Thailand.

作者信息

Wilks D, Jacobson S K, Lever A M, Farrington M

机构信息

Department of Medicine, Addenbrooke's Hospital, Cambridge, U.K.

出版信息

J Infect. 1994 Jul;29(1):87-90. doi: 10.1016/s0163-4453(94)95222-1.

DOI:10.1016/s0163-4453(94)95222-1
PMID:7525733
Abstract

Severe infections with Pseudomonas pseudomallei, the causative agent of melioidosis, is a common cause of community acquired septicaemia in South East Asia and parts of Northern Australia, but infection in travellers returning to the United Kingdom is extremely rare. We describe the case of a tourist who acquired melioidosis in Thailand. Despite intensive intravenous therapy with antibiotics to which the organism was sensitive, the patient's infection proved fatal. Ps. pseudomallei was isolated from blood cultures at a late stage in his illness by use of a commercial blood culture system that included an antibiotic removal device (Bac/TAlert, Organon-Technica).

摘要

类鼻疽病的病原体——类鼻疽假单胞菌引起的严重感染,是东南亚和澳大利亚北部部分地区社区获得性败血症的常见病因,但返回英国的旅行者感染极为罕见。我们描述了一名在泰国感染类鼻疽病的游客病例。尽管使用了该病菌敏感的抗生素进行强化静脉治疗,但患者的感染仍被证明是致命的。在患者疾病后期,通过使用一种包括抗生素去除装置(Bac/TAlert,Organon-Technica)的商业血培养系统,从血培养中分离出了类鼻疽假单胞菌。

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引用本文的文献

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Microbiology of abdominal infections: differences between different parts of the world.腹部感染的微生物学:世界各地不同地区之间的差异。
Dig Dis Sci. 2009 Feb;54(2):420-1; author reply 422. doi: 10.1007/s10620-008-0612-4. Epub 2008 Dec 5.
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Effects of soil pH, temperature and water content on the growth of Burkholderia pseudomallei.土壤pH值、温度和含水量对类鼻疽伯克霍尔德菌生长的影响。
Folia Microbiol (Praha). 2003;48(2):253-6. doi: 10.1007/BF02930965.
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Interventions for treating melioidosis.治疗类鼻疽的干预措施。
Cochrane Database Syst Rev. 2001;2002(2):CD001263. doi: 10.1002/14651858.CD001263.
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Melioidosis: an emerging infection in Taiwan?类鼻疽:台湾地区一种新出现的感染病?
Emerg Infect Dis. 2001 May-Jun;7(3):428-33. doi: 10.3201/eid0703.010310.
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RAPD analysis of isolates of Burkholderia pseudomallei from patients with recurrent melioidosis.对复发性类鼻疽患者分离出的类鼻疽伯克霍尔德菌进行随机扩增多态性DNA分析。
Epidemiol Infect. 1995 Aug;115(1):115-21. doi: 10.1017/s0950268800058179.