类鼻疽假单胞菌感染的诊断与治疗（Diagnosis and treatment of Pseudomonas pseudomallei infection）.docVIP

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类鼻疽假单胞菌感染的诊断与治疗（Diagnosis and treatment of Pseudomonas pseudomallei infection）.doc

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类鼻疽假单胞菌感染的诊断与治疗（Diagnosis and treatment of Pseudomonas pseudomallei infection）

类鼻疽假单胞菌感染的诊断与治疗（Diagnosis and treatment of Pseudomonas pseudomallei infection） Diagnosis and treatment of Pseudomonas pseudomallei infection 2010-11-10, Jia Jie, Mo Jie Pseudomonas pseudomallei (P.pseudomallei) is a gram negative, dense staining of Brevibacterium, in soils, mostly in Southeast Asia and Australia, China recently also reported a number of cases. Human infection is caused by damaged skin and contaminated soil, so it is called soil-related (di-sease). The clinical infection caused by this bacterium is very changeable, and it is generally resistant to common antibiotics. It causes misdiagnosis and leads to serious consequences. The case report that treats my courtyard now is as follows. clinical data I. General Information From June 1995 to June 1998, a total of 16 cases confirmed melioidosis in our hospital. There were 12 males and 4 females, aged 33~70 years, including 33~50 years old, 14 cases (87.5%). 14 occupations were farmers. 8 cases died (50%). Two 、 clinical manifestation Most of the 16 patients were affected by infection, which could be systemic infection or focal infection (see Table 1). Table of clinical data of 116 cases of patients with melioidosis Diagnosis of disease (case number), admission diagnosis (case number), culture of positive samples, sources of treatment, cure (case number), death (case number) Pulmonary melioidosis (5) pulmonary tuberculosis (5) sputum anti tuberculosis 3 Sensitive antibiotic 2 Melioidosis septicemia (5) sepsis (3) blood non sensitive antibiotics 3 Leptospirosis (1) antibiotic 1 Pulmonary infection (1) non sensitive antibiotic 1 Pseudomallei liver abscess (2) HCC (1) pus operation + antibiotic 1 Amiba liver abscess (1) puncture + sensitive antibiotic 1 Melioidosis brain abscess (1) osteomyelitis of skull and brain abscess (1) pus surgery + non sensitive antibiotics 1 Melioidotic popliteal fossa abscess (1) popliteal fossa abscess (1) pus sensitive antibiotic 1 Melioidosis lymphadenitis (1) cervical lymph node