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以“肾占位”起病的类鼻疽脓毒症合并噬血细胞综合征1例

One case of melioidosis sepsis complicated with hemophagocytic syndrome with an onset of “renal mass”

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【作者】 黄松陈强曾宇陈朝彦

【Author】 HUANG Song;CHEN Qiang;ZENG Yu;CHEN Zhao-yan;Department of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University;General Practice Department, The First Affiliated Hospital of Guangxi Medical University;

【通讯作者】 陈朝彦;

【机构】 广西医科大学第一附属医院重症医学科广西医科大学第一附属医院全科医学科

【摘要】 类鼻疽病是由类鼻疽伯克霍尔德菌感染所致的传染性疾病,其临床表现多样,常反复发作及合并脓毒症,且易误诊误治,故病死率较高。本文分析1例类鼻疽脓毒症合并噬血细胞综合征的病例,并结合国内外文献对该病的临床特点、诊治思路等进一步总结,以期降低该病的误诊误治,提升患者存活率。

【Abstract】 Melioidosis is an infectious disease caused by Burkholderia pseudomallei. Its clinical manifestations are diverse, often recurring and accompanied by sepsis, and it is prone to misdiagnosis and mistreatment, resulting in a high mortality. This paper analyzes a case of melioidosis sepsis combined with hemophagocytic syndrome, and further summarizes the clinical characteristics, diagnosis and treatment of the disease based on domestic and foreign li-teratures, so as to reduce misdiagnosis and mistreatment of the disease and improve survival rate of patient.

【基金】 广西医科大学第一附属医院第三批优秀医学英才计划(WK2019025);微生物代谢国家重点实验室(上海交通大学)开放课题(科研202223)
  • 【文献出处】 中国感染控制杂志 ,Chinese Journal of Infection Control , 编辑部邮箱 ,2024年02期
  • 【分类号】R459.7;R55
  • 【下载频次】30
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