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A Case of Melioidosis Presenting as Migrating Pulmonary Infiltration: The First Case in Korea
Journal of Korean Medical Science ; : 139-142, 2005.
Artículo en Inglés | WPRIM | ID: wpr-163762
ABSTRACT
Melioidosis is an infection of the Gram-negative bacterium Burkholderia pseudomallei. While it is known as an important cause of sepsis or chronic abscessforming disease in Southeast Asia and northern Australia, no case has yet been reported in Korea. A 50-yr-old man visited our hospital for intermittent fever associated with dry cough and sputum. Roentgenographic examination showed migrating pulmonary infiltration. Symptoms and chest radiograph and computed tomography (CT) image findings did not improve despite use of fluoroquinolone antibiotics. Gram-negative bacteria were isolated on bronchoscopic washing culture and were identified as B. pseudomallei on DNA sequencing of 16S ribosomal RNA with 100% homology. Treatment for melioidosis was commenced with high dose ceftazidime, and the patient's fever, cough, and sputum were improved and the lesion on chest radiograph and CT almost disappeared.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Temperatura / Factores de Tiempo / ARN Ribosómico 16S / Tomografía Computarizada por Rayos X / Ceftazidima / Burkholderia pseudomallei / Análisis de Secuencia de ADN / Sepsis / Fluoroquinolonas / Diagnóstico Diferencial Tipo de estudio: Estudio diagnóstico / Estudio pronóstico Límite: Humanos / Masculino País/Región como asunto: Asia Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2005 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Temperatura / Factores de Tiempo / ARN Ribosómico 16S / Tomografía Computarizada por Rayos X / Ceftazidima / Burkholderia pseudomallei / Análisis de Secuencia de ADN / Sepsis / Fluoroquinolonas / Diagnóstico Diferencial Tipo de estudio: Estudio diagnóstico / Estudio pronóstico Límite: Humanos / Masculino País/Región como asunto: Asia Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2005 Tipo del documento: Artículo