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Melioidosis Presenting as Mediastinal Lymphadenopathy and Abscess: A Case Report

以縱膈腔淋巴結腫大及縱膈腔膿瘍表現之類鼻疽-個案報告

摘要


59 歲男性因原因不明的發燒入院檢查,電腦斷層顯示縱膈腔淋巴結腫大,以胸腔鏡切片手術及抗生素治療後症狀改善出院。出院後再度因高燒入院治療,電腦斷層顯示縱膈腔膿瘍,經電腦斷層引流的細菌培養報告為類鼻疽伯克氏菌,和切片的細菌培養結果一樣。在接受3 周Ceftazidime 抗生素治療後出院。

並列摘要


A 59-year-old man was admitted with a fever of unknown origin. Chest CT showed mediastinal lymphadenopathy. His symptoms improved after VATS biopsy and antibiotic treatment, and he was then discharged. The fever flared up again, however, and he was subsequently readmitted; a second CT scan showed a mediastinal abscess. Final drainage culture and biopsy culture showed Burkholderia pseudomallei. He was discharged after three weeks of antibiotic treatment with ceftazidime.

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