■类鼻窦炎是由假伯克霍尔德菌引起的感染,革兰氏阴性细菌。它是东南亚和澳大利亚北部的地方病,尽管其全球发病率一直在上升。它最常见的感染有某些确定的危险因素的人,如糖尿病,酗酒,地中海贫血,以及涉及肺部的潜在慢性疾病,肾脏和肝脏。这种细菌能够产生广泛的临床表现,从无症状疾病到局部感染,如肺部感染。骨或皮肤传播性感染。
■这是一个案例,来自阿拉伯联合酋长国,一名最近被诊断患有糖尿病的40岁男性,他出现了多个脓肿,最终被诊断为播散性类骨病。他用抗生素和脓肿引流成功治疗。
■在非流行地区,类lioidosis在常见的诊断方法中很容易被遗漏。这种意识的差距可能会延迟诊断,并由于并发症而使患者进一步恶化。因此,这样的病例报告可以启发内科医生改变临床表现的发生率和复杂性,从而为将来更好地处理此类患者做好准备。
结论:由于其在包括阿拉伯联合酋长国在内的非流行地区的发病率相当罕见,类lioidosis容易被忽视或误诊。此外,由于与多种其他疾病和感染的相似性,以及标准医学课程的显著缺失,类lioidosis很少出现在内科医生的差异列表中。本报告旨在提高意识和警觉性,以帮助早期发现并避免严重并发症。
UNASSIGNED: Melioidosis is an infection caused by Burkholderia pseudomallei, a Gram-negative bacterium. It is a disease endemic to Southeast Asia and northern Australia although its global incidence has been rising. It most commonly infects people with certain identified risk factors such as diabetes, alcoholism, thalassemia, and underlying chronic disease involving lungs, kidney and liver. This bacterium is capable of producing a wide array of clinical manifestations ranging from asymptomatic disease to localised infections such as in the lung, bone or skin to
disseminated infection.
UNASSIGNED: This is a case, from United Arab Emirates, of a 40-year-old male recently diagnosed with diabetes who presented with multiple abscesses and was eventually diagnosed with
disseminated melioidosis. He was treated successfully with antibiotics and drainage of abscesses.
UNASSIGNED: In non-endemic regions, melioidosis can be easily missed in common diagnostic approaches. This gap of awareness could delay the diagnosis and allow further deterioration of the patient due to complications. Thus, case reports like this can enlighten internists about changing incidences and complexity of clinical presentations, thus preparing them to better handle such patients in the future.
CONCLUSIONS: Owing to its considerably rare incidence in non-endemic regions including the United Arab Emirates, melioidosis can easily be overlooked or misdiagnosed.Moreover, due to similarity with multiple other diseases and infections as well as significant absence from standard medical curricula, melioidosis is rarely on the differential list of an internist.This report aims to enhance awareness and alertness to aid earlier detection and avoid severe complications.