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앙코르와트 여행자에서 발생한 유비저 감염 사례

A case with melioidosis after traveling to Angkor Wat, Cambodia

주간 건강과 질병 2019년 12권 1호 p.2 ~ 6
이신영 ( Lee Shin-Young ) - 질병관리본부 감염병관리센터 감염병감시과

이지연 ( Lee Ji-Yeon ) - 질병관리본부 감염병관리센터 감염병감시과
조은희 ( Cho Eun-Hee ) - 질병관리본부 감염병관리센터 감염병감시과

Abstract

Melioidosis is caused by the Gram-negative bacillus Burkholderia pseudomallei, and it is commonly found in soil and water in Southeast Asia and Northern Australia. People are mainly infected through direct contact with the pathogens, which is endemic to Southeast Asia and Northern Australia. Melioidosis can be difficult to diagnose because of its diverse clinical manifestations as abscesses of the skin and soft tissue, sepsis, and pneumonia; treatment containing ineffective antimicrobials may then result in a mortality rate of 50%. A 60-year-old man with the history of having traveled to Cambodia’s Angkor Wat in 2008 complained of a fever, dyspnea and cough, and then was diagnosed as melioidosis through a culture examination of Burkholderia pseudomallei from Bronchial aspirate samples obtained by Bronchoscopy. This report describes a imported, relapsed melioidosis case who had the antibiotic treatment for unexplained pneumonia after trip to Angkor Wat, Cambodia in 2008.

키워드

Melioidosis; Burkholderia pseudomallei; Pathogen; Pneumonia
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