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”

作　　者：黄松[1] 陈强[1] 曾宇 陈朝彦[1] HUANG Song;CHEN Qiang;ZENG Yu;CHEN Zhao-yan(Department of Critical Care Medicine,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;General Practice Department,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院重症医学科,广西南宁530021 [2]广西医科大学第一附属医院全科医学科,广西南宁530021

出　　处：《中国感染控制杂志》2024年第2期238-241,共4页Chinese Journal of Infection Control

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)。

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。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.

关 键 词：类鼻疽 类鼻疽伯克霍尔德菌 脓毒症 噬血细胞综合征 

分 类 号：R754.3[医药卫生—皮肤病学与性病学] R631[医药卫生—临床医学]