摘要
目的探讨布鲁氏菌病的流行、诊断及血培养布鲁氏菌的微生物检验特性,提高对该病的认识。方法对经血培养阳性确诊的5例布鲁氏菌病患者的流行病学、临床资料、实验室资料进行系统分析。结果3例患者为广州市人,1例为中山市人,1例为顺德市人;2例与猪、牛有接触史,1例疑为实验室感染,2例无明显的接触史。5例患者均以急性布鲁氏菌菌血症引起的布氏病中毒症状为主,临床症状及体征各有不同,但均有长期不规则低热。结论广州地区存在分散的点状流行。布氏病急性期临床表现变化多样性,临床医生对其认识不足易误诊,因此对发热病人应重视血培养的检查,对散发的布鲁氏菌病的早期诊断、治疗有重要意义,增强高危人群防护意识,防止暴发流行。
Objective To improve the understanding of brucellosis. Methods Clinical data of 5 strains brucella pathogens blood culture were isolated from 2006 to April 31, 2007 in our hospital with clinically diagnosed brucellosis were analyzed. Results Three patients were Guangzhou citizens, one patient was Zhongshan citizen and the other was Shunde citizen. Two cases had direct and indirect contact with animals, the other two had not direct and indirect contact with animals, The last case was doubtful of infection in laboratory. 5 cases were found brucella pathogens in blood culture and had a fever for a long time. All cases were measured using serological method and the brucella pathogens were identified using microbiological method by Guangdong province and Guangzhou center for disease control and prevention. Conclusion The brucellosis epidemic status is spread around in Guangzhou. The fever of brucellosis is so abonormity and the clinical symptom is so varied that the medical staff mistake brucellosis for the other disease. It is important to lay store by brucella pathogens in blood culture for the fever patients.
出处
《广州医药》
2007年第4期23-25,共3页
Guangzhou Medical Journal
关键词
布鲁氏菌病
血培养
诊断
Brucellosis
Blood culture
Diagnosis
