These patients manifest a variety of clinical manifestations, acute semi -damaged developments causing diverse damage to many organs, weakening the immune system such as blood infections, liver pressure, lower leg pressure, meningitis.
Specialist II Pham Cong Duc, Head of Tropical Diseases Department, Bai Chay Hospital, examination for patients infected with Whitmore
Notably, cases of elderly patients, with white disease infected pathology with serious lesions, long -term treatment time.
Typically patient V.T.H.(67 years old, residing in Ha Long City, Quang Ninh Province) has a history of bone marrow disease, hypertension is transferred from the higher level hospital for treatment at Bai Chay Hospital with diagnosisThe brain is caused by Burkholderia pseudomallei (Whitmore), with pneumonia.The patient was treated according to the diabetes combining inflammation, running ulcerative and dead end.
Other cases are patient Dang T.D.(62 years old, living in Uong Bi City, Quang Ninh Province) has a history of diabetes under treatment.Patients were hospitalized in a state of fever, cold spines, human pain, swelling of the left leg software with pus, clear infection syndrome.Positive pus test with Burkhoderia Pseudomallei (Whitmore).Doctors diagnose blood infections, whitmore bacterial lower legs on diabetes patients with antibiotic and antibiotic treatments, and drainage under their legs.
Specialist II Pham Cong Duc, Head of Tropical Diseases Department, Bai Chay Hospital, said that Whitmore's disease has a very diverse clinical manifestation, many organs and diseases are in the direction of acuteSometimes silent, the patient happened slowly and when he was admitted to the hospital, there were very deep voltage, on many organs.
"We have been treating many patients with pneumonia, soft tissue inflammation, femur, hip arthritis, multi -drive pressure, pressure in organs such as muscles, liver, spleen, kidney, meningitisBacteria. The death rate is relatively high if not treated promptly.- Doctor Pham Cong Duc added.
Patients infected with whitmore disease have a lower leg
According to the Head of Tropical Diseases, Bai Chay Hospital, for the diagnosis of Whitmore's disease, the gold standard based on microbiological tests in the blood and pus in the skin is damaged.The incubation period is from 1-11 days, may be prolonged and difficult to diagnose.
The treatment of whitmore disease on each case the patient will have different methods and treatment regimens.
Drug treatment is mainly divided into 2 stages: attack phase and maintenance phase.At the attack stage, the patient is treated with intravenous antibiotic injection for 4 to 6 weeks, even 8 weeks with severe cases of illness, infection shock.Next, the patient must maintain oral antibiotic for 3 to 6 months.
Whitmore's disease has a special treatment time, so the treatment is needed and the patient must be re -examined regularly to assess the risk, development and side effects of the drug if any.
The cause of whitmore is caused by Burkholderia pseudomallei.This bacterium usually lives in mud, especially moist areas, infected water and penetrates the human body mainly through the skin when there is an open wound in direct contact with the soil and water infected.
Burkholderia pseudomallei infection may be a hidden infection and triggered tuberculosis.There are currently no preventive vaccines and diseases from human to human.
The doctor recommends that preventive measures are mainly to ensure personal hygiene, environmental sanitation, use of labor protection when working with soil, infected water or in the environment that is not guaranteed.Hygiene, completely clean the skin tear, scratched or contaminated burns and perform boiling cooking ...
Especially, when the patient has ulcers on the skin, symptoms such as fever, aches and feet, cough, abdominal pain, loosened many times, need to immediately go to the medical facility for examination and diagnosis in time.time.