CAJ | 학술논문

目的：提高对非疫区布鲁氏菌病的认识与诊断水平。方法分析遵义医学院附属医院2013年8月收治的1例布鲁氏菌病患者，以“布鲁氏菌、布氏杆菌”为检索词检索PubMed检索系统、中国生物医学文献服务系统（SINOMED）、万方医学数据库及维普信息资源系统，并结合检索文献进行分析。结果女患，44岁，以头痛为首发表现，后出现咳嗽及发热就诊。初诊为沙门氏菌感染，予抗感染及对症治疗后患者发热高峰值逐渐下降，病程期间出现腰背部疼痛，行血培养及骨髓培养明确诊断为布鲁氏菌病。检索国内外相关文献报道该病发病率呈上升趋势。结论布鲁氏菌病起病及临床特征表现形式多样，对于临床特征表现不典型，特别是此病散发及发病率低的地区，临床医师应提高对该病的诊断及认识，避免漏诊及误诊。
목적：제고대비역구포로씨균병적인식여진단수평。방법분석준의의학원부속의원2013년8월수치적1례포로씨균병환자，이“포로씨균、포씨간균”위검색사검색PubMed검색계통、중국생물의학문헌복무계통（SINOMED）、만방의학수거고급유보신식자원계통，병결합검색문헌진행분석。결과녀환，44세，이두통위수발표현，후출현해수급발열취진。초진위사문씨균감염，여항감염급대증치료후환자발열고봉치축점하강，병정기간출현요배부동통，행혈배양급골수배양명학진단위포로씨균병。검색국내외상관문헌보도해병발병솔정상승추세。결론포로씨균병기병급림상특정표현형식다양，대우림상특정표현불전형，특별시차병산발급발병솔저적지구，림상의사응제고대해병적진단급인식，피면루진급오진。
Objective To improve the understanding and diagnosis of brucellosis in non-epidemic areas. Method Analyse a brucellosis patient admitted in the affiliated hospital of zunyi medical col ege on August 2013 and apply ‘Brucellosis,Brucella’ as key words to retrieve related literatures in Pubmed, Chinese biomedical literature service system (SINOMED) and VIP information resources system. Results A 44-year-old female patient who presented headache as initial complaint, fol owing fever and cough symptoms. Primary diagnosis was Salmonel a infection, during the period of treatment, the peak of fever decreased gradual y and appeared lumbar back pain .Then blood and bone marrow culture confirmed brucellosis, and relevant literatures reported that the incidence of brucellosis showed an upward tendency. Conclusion Varied from the onset and clinical features of brucellosis, especial y in the area with low morbidity, improve the diagnosis , meanwhile avoid misdiagnoses and ignoring typical symptoms is important for clinicians.