职业接触莫能菌素致横纹肌溶解症1例

报道1例因职业接触莫能菌素致横纹肌溶解症患者。患者职业接触莫能菌素后,表现为肌肉疼痛、肌无力、酱油色尿;肌酸激酶超过正常值239倍;双下肢周围神经病变;谷丙转氨酶、谷草转氨酶、乳酸脱氢酶显著升高;尿潜血、蛋白阳性。临床给予保护脏器功能、防治脏器功能衰竭、维持电解质和酸碱平衡等对症治疗措施后好转出院。     

麻疹孪生球菌致腹部切口感染1例

麻疹孪生球菌（Gemella morbillorum）是人类口腔、呼吸道、肠道的正常菌群，其引起人体感染在文献中偶见报道。我院诊治1例麻疹孪生球菌手术切口感染患者，现报告如下。     

止咳水的尴尬

曾几何时，人们可以轻而易举地从药店买来一瓶小小的止咳水，殊不知这是需要凭处方才能得到的药物。如今，仍然是这瓶小小的止咳水，竟然上了娱乐场所滥用药物的黑名单。止咳水成了“摇头水”，人们忧心忡忡。     

1例希木龙假丝酵母菌突破性菌血症病例报告

正假丝酵母菌血症是医院感染主要的侵袭性真菌病。其病死率高达32%～34%[1]。目前针对免疫缺陷患者进行常规预防与经验性全身抗真菌药物治疗,虽然短暂的降低了侵袭性假丝酵母菌血症的病死率,但也改变了侵袭性假丝酵母菌的流行病学。我国近年来文献报道,非白假丝酵母菌感染所占比例已经超过了白假丝酵母菌感染[2-3],这也是导致突破性假丝酵母菌血症病例增多的主要因素。突破性假丝酵母菌血症是指在任何情况下,经过系统性的     

苯中毒致骨髓增生异常综合征1例报告

该患者接触苯类化合物近18年,其间工作过4家企业,4家企业均未进行职业性健康监护、日常性劳动卫生现场监测、作业场所和作业人员无任何防护措施,表明用人单位和劳动者法制意识淡薄,对职业病防治缺乏认识,也表明当地卫生监督部门对《职业病防治法》宣传不到位,工作中执法不力,存在漏洞,劳动者的合法权益得不到保障。     

皮疽奴卡菌感染致左侧臀部脓肿1例

正皮疽奴卡菌又称鼻疽奴卡菌(Nocardia farcinica),隶属于奴卡菌属。1888年Nocard首次分离出奴卡菌[1],其后国内外陆续有临床病例报道。奴卡菌病临床少见,多见于免疫力低下者,近年有增长趋势。奴卡菌病由奴卡菌感染所致,病理表现为亚急性或慢性化脓性或肉芽肿性病变,病原菌通过呼吸道或受损的皮肤入侵,肺为主要受累脏器,以星形奴卡菌最为多见,其次为巴西奴卡菌[1-17]。我院1例     

Urethritis caused by Neissena meningitidis: A case report

Isolation of N. meningitidis from the male urethra has become more common in recent years and this has been attributed to sexual activities and changes in social attitudes. We describe a further case of acute urethritis caused by transmission of N. meningitidis occurring after a single sexual contact (fellatio) in a heterosexual man. The urethritis was initially diagnosed as being caused by N. gonorrhoeae on a presumptive basis, then attributed to N. meningitidis serogroup Y. This case shows the need of accurate diagnostic procedures in all cases resembling gonococcal urethritis.Corresponding author.     

Occupational laryngitis caused by formaldehyde: A case report

Formaldehyde is commonly accepted to be an allergen and irritant. However, specifically diagnosed occupational respiratory diseases caused by formaldehyde are relatively rare. Occupational laryngitis was diagnosed in a 47-year-old dairy foreman. He had been exposed for 9 years to formaldehyde emitted from a milk-packing machine situated underneath his office. His exposure level varied considerably. Under normal process conditions, the measured formaldehyde level was 0.03 mg/m³. The patient was examined by different specialists over 1½ years. It was concluded that that he had psychogenic dysphonia. However, a specific laryngeal provocation test with formaldehyde carried out at the Finnish Institute of Occupational Health was positive. His laryngitis was so serious that he was pensioned. During the 3 years of follow-up his condition gradually worsened. He now reacts especially to tobacco smoke and other air impurities known to contain formaldehyde. © 1996 Wiley-Liss, Inc.     

正己烷致多发性周围神经病1例报告

长时间接触低浓度正己烷可引起多发性周围神经病,起病隐匿而缓慢。现将我院首次发现的职业接触正己烷引起的多发性周围神经病的病例报告如下。     

Septic shock caused by Streptococcus suis: case report and investigation of a risk group

A case of septic shock caused by Streptococcus suis type 2 occurred in a 36-year-old truck driver who transported pigs. Here, as well as in nearly all other cases of S. suis infections reported to date, close occupational contact with pork or pigs preceded the incident. This epidemiological link may be explained by the frequent occurrence of S. suis as a commensal and opportunistic germ in pigs. In order to assess the potential risk for an infection with S. suis, 132 workers in pig slaughtering, pork dissecting and processing industries were examined in a cross sectional study for the occurrence of S. suis in their pharynx, and compared with an age and sex matched control group. The evaluation of the pharyngeal swabs showed an atypical colonisation by a variety of microorganisms in some of the employees who were so far healthy, but potentially at risk. The colonisation of the case group with S. suis amounted to 5.3%.     

氯仿致中毒性肝损伤1例报告

患者男性,26岁,因乏力、食欲差、尿黄1个月,加重伴意识不清5d,于2004年3月12日以病毒性肝炎、亚急性重型收入院。     

丙烯酰胺中毒所致声嘶、排尿障碍1例报告

报道1例职业性丙烯疏胺中毒患者,其主要影响神经系统,同时出现声音嘶哑、排尿障碍、性功能减退,症状较重。经过综合治疗后痊愈,无明显后遗症。     

注射百白破疫苗致过敏性皮疹伴发热一例报告

广州市芳村区某医院最近在计划免疫过程中发生一例因注射吸附精制百白破混合制剂 (DPT)而出现全身性皮疹伴发热患儿 ,现报告如下。1　疫苗资料　　给患儿注射的第一、第二针DPT均为兰州生物制品研究所生产 ,批号为 2 0 0 10 90 1,有效期限至 2 0 0 3年 6月 ;第三针为成都生物制品研究所生产 ,批号为 2 0 0 2 0 10 1- 2 ,有效期限至2 0 0 4年 1月。2　临床资料　　患儿满 3足月龄 ,按计划免疫开始注射DPT ,疫苗使用时充分摇匀 ,均为上臂外侧三角肌中部肌内注射。 2 0 0 2年 6月10日首次注射DPT 0 5ml,2d后出现发热 (38 3℃ ) ,注射处无…     

沥青光毒性皮炎19例报告

光毒性皮炎常因接触煤焦沥青等光敏性物质所致。某厂19名后勤辅助工 ,在接触煤焦沥青仅半个月余即发病 ,现报道如下。1　中毒情况2 0 0 1年 9～ 10月 ,某厂 19名后勤辅助工在清扫一个约30 0 0ｍ2 曾存放过粉状煤焦沥青仓库时 ,先后接触到了焦油沥青。开始因在库内工作 ,无日光照射 ,只是在下班光照面部时感发热、略痒。在仓库换顶棚期间 ,阳光直射到作业仓库内 ,受到直接照射的工人明显感到面部刺痛、灼热、痒、畏光、流泪等 ;而在背阴处时间长的工人表现较轻 ,只是觉畏光、流泪、面部红热。因着工作服 ,戴风帽、手套等 ,皮损限于暴露的面部…     

一起大肠菌群引起食物中毒的调查报告

2004年5月28日广西阳朔某饭店因承办宴席发生一起食物中毒事故。根据流行病学调查、临床表现及实验室检查结果，确定为一起致病性大肠杆菌引起的食物中毒。现将结果分析如下。     

一起误食亚硝酸盐引起食物中毒调查分析

2004年6月4日,辽宁省朝阳县六家子镇六家子村发生一起一家4人因误食亚硝酸盐中毒事件。现将调查结果报道如下。