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  • 标题:Klebsiella Pneumoniae sepsis deteriorated by uncontrolled underlying disease in a decontamination worker in Fukushima, Japan
  • 本地全文:下载
  • 作者:Toyoaki Sawano ; Masaharu Tsubokura ; Claire Leppold
  • 期刊名称:Journal of Occupational Health
  • 印刷版ISSN:1341-9145
  • 电子版ISSN:1348-9585
  • 出版年度:2016
  • 卷号:58
  • 期号:3
  • 页码:320-322
  • DOI:10.1539/joh.15-0292-CS
  • 出版社:Japan Society for Occupational Health
  • 摘要:Objectives: Patients with underlying conditions are at a higher risk of developing sepsis, a systematic response to infection, which has a high mortality rate. After the March 2011 Fukushima Daiichi nuclear power plant accident, there has been an influx of migrant decontamination workers; however, little is known about their health status. Case: A Japanese 55-year-old male decontamination worker, who had several underlying diseases, was transferred to our hospital in cardiopulmonary arrest. He had a history of diabetes mellitus and hypertension and a past history of tuberculosis. Control of underlying conditions was poor, with HbA1c of 13.8% at presentation. He was diagnosed with pneumonia-induced bacteremia and sepsis due to Klebsiella pneumoniae . Although spontaneous circulation returned in emergency room, he died a day after admission. Conclusion: The poor control of underlying diseases seen in this patient could have been influenced by his recent job transfer and engagement in decontamination work and additionally related to his socioeconomic status (SES). This case highlights the need for further research to elucidate the underlying diseases, working conditions, and SES of this population.
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