B\u1ec7nh Whitmore<\/strong> (hay c\u00f2n g\u1ecdi l\u00e0 Meliodosis) l\u00e0 m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh g\u00e2y ra b\u1edfi vi khu\u1ea9n Burkholderia pseudomallei . G\u1ea7n \u0111\u00e2y b\u1ec7nh xu\u1ea5t hi\u1ec7n tr\u1edf l\u1ea1i \u1edf Vi\u1ec7t Nam v\u00e0 \u0111\u00e3 c\u00f3 nhi\u1ec1u ca m\u1eafc m\u1edbi \u0111\u01b0\u1ee3c ghi nh\u1eadn. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 t\u1eeb s\u1ed1t, \u0111\u1ed5i m\u00e0u da, xu\u1ea5t hi\u1ec7n nhi\u1ec1u \u1ed5 \u00e1p xe \u0111\u1ebfn vi\u00eam ph\u1ed5i, vi\u00eam n\u00e3o, vi\u00eam x\u01b0\u01a1ng kh\u1edbp, suy \u0111a t\u1ea1ng v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong. B\u1ec7nh Whitmore c\u00f3 th\u1ec3 b\u1ecb ch\u1ea9n \u0111o\u00e1n nh\u1ea7m v\u1edbi c\u00e1c b\u1ec7nh kh\u00e1c nh\u01b0 Nhi\u1ec5m khu\u1ea9n huy\u1ebft do t\u1ee5 c\u1ea7u, Lao to\u00e0n th\u1ec3 khi ch\u01b0a c\u00f3 c\u00e1c x\u00e9t nghi\u1ec7m vi sinh. B\u1ec7nh d\u1ec5 xu\u1ea5t hi\u1ec7n tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u1ec1n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p v\u00e0 sau khi c\u00f3 v\u1ebft th\u01b0\u01a1ng h\u1edf ti\u1ebfp x\u00fac v\u1edbi b\u00f9n \u0111\u1ea5t.<\/p>\n

<\/div>\n
$\"B\u1ec7nh$
B\u1ec7nh Whitmore g\u00e2y tri\u1ec7u ch\u1ee9ng nh\u01b0 th\u1ec3 “\u0103n th\u1ecbt ng\u01b0\u1eddi”<\/figcaption><\/figure>\n
Vi khu\u1ea9n Burkholderia pseudomallei l\u00e0 g\u00ec?<\/h2>\n
Burkholderia pseudomallei<\/strong> l\u00e0 m\u1ed9t vi khu\u1ea9n Gram \u00e2m, l\u01b0\u1ee1ng c\u1ef1c, hi\u1ebfu kh\u00ed, h\u00ecnh que di \u0111\u1ed9ng, th\u01b0\u1eddng s\u1ed1ng trong \u0111\u1ea5t \u1edf c\u00e1c v\u00f9ng nhi\u1ec7t \u0111\u1edbi v\u00e0 c\u1eadn nhi\u1ec7t \u0111\u1edbi tr\u00ean th\u1ebf gi\u1edbi, l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh Whitmore tr\u00ean ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt.<\/p>\n
B.pseudomallei<\/strong> c\u00f3 chi\u1ec1u d\u00e0i t\u1eeb 2 \u2013 5 mcm v\u00e0 \u0111\u01b0\u1eddng k\u00ednh t\u1eeb 0.4 \u2013 0.8 mcm, c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 di chuy\u1ec3n b\u1eb1ng ti\u00ean mao. Vi khu\u1ea9n c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n trong c\u00e1c m\u00f4i tr\u01b0\u1eddng nh\u00e2n t\u1ea1o \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c m\u00f4i tr\u01b0\u1eddng c\u00f3 ch\u1ee9a betaine v\u00e0 arginine, sinh ra c\u1ea3 n\u1ed9i \u0111\u1ed9c t\u1ed1 v\u00e0 ngo\u1ea1i \u0111\u1ed9c t\u1ed1, vai tr\u00f2 c\u1ee7a \u0111\u1ed9c t\u1ed1 trong b\u1ec7nh Whitmore ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ho\u00e0n to\u00e0n.<\/p>\n
$\"Vi$
Vi khu\u1ea9n burkholderia pseudomallei<\/figcaption><\/figure>\n
Ch\u1ea9n \u0111o\u00e1n vi khu\u1ea9n h\u1ecdc: B. pseudomallei d\u1ec5 ph\u00e1t tri\u1ec3n tr\u00ean nhi\u1ec1u m\u00f4i tr\u01b0\u1eddng (th\u1ea1ch m\u00e1u, th\u1ea1ch MacConkey, EMB\u2026), nu\u00f4i c\u1ea5y th\u01b0\u1eddng c\u00f3 k\u1ebft qu\u1ea3 sau 24 \u2013 48 gi\u1edd cho khu\u1ea9n l\u1ea1c nh\u0103n nheo, c\u00f3 m\u00e0u kim lo\u1ea1i v\u00e0 c\u00f3 m\u00f9i \u0111\u1ea5t. Tr\u00ean ti\u00eau b\u1ea3n cho m\u00e0u gram \u00e2m theo ph\u01b0\u01a1ng ph\u00e1p nhu\u1ed9m gram. C\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p PCR tuy nhi\u00ean ch\u01b0a \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong l\u00e2m s\u00e0ng.<\/p>\n
S\u1ee9c \u0111\u1ec1 kh\u00e1ng: B. pseudomallei nh\u1ea1y c\u1ea3m v\u1edbi nhi\u1ec1u ch\u1ea5t kh\u1eed tr\u00f9ng th\u00f4ng th\u01b0\u1eddng : benzalkonium chloride, kali permanganat, iod, c\u1ed3n 70^{o<\/sup>. B\u1ecb ti\u00eau di\u1ec7t b\u1edfi nhi\u1ec7t \u0111\u1ed9 cao 74^{o<\/sup>C trong 10 ph\u00fat ho\u1eb7c b\u1eb1ng tia UV. Kh\u1eed tr\u00f9ng b\u1eb1ng clo kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 tin c\u1eady.<\/p>\n}}
Kh\u1ea3 n\u0103ng g\u00e2y b\u1ec7nh: B. pseudomallei l\u00e0 m\u1ed9t vi khu\u1ea9n g\u00e2y b\u1ec7nh c\u01a1 h\u1ed9i, th\u01b0\u1eddng x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3 qua c\u00e1c v\u1ebft th\u01b0\u01a1ng h\u1edf khi ti\u1ebfp x\u00fac v\u1edbi b\u00f9n \u0111\u1ea5t, c\u00f3 kh\u1ea3 n\u0103ng tr\u00f9ng h\u1ee3p actin t\u1eeb t\u1ebf b\u00e0o n\u00e0y qua t\u1ebf b\u00e0o kh\u00e1c v\u00e0 ti\u1ebft ra c\u00e1c \u0111\u1ed9c t\u1ed1 nguy hi\u1ec3m. T\u1ef7 l\u1ec7 t\u1eed vong do b\u1ec7nh Whitmore l\u00e0 t\u1eeb 20 \u2013 50% cho d\u00f9 c\u00f3 \u0111i\u1ec1u tr\u1ecb, t\u1ef7 l\u1ec7 t\u1eed vong cao c\u00f3 th\u1ec3 do b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n mu\u1ed9n d\u1eabn \u0111\u1ebfn giai \u0111o\u1ea1n n\u1eb7ng, xu\u1ea5t hi\u1ec7n c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng<\/p>\n
$\"Vi$
Vi khu\u1ea9n burkholderia pseudomallei<\/figcaption><\/figure>\n
V\u1eafc xin ph\u00f2ng b\u1ec7nh<\/h2>\n
Hi\u1ec7n ch\u01b0a c\u00f3 v\u1eafc xin \u0111\u1eb7c hi\u1ec7u ph\u00f2ng b\u1ec7nh, n\u1ebfu x\u1ea3y ra c\u00e1c d\u1ea5u hi\u1ec7u nghi nhi\u1ec5m B. pseudomallei c\u1ea7n \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf ngay \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n
Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Whitmore<\/h2>\n
Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Whitmore th\u01b0\u1eddng kh\u00e1c nhau tu\u1ef3 thu\u1ed9c v\u00e0o lo\u1ea1i nhi\u1ec5m tr\u00f9ng, c\u00e1c lo\u1ea1i Whitmore bao g\u1ed3m ph\u1ed5i, m\u00e1u, nhi\u1ec5m khu\u1ea9n t\u1ea1i ch\u1ed7 v\u00e0 lan truy\u1ec1n.<\/p>\n
– C\u00e1c v\u1ebft lo\u00e9t th\u01b0\u1eddng g\u1eb7p \u1edf gan, ph\u1ed5i, l\u00e1ch v\u00e0 tuy\u1ebfn ti\u1ec1n li\u1ec7t, \u00edt xu\u1ea5t hi\u1ec7n tr\u00ean x\u01b0\u01a1ng, kh\u1edbp, h\u1ea1ch b\u1ea1ch huy\u1ebft v\u00e0 n\u00e3o.<\/p>\n
– Nhi\u1ec5m tr\u00f9ng ph\u1ed5i: D\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a Whitmore l\u00e0 nhi\u1ec5m tr\u00f9ng ph\u1ed5i, c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u1ea7u ti\u00ean ho\u1eb7c l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a nhi\u1ec5m khu\u1ea9n huy\u1ebft, t\u1eeb nh\u1eb9 nh\u01b0 vi\u00eam ph\u1ebf qu\u1ea3n ho\u1eb7c n\u1eb7ng h\u01a1n l\u00e0 vi\u00eam ph\u1ed5i v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ed1c nhi\u1ec5m khu\u1ea9n. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m tr\u00f9ng ph\u1ed5i c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n
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Ho: ho khan ho\u1eb7c ho c\u00f3 \u0111\u1eddm<\/li>\n
S\u1ed1t cao<\/li>\n
\u0110au ng\u1ef1c khi th\u1edf<\/li>\n
\u0110au \u0111\u1ea7u v\u00e0 \u0111au nh\u1ee9c c\u01a1<\/li>\n
Gi\u1ea3m c\u00e2n<\/li>\n<\/ul>\n
Nhi\u1ec5m B.pseudomallei ph\u1ed5i c\u00f3 th\u1ec3 b\u1ecb nh\u1ea7m v\u1edbi lao, k\u1ec3 c\u1ea3 khi \u0111\u00e3 c\u00f3 h\u00ecnh \u1ea3nh X-quang ph\u1ed5i.<\/p>\n
$\"b\u1ec7nh$
V\u1ebft lo\u00e9t m\u0169i do b\u1ec7nh Whitmore g\u00e2y ra<\/figcaption><\/figure>\n
– Nhi\u1ec5m khu\u1ea9n huy\u1ebft: N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nhanh ch\u00f3ng, b\u1ec7nh c\u00f3 th\u1ec3 di\u1ec5n bi\u1ebfn th\u00e0nh nhi\u1ec5m khu\u1ea9n huy\u1ebft, c\u00f3 th\u1ec3 x\u1ea3y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 s\u1ed1c nhi\u1ec5m khu\u1ea9n, suy \u0111a t\u1ea1ng v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong cao, c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng bao g\u1ed3m:<\/p>\n
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S\u1ed1t, k\u00e8m theo r\u00e9t run v\u00e0 \u0111\u1ed5 m\u1ed3 h\u00f4i<\/li>\n
\u0110au \u0111\u1ea7u; \u0111au kh\u1edbp v\u00e0 \u0111au c\u01a1<\/li>\n
\u0110au h\u1ecdng<\/li>\n
M\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbng<\/li>\n
Kh\u00f3 th\u1edf<\/li>\n
Ti\u00eau ch\u1ea3y<\/li>\n
\u0110au b\u1ee5ng tr\u00ean<\/li>\n
V\u1ebft lo\u00e9t c\u00f3 m\u1ee7 tr\u00ean da ho\u1eb7c b\u00ean trong<\/li>\n<\/ul>\n
Nguy c\u01a1 x\u1ea3y ra nhi\u1ec5m khu\u1ea9n huy\u1ebft t\u0103ng l\u00ean tr\u00ean c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh n\u1ec1n nh\u01b0: \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng; b\u1ec7nh gan, th\u1eadn m\u1ea1n t\u00ednh, thalassemia, b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh, ung th\u01b0 ho\u1eb7c c\u00e1c t\u00ecnh tr\u1ea1ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch. Ng\u01b0\u1eddi b\u1ec7nh tr\u00ean 40 tu\u1ed5i c\u0169ng c\u00f3 nguy c\u01a1 b\u1ecb nhi\u1ec5m khu\u1ea9n huy\u1ebft cao h\u01a1n ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i.<\/p>\n
– Nhi\u1ec5m khu\u1ea9n t\u1ea1i ch\u1ed7: \u1ea2nh h\u01b0\u1edfng t\u1edbi da v\u00e0 c\u00e1c c\u01a1 quan ngay d\u01b0\u1edbi da, nhi\u1ec5m khu\u1ea9n t\u1ea1i ch\u1ed7 c\u00f3 th\u1ec3 lan \u0111\u1ebfn m\u00e1u, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n
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\u0110au ho\u1eb7c s\u01b0ng \u1edf m\u1ed9t khu v\u1ef1c ch\u1ee9a (c\u1ee5c b\u1ed9) ch\u1eb3ng h\u1ea1n nh\u01b0 tai v\u00e0 tuy\u1ebfn mang tai, th\u01b0\u1eddng li\u00ean quan nh\u1ea5t \u0111\u1ebfn quai b\u1ecb v\u00e0 d\u1ec5 b\u1ecb ch\u1ea9n \u0111o\u00e1n nh\u1ea7m.<\/li>\n
S\u1ed1t<\/li>\n
Lo\u00e9t ho\u1eb7c \u00e1p xe tr\u00ean, ho\u1eb7c ngay b\u00ean d\u01b0\u1edbi da \u2013 ch\u00fang c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u nh\u01b0 nh\u1eefng n\u1ed1t s\u1ea7n, m\u00e0u x\u00e1m ho\u1eb7c tr\u1eafng, sau \u0111\u00f3 tr\u1edf n\u00ean m\u1ec1m v\u00e0 vi\u00eam, tr\u00f4ng gi\u1ed1ng v\u1ebft th\u01b0\u01a1ng.<\/li>\n<\/ul>\n
– Nhi\u1ec5m khu\u1ea9n lan truy\u1ec1n: Trong lo\u1ea1i Whitmore n\u00e0y, v\u1ebft lo\u00e9t h\u00ecnh th\u00e0nh \u1edf nhi\u1ec1u c\u01a1 quan v\u00e0 c\u00f3 ho\u1eb7c kh\u00f4ng li\u00ean quan \u0111\u1ebfn s\u1ed1c nhi\u1ec5m khu\u1ea9n, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n
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S\u1ed1t, \u0111au \u0111\u1ea7u, co gi\u1eb7t<\/li>\n
Gi\u1ea3m c\u00e2n, s\u1ee5t c\u00e2n<\/span><\/li>\n
\u0110au d\u1ea1 d\u00e0y ho\u1eb7c ng\u1ef1c<\/li>\n
\u0110au c\u01a1 ho\u1eb7c kh\u1edbp<\/li>\n<\/ul>\n
Ch\u1ea9n \u0111o\u00e1n<\/h2>\n
Whitmore c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u c\u01a1 quan v\u00e0 d\u1ec5 ch\u1ea9n \u0111o\u00e1n nh\u1ea7m v\u1edbi nhi\u1ec1u b\u1ec7nh kh\u00e1c, do \u0111\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh th\u01b0\u1eddng cao do ch\u1ea9n \u0111o\u00e1n mu\u1ed9n.<\/p>\n
Ti\u00eau chu\u1ea9n v\u00e0ng trong ch\u1ea9n \u0111o\u00e1n Whitmore ch\u00ednh l\u00e0 nu\u00f4i c\u1ea5y ph\u00e2n l\u1eadp vi khu\u1ea9n B. pseudomallei t\u1eeb b\u1ec7nh ph\u1ea9m nh\u01b0 m\u00e1u, \u0111\u1eddm, m\u1ee7, n\u01b0\u1edbc ti\u1ec3u, d\u1ecbch bao ho\u1ea1t d\u1ecbch, d\u1ecbch m\u00e0ng b\u1ee5ng, d\u1ecbch m\u00e0ng tim\u2026 M\u00f4i tr\u01b0\u1eddng nu\u00f4i c\u1ea5y c\u00f3 th\u1ec3 l\u00e0 th\u1ea1ch m\u00e1u, th\u1ea1ch Macconkey, EMB\u2026 Tuy nhi\u00ean k\u1ebft qu\u1ea3 nu\u00f4i c\u1ea5y \u00e2m tinh c\u0169ng kh\u00f4ng cho ph\u00e9p b\u1ecf qua tr\u01b0\u1eddng h\u1ee3p m\u1eafc Whitmore.<\/p>\n
\u0110i\u1ec1u tr\u1ecb<\/h2>\n
– \u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh l\u00e0 b\u1eaft bu\u1ed9c tu\u1ef3 thu\u1ed9c v\u00e0o c\u00e1c lo\u1ea1i Whitmore<\/p>\n
– Giai \u0111o\u1ea1n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Whitmore l\u00e0 t\u1ed1i thi\u1ec3u 10 \u2013 14 ng\u00e0y \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh b\u1eb1ng t\u0129nh m\u1ea1ch (IV) v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u0111\u1ebfn 8 tu\u1ea7n. C\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn m\u1ed9t trong hai:<\/p>\n
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Ceftazidime 2g (Fortaz, Tazicef) (50 mg\/kg \u0111\u1ed1i v\u1edbi tr\u1ebb em, t\u1ed1i \u0111a 2g) ti\u00eam t\u0129nh m\u1ea1ch m\u1ed7i 6 gi\u1edd \u00edt nh\u1ea5t 14 ng\u00e0y<\/li>\n
Meropenem<\/a> 1g (Merrem, Meronem) (25 mg\/kg \u0111\u1ed1i v\u1edbi tr\u1ebb em, t\u1ed1i \u0111a 1g) ti\u00eam t\u0129nh m\u1ea1ch m\u1ed7i 8 gi\u1edd \u00edt nh\u1ea5t 14 ng\u00e0y.<\/li>\n<\/ul>\n
– Giai \u0111o\u1ea1n th\u1ee9 hai k\u00e9o d\u00e0i t\u1eeb 3 \u2013 6 th\u00e1ng v\u1edbi kh\u00e1ng sinh \u0111\u01b0\u1eddng u\u1ed1ng:<\/p>\n
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Co \u2013 trimoxazol (Sulfamethoxazol + Trimethoprim) (Bactrim, Biseptol<\/a>) u\u1ed1ng m\u1ed7i 12 gi\u1edd<\/li>\n
Doxycyclin (Alodox, Cyclindox) u\u1ed1ng m\u1ed7i 12 gi\u1edd.<\/li>\n<\/ul>\n
T\u00e1i ph\u00e1t h\u1ea7u nh\u01b0 kh\u00f4ng x\u1ea3y ra, ch\u1ec9 xu\u1ea5t hi\u1ec7n tr\u00ean c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh.<\/p>\n
D\u1ecbch v\u00e0 t\u1ed5ng h\u1ee3p: Quang S\u00e1ng<\/p>\n
Ngu\u1ed3n tham kh\u1ea3o:<\/p>\n
https:\/\/www.healthline.com\/health\/melioidosis<\/a><\/p>\n
https:\/\/vi.wikipedia.org\/wiki\/Burkholderia_pseudomallei<\/a><\/p>\n
https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10093229<\/a><\/p>\n
https:\/\/jcm.asm.org\/content\/54\/12\/2866<\/a><\/p>\n
Copy ghi ngu\u1ed3n:\u00a0 https:\/\/www.vnras.com\/drug\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"
Nh\u1eefng ng\u00e0y g\u1ea7n \u0111\u00e2y, \u1edf kh\u1eafp n\u01a1i ch\u00fang ta \u0111\u1ec1u th\u1ea5y \u0111\u01b0a tin v\u1ec1 lo\u1ea1i vi khu\u1ea9n “\u0103n th\u1ecbt ng\u01b0\u1eddi” \u0111\u00e1ng s\u1ee3 v\u00e0 c\u0103n b\u1ec7nh Whitmore m\u00e0 n\u00f3 g\u00e2y ra. Ch\u1ec9 trong v\u00f2ng th\u00e1ng 8, Trung t\u00e2m B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi – B\u1ec7nh Vi\u1ec7n B\u1ea1ch Mai \u0111\u00e3 ghi nh\u00e2n \u0111\u1ebfn 12 tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m lo\u1ea1i vi […]\n","protected":false},"author":1,"featured_media":21366,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-21355","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/21355","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=21355"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/21355\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/21366"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=21355"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=21355"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=21355"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}