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Klebsiella Pneumoniae sepsis deteriorated by uncontrolled underlying disease in a
decontamination worker in Fukushima, Japan
#MMPMID27108638
Sawano T
; Tsubokura M
; Leppold C
; Ozaki A
; Fujioka S
; Nemoto T
; Kato S
; Oikawa T
; Kanazawa Y
J Occup Health
2016[Jun]; 58
(3
): 320-2
PMID27108638
show ga
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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