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李禎祥 醫師

一般內科、感染性關節炎及脊椎感染、蜂窩性組織炎(含壞死性筋膜炎)、泌尿道感染、肺炎及呼吸道感染、中樞神經感染、腹腔內感染、敗血症、不明原因發燒、免疫不全病人之感染(如愛滋病)、肺結核及肺外結核病、成人疫苗接種(含肺炎鏈球菌疫苗、流感疫苗、帶狀皰疹疫苗、流行性腦脊髓膜炎疫苗、HPV疫苗)、登革熱

教職 : 教授

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語言

  • 國語,英語,閩南語

現職

  • 高雄長庚感染醫學科主治醫師
  • 長庚醫院教授級主治醫師
  • 教育部部定教授
  • 長庚大學兼任副教授

學歷

  • 長庚大學臨床醫學研究所碩士
  • 中國醫藥大學醫學系

經歷

  • 高雄長庚感染醫學科主任
  • 高雄長庚感染醫學科主治醫師
  • 高雄長庚內科部住院醫師
  • 高雄長庚感染醫學科總醫師

學會與認證

  • 台灣感染管制學會會員
  • 台灣感染症醫學會會員
  • 台灣內科醫學會會員

論文及期刊發表

  • Dengue hemorrhagic fever in Taiwan.
  • Splenic abscess in southern Taiwan.
  • Underdiagnosis of urinary tract infection caused by Methylobacterium species with current standard processing urine culture and its clinical implications.
  • Altered p38 mitogen-activated protein kinase expression in different leukocytes with increment of immunosuppressive mediators in patients with severe acute respiratory syndrome (SARS).
  • Right arm pyomyositis and necrotizing fasciitis complicated with subcutaneous emphysema and pneumomediastinum in a patient with diabetes mellitus and iatrogenic Cushing’s syndrome.
  • Recurrent Klebsiella pneumoniae mycotic aneurysm in a diabetic patient and emergence of an extended-spectrum β-lactamase (CTX-M-24)-containing Klebsiella pneumoniae strain after prolonged treatment with first-generation cephalosporins for mycotic aneurysm.
  • Shorten the course of antibiotics for ventilator associated pneumonia: impact on the clinical outcomes and effect on antibiotics resistant strains emergence
  • Risk factors for spontaneous rupture of liver abscess caused by Klebsiella pneumoniae.
  • Splenic abscess caused by Klebsiella pneumoniae and non- Klebsiella pneumoniae in Taiwan*: Emphasizing risk factors for acquisition of Klebsiella pneumoniae splenic abscess.
  • Role of vascular cell adhesion molecules and leukocyte apoptosis in the lymphopenia and thrombocytopenia of patients with severe acute respiratory syndrome (SARS).
  • Tuberculous spondylitis and Salmonella mycotic aneurysm in an immunocompromised patient.
  • In vivo selection of OmpK-35- deficient mutant after cefuroxime therapy for primary liver abscess caused by Klebsiella pneumoniae.
  • Treatment of ESBL-producing Klebsiella pneumoniae bacteremia with carbapenems or flomoxef: A retrospective study and laboratory analysis of the isolates.
  • Paradoxical reactions during immune restoration in an AIDS patient with multiple brain tuberculoma.
  • Collateral damage of flomoxef therapy: in vivo acquisition of porin deficiency and acquisition of blaDHA-1 leading to ertapenem resistance in a clinical isolate of Klebsiella pneumoniae producing CTX-M-3 and SHV-5 -lactamases.
  • Leptospirosis, scrub typhus and dual infection in Taiwanese patients.
  • Unusual femoral artery mycotic aneurysm complicated by infective spondylitis.
  • Community-acquired osteomyelitis caused by Chryseobacterium meningosepticum: case report and literature review.
  • Spontaneous infective spondylitis and mycotic aneurysm: incidence, risk factors, outcome and management experience.
  • Unusual presentation of infected vertebroplasty: delayed cement dislodgement in an immunocompromised patient: case report and review of literature.
  • Refractures in cemented vertebrae after percutaneous vertebroplasty: A retrospective analysis.
  • Hemophagocystic syndrome in an AIDS adult suffering from acute disseminated penicillosis.
  • Pseudomembranous colitis: a clinical report from southern Taiwan.
  • Clinical and microbiological characteristics of mycotic aneurysms in a medical center in southern Taiwan.
  • Antimicrobial effects of varied combinations of meropenem, sulbactam and colistin on a multidrug resistant Acinetobacter baumannii isolate that caused meningitis and bacteraemia.
  • Liver Tuberculosis in Southern Taiwan: 15-years Clinical Experience.
  • Initially unrecognized dementia in a young man with neurosyphilis.
  • Abdominal tuberculosis: analysis of clinical features and outcome of adult patients in southern Taiwan.
  • Ano-perianal tuberculosis: 15 years of clinical experiences in Southern Taiwan.
  • Refractory vertebral osteomyelitis due to CTX-M-14-producing Escherichia coli at ertapenem treatment in a patient with a coexisting urinary tract infection caused by the sample pathogen.
  • Clinical characteristics and risk factors for fatality in patients with bloodstream infections caused by glucose non-fermenting Gram-negative bacilli.
  • Melioidotic septic arthritis in the Emergency Department-an easily delayed diagnosis.
  • Hypermucoviscosity associated with Klebsiella pneumoniae-mediated invasive syndrome: a prospective cross-sectional study in Taiwan.
  • Development of daptomycin nonsusceptibility and heterogeneous vancomycin intermediate methicillin-resistant Staphylococcus aureus with phenotypic susceptibility to methicillin during high-dose daptomycin treatment.
  • Bacteremia due to extended-spectrum β-lactamase-producing Klebsiella pneumoniae with or without plasmid-mediated AmpC β-lactamase (DHA-1): microbiologic and clinical implications.
  • Clinical characteristics and risk factors for mortality in patients with meningitis caused by Staphylococcus aureus and vancomycin minimal inhibitory concentrations against These Isolates.
  • Development of Ceftazidime resistance in Burkhoderia pseudomallei in a patient experiencing melioidosis with mediastinal lymphadenitis.
  • Tuberculous ankle: comparison of pyogenic septic ankle arthritis with tuberculous ankle.
  • Letter to Striking “seesaw effect” between daptomycin nonsusceptibility and β-Lactam susceptibility in Staphylococcus haemolyticus.
  • Acute melioid community-acquired pneumonia.
  • A Melioidosis patient presenting with brain stem sgns in the Emergency Department.
  • Prosthetic joint infection caused by Mycobacterium alvei in an elderly patient.
  • Spread of ISCR1 elements containing blaDHA-1 and multiple antimicrobial resistance genes leading to increase of flomoxef resistance in ESBL-producing Klebsiella pneumoniae.
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