bookpower Chapter 262
Chapter 262
At this point,
nationwide
Because of the spread of news, more and more people know about the unknown and difficult disease of patient Xiaofei.
Unrelated people are naturally curious about what kind of disease this is, and curious whether Lin Feng can cure it.
However, there is another rare part of the population:
There are more than a dozen patients in the country, with the same disease, the whole body is gnawed, diagnosed with tuberculosis, but there is no treatment effect, and then the cause cannot be found, and the patient relapses repeatedly!
In Sichuan Province, a young male patient was surprised: "This disease is the same as mine!"
In Southern Province, a female patient was surprised: "There are patients like me?"
Hu Province, a patient: "..."
In Jiang Province, a doctor was also surprised: "Isn't this disease the disease of one of the patients I treated?
......
......
Why did Lin Feng say "bamboo rat"?
Because Lin Feng thought of one of the germs.
The symptoms caused by this germ are almost the same as the symptoms of the patient Xiaofei in front of him!
The bacteria are:
"Marnifi basketball"!
Basket Marnifi is a member of the genus Basket, and although most basket bacteria do not cause human health problems, Basket Salmonella is pathogenic.
This fungus is widely found in nature, and the carrier rate of ginkgo rats is as high as 96%.
As for why mention HIV?
Because HIV causes immune deficiencies in the body.
The effect of Basket Marnifi on immunodeficient patients is very fierce (of course, it cannot be ruled out that patients without immunodeficiency are eroded by Basket Marnifi).
And this germ, because it is too rare.
In the countless check-in experiences, Lin Feng has only appeared in 5 cases out of hundreds of thousands of millions!
In the country, it has not really appeared (or misdiagnosed other diseases)!
"How's it going, Dr. Lin?"
"With a preliminary idea..." Lin Feng said.
"Really?"
Xiaofei and her parents all shouted in surprise.
"What is the disease?"
"Preliminary considerations are caused by a germ..."
"Germs?"
Xiaofei and her parents are really excited now!
Finally not tuberculosis!
In these 3 years, in every hospital, the final diagnosis was tuberculosis.
Therefore, they are really afraid that Lin Feng will also give an answer - suspected tuberculosis!
OK!
Lin Feng said that it was a suspected germ!
It's not the same as before!
Lin Feng ordered: "I'm just a preliminary judgment, and I can't really confirm it yet... Wait a test for HIV pathogenic antigens..."
"In addition, take some diseased tissues such as lymph, lung, skin, peritoneum, etc. for bacterial culture... This process will take 7 days, so during this time, you are now living in the imperial capital, waiting for the hospital to notify..."
Beds in Harmony Hospital are very tight, and it is often difficult to find a bed.
Therefore, Lin Feng is trying not to be hospitalized as much as possible.
Xiaofei's parents were so excited that they were incoherent.
"Thank you doctor, thank you doctor!!"
Lin Feng opened the bill...
"Pay the fee, and then go and do all these checks..."
"Okay, go right away..."
Xiaofei's parents took the checklist, and then happily pushed Xiaofei, went out the door, and flew to draw blood...
......
When the patient's family left, the happy look was naturally seen clearly by the doctors and nurses in the emergency department.
"Diagnosed?"
"Isn't it? Dr. Lam really can?"
"Go, ask Dr. Lin!"
At this time, all the medical staff were like cat paws scratching their hearts, curious.
What is this disease?
Soon, Xiao Feng, a curious emergency nurse, ran in to ask Lin Feng.
"Doctor Lin, is it diagnosed?"
A look of admiration, curiosity, and adoration.
Lin Feng said with a smile: "Probably, it should be a relatively rare fungus-Marnifi blue bacteria, but you have to wait for the culture results..."
soon
The answer to "Rhizoma malnifi" spread throughout the emergency department.
The doctors and nurses were curious.
Rhizoma malnifi?
What came from?
If you don't understand, just check the network ...
Domestic network, no...
The emergency department is full of people, and many people have studied in the world's top hospitals in the beautiful country, and they quickly looked for Marnifi blue-like bacteria through the Internet.
I searched for hours.
Finally found a result!
In a relatively unfamiliar publication, the thing Marnifi blue-like bacteria was found.
There is a case above, a patient from Southeast Asia, whose symptoms are very similar to that of patient Xiaofei.
The emergency department was shocked!
"I'll go!"
"It looks like it!"
"However, this paper, a bit rough, is estimated to be not enough research, shallow taste, but unfortunately. "
......
That day
And the blood was also sent to the hematology department for HIV testing.
Xiaofei's lung tissue biopsy specimens, skin seepage hydraulic sheets, intestinal mucosal biopsy tissue, omentum biopsy tissue, and lymph node biopsy tissue were all removed and sent to the laboratory department for fungal culture.
Fungal culture, positive test, is the "gold standard" for diagnosing this germ!
After 4 days,
HIV was completed and the result was negative, that is, Xiaofei did not have AIDS.
And at this time,
The laboratory department gave 4 days of culture results:
Positive (i.e. found: Rhizoma malnifi)!
Continue to day 7,
Result: Still positive!
When the news reached Lin Feng's side,
Lin Feng smiled.
Sure!
This culprit who tortured Xiaofei for more than 3 years and gnawed Xiaofei's whole body was none other than Marnifei blue!
As for why the patient is misdiagnosed - tuberculosis?
That's because,
This fungus is very cunning, and its biggest magic weapon is that it will "deform".
Biphasic conversion!
In the human body, at 37 degrees, it is round or elliptical
Shape.
At room temperature of 25 degrees, it slowly extends its tentacles and changes into the shape of hairy hyphae, and it is difficult for inexperienced doctors to see its true face.
So, at 37 degrees, it can easily be misdiagnosed as tuberculosis.
And why Marnifi blue bacteria make patients appear 'nibbling' is because:
Basket Marnifi grows in the yeast phase in the body, and its size is suitable for macrophage phagocytosis. After macrophage phagocytosis, sensitized T lymphocytes release lymphokines to achieve bactericidal effect. And cytokines can cause necrosis of local tissues... And then it creates a pothole-like look.
Now that the truth has been found,
Then the next thing is to heal!
"Xiao Ai, call that patient Xiaofei, find the real murderer, let them go back to the hospital and receive treatment. "
"Okay, Dr. Lin is awesome!"
The eyes of several nurses of Xiao Ai were full of adoration!
......
soon
Xiaofei, her parents, and the reporter Zhang Zhen, who heard the good news, walked into the emergency department with excitement and anticipation.
"Doctor Lin, we're here!!"
With a trembling voice, he knocked on the door and entered Lin Feng's consultation room.
"Sit. "
"Doctor Lin, have you really found the reason?"
"Found it!"
Lin Feng smiled.
At this moment, Xiaofei's family suddenly cheered excitedly and turned to crying.
Mom and Dad hugged Xiaofei, and tears kept flowing.
Tortured for three years!
Traveled the whole country!
Now there is finally a result!
They were already shouting excitedly in their hearts: Doctor Lin, awesome!!
They just wanted to give it a try, but they didn't expect that Dr. Lin Feng actually got it.
"The specific reason for Xiaofei's disease is: ..."
Lin Feng told them some information about "Basket Marnifi".
Xiaofei and her parents were angry and sighed again:
"Unexpectedly, it turned out to be so cunning, no wonder I went to so many hospitals and didn't find the reason!"
Lin Feng smiled: "Next, it is targeted treatment, Marnifi basket bacteria are still relatively sensitive to a variety of antifungal drugs... Therefore, choose some antifungal drugs and treat them symptomatically..."
Xiaofei's parents nodded repeatedly: "This troubles Dr. Lin!"
Lin Feng nodded: "I chose one of them, called "amphotericin B liposome", which is more expensive, a 10 mg costs 300 yuan, and then Xiaofei needs to use 90 mg a day, that is, it costs 2,700 yuan a day, it takes 2 weeks, a total of 27,800 yuan... I also have to take itraconazole for 2 weeks, but this does not cost much..."
27,800!!
Plus admission fees and the like, more than 30,000!
Xiaofei's parents were embarrassed.
They naturally unconditionally support the cure of their daughter... However, this money...
After 3 years of searching for medical treatment nationwide, the whole family has long been in debt.
30,000,
They need to think about where to borrow money ...
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PS: This story is adapted from a true story, a tribute to the teacher Wang of the inspection department. With regard to Rhizoma malnifi, my country has made a very outstanding contribution in this regard.