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Chapter 553 Brucellosis

Brucellosis, or "brucellosis," is a well-known zoonotic disease.The incidence of this disease is relatively high in developed animal husbandry areas such as Europe and the United States. In my country, it is mainly concentrated in pastoral areas and a small number of areas where cattle and sheep are scattered in the south.

There are many types of Brucella. In addition to the most common Brucella sheep, there are also classifications such as cattle, pigs, dogs, and sheep Brucella.However, these classifications do not affect the symptomatic presentation and extent of the disease.As a systemic disease, Brucella infection affects every organ in the body.About 30 percent of these cases show symptoms of skeletal involvement—and often the spine, known as Brucellar spondylitis (BS).

Judging from the duration of symptoms, if Liu Baoguo suffered from Brucellar spondylitis, then he should have a subacute onset—the duration was less than 52 weeks.From the point of view of symptoms, he basically has all the manifestations of brucellosis spondylitis, except for the lack of fluctuating fever.

Brucellosis has two names, one is "Maltese fever" and the other is "wave fever".Yes, there is a very characteristic febrile pattern among the symptoms of brucellosis.Because its type is so unique, for a period of time, people simply use this symptom to name brucellosis.

Undulate fever refers to a type of fever in which the patient's temperature gradually rises above the normal temperature, even to about 39 degrees, and then slowly falls back to the normal body temperature after a few days, and it cycles back and forth.Because the symptoms are too special, it has become synonymous with brucellosis-but it should be pointed out that not all brucellosis has the performance of undulating fever, but almost all patients with undulating fever have brucellosis Bacterial infections.

Those who are not brucellosis patients with wave fever... presumably have tuberculosis?
Shen Qingmei left the ward early with a wink, and Sun Lien's question caused the two doctors present to fall silent. Brother Luo's level is not good enough, and he will not be able to remember the manifestations of brucellosis for a while.But Lin Yanan was different. She knew very well that Sun Lien's suspicion was very reliable.

Leaving aside other things, the possibility of tuberculosis developing to the level of tuberculous spondylitis without contact with tuberculosis patients and not causing any respiratory symptoms is really too small.It is not impossible for animals to transmit tuberculosis to humans, but more often people transmit tuberculosis to animals-from various perspectives, tuberculosis is more like a "human" zoonotic disease than a "human" zoonotic disease .

Brucellosis is different. Judging from the patient's own description, he has all the "infection source", "transmission route" and "crowd susceptibility" required for infection.And the timing is exactly right.Brucellosis is indeed quite possible.

"It's possible. And the possibility is not small." After pondering for a while, Lin Yanan gave his opinion, "It is necessary to do further inspections to verify."

Sun Lien nodded, he looked at the time, "Now take a sample for testing, and send the sample for cultivation, it's better to be earlier than later."

After sending Luo Ge and Lin Yanan away, Sun Lien found a stool and sat down.It can be seen that Liu Baoguo is extremely confused now, he urgently needs a doctor to explain to him what is wrong with his body.

"Mr. Liu, have you lost a lot of weight recently?" Sun Lien was silent for a moment, and chose to start the conversation in a more gentle way, "There must be about... ten catties?"

"I've lost nearly [-] catties in the past six months." Liu Baoguo regained a relatively stable mental state, and poured a cup of tea for himself and Sun Li'en each again. "At first I thought it was because of the tea I drank recently...they said that the green tea they grow themselves can shave oil." Liu Baoguo handed Sun Lien a cup of tea and said with a wry smile, "Now it seems...it should be because of this What Bru..."

"Brucellus spondylitis." Sun Li'en took a sip from the teacup, "Of course, we're just skeptical right now. We'll have to wait for the test results to know if the diagnosis is confirmed."

"You let that big nurse draw a lot of blood from me just now." Liu Baoguo glanced at Sun Lien, "According to what you said, will I have to draw a lot of blood later?"

"It won't be too much." Sun Li'en smiled, "Just take care of it."

After chatting for a while, seeing that Liu Baoguo's mood seemed to improve a bit, Sun Li'en continued to explain, "This kind of disease has treatment options after infection. You don't have to have any psychological pressure—this kind of disease is actually more serious than Tuberculosis is curable."

The treatment plan is clearly written in the guidelines for the diagnosis and treatment of brucellosis. Rifampicin or streptomycin combined with cidocycline is used for treatment. If streptomycin is used, a course of treatment is about two to three weeks. The course of treatment is basically enough.For patients with subacute onset like Liu Baoguo who developed into Brucellar spondylitis, they need to be treated with third-generation cephalosporins—if necessary, surgical methods may also be needed to treat spinal lesions.

But in general, the course of treatment for brucellosis is shorter than that of tuberculosis, and because the rate of brucellosis patient-to-human transmission is negligible—there is and only sexual transmission possible—so for brucellosis For patients with fungal disease, the psychological pressure will be much less.

"Anyway, I'll just cooperate with you." Liu Baoguo seemed to have indeed decided to cooperate with Sun Lien. "When Mr. Shen strongly urged me to come to your hospital at the beginning, I didn't think so." Back then, in order to find a suitable hospital for Mr. Shen’s daughter, I entrusted many friends to inquire about hospitals in the capital and Shanghai. As a result, I showed them the results of the examination, and they all shook their heads and said they couldn’t do it.”

In fact, it is certain that other hospitals dare not do this kind of surgery—no matter how careful you are, the traditional surgical plan will damage the white matter of the brain.This kind of entrusted person to ask, generally the operation is too difficult to dare to accept.

As for the capital's refusal to accept... Maybe it's because of Liu Pingchuan's face?
"We also used some relatively rare technologies to solve this problem." Sun Lien didn't know that Shen Qingmei and Liu Baoguo talked about looking for more content, and he didn't dare to elaborate on the treatment plan. After all, this involves the issue of patient privacy, " But if you really have brucellar spondylitis, the treatment is the same everywhere—the treatment is universal across the country.”

"Why do you go to other places? Get another dozen tubes of blood drawn?" Liu Baoguo shook his head with a smile, and pointed to the surrounding environment by the way, "Such a new inpatient department, and there is only one bed and one room, this kind of treatment Other public hospitals don’t have it.”

(End of this chapter)