I can see the status bar

Chapter 644 Diagnosed

Leprosy is one of the three oldest chronic infectious diseases recorded in human history.Leprosy, syphilis, and tuberculosis have been bound to the entire human race since the beginning of the human species' ability to record history.

But unlike tuberculosis and syphilis, leprosy is actually very weakly contagious.Normal people will generally not be infected with this chronic infectious disease unless they have long-term close contact with untreated leprosy patients, or contact with armadillos infected with Mycobacterium leprae.

The horror of leprosy lies mainly in its disabling nature - the bacillus leprae continues to cause skin lesions and peripheral nerve damage, and peripheral nerve damage can slow down or even disappear the pain and sensation of limbs.This results in the complete loss of feeling in the extremities of many advanced leprosy patients, who continually injure the limbs in their daily activities, eventually leading to severe injuries and disability.Even if one pays great attention to it and does not experience physical damage, leprosy itself can cause disfigurement and other serious consequences.

"Leprosy?" Dr. Jiang thought for a while, then nodded slowly, "It is indeed... possible."

Mycobacterium leprae infection can cause tuberculosis antibody positive reaction, and BCG vaccination can provide ordinary people with certain leprosy immunity.Their clinical relationship is even closer than that of biological classification-in leprosy patients, there is a type of patients with strong immunity who will show "tuberculosis-like type", while tuberculosis patients with skin lesions as the first symptom Not without it.

Both leprosy and tuberculosis require long-term treatment.In general, patients with paucibacillary (PB) leprosy require at least six months of combination therapy.In the case of multibacillary leprosy (MB), one year of continuous combined antibiotic therapy is required.Tuberculosis also takes 6-12 months to cure.

Moreover, there is a high degree of overlap between the treatment plans of the two parties. Currently, the main recommended treatment plan for leprosy is the combination of three antibiotics with different mechanisms of action: dapsone (DDS), rifampicin (RFP) and clofazimine (B633). treat.

Dapsone can be used together with rifampicin to treat tuberculosis, which is the first-line drug for the treatment of tuberculosis, and clofazimine is the main drug for the treatment of drug-resistant tuberculosis.

From a certain point of view, Dr. Jiang was right from the very beginning—Korashi Kobayashi should be treated according to the method of treating tuberculosis.

"I'm going to take a skin sample now." It's not that Dr. Jiang has never seen leprosy patients, but the incidence of leprosy in China is getting lower and lower, and now it is rare to see early-stage patients who have just been infected.This also made Dr. Jiang relax his vigilance against this disease. If Sun Li'en hadn't reminded him, he might never have thought about it.

Sun Li'en nodded, and he pushed aside his own diagnosis again. There was no problem with the process and logic.The trouble now is to find out the cause of Kobayashi Kaoru's infection, and to test and intervene in Lin Lan - she may not necessarily be infected with leprosy, but living with Kobayashi Kaoru, the risk of infection she faces is five times that of ordinary people above.

Thinking of this, Sun Li'en walked towards the ward helplessly.This pair of fateful mandarin ducks just passed the line of life and death a year ago, and now they are facing this kind of... threat again.Even Sun Lien felt sorry for them.It's as if the heavens are watching this couple, testing their relationship time and time again with the worst jokes.

However, Sun Lien is quite confident in the relationship between the couple.Xiaolin Xun's concern for Lin Lan was absolutely sincere - at least Sun Lien didn't think that when other people thought that his wife was undergoing surgery, they would worry about the excessive change in blood pressure that would cause ear canal bleeding.In order to save his wife's life first, Kobayashi Xun endured the double torment of a slight concussion and a temporal bone fracture, and persisted until the treatment fee was paid for her.

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"Okay, I see." Lin Lan nodded slightly after listening to Sun Lien's diagnosis.She crossed her body and continued to stroke her husband's hair.After touching it twice, he asked, "If the treatment starts, when will he not feel so uncomfortable?"

"It's still not certain that it's leprosy." Sun Lien replied cautiously, and kept observing Lin Lan's status with the status bar. "This will not be confirmed until the results of the biopsy are released."

"If it is confirmed that it is leprosy, then we can be sure that his current symptoms are caused by the leprosy reaction." Sun Lien replied, "The leprosy reaction is the result of his own immune system fighting against pathogens, which can be controlled by immunosuppressants." ..."

"That is to say, as long as it is confirmed that he is a leper, there is a way to make him... make him feel better?" Lin Lan lowered her head and thought for a while, then lightly stroked Xiao Linxun's hair, "Although it's not quite right to say that. Okay... but it would be fine if you really got leprosy." She smiled slightly, but she couldn't see any nervousness or fear, "In this case, the doctor will have a way to make you feel better."

"Although leprosy is not highly contagious, you have to be as careful as possible and reduce your contact with him." Sun Lien said in a low voice, "We will also take a blood test for you later, if you are not infected by him, Infection can be prevented by taking rifapentine orally."

"Don't worry about it." Lin Lan said seriously, "He is so uncomfortable now...let's figure out Xiao Lin's problem first."

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"The diagnosis can be confirmed." Dr. Jiang held the coffee and shook the biopsy report in his hand to Sun Li'en, "Take a skin tissue test from his right thigh, and the section shows that there are foamy cells in the local nerve, lymphatic Cell involvement."

Sun Lien stretched his waist, "What about the number of bacteria?" This is a key question. If the number of bacteria is low, then Kaoru Kobayashi can receive half a year of treatment.

"At present, it is 6+." Dr. Jiang reported a not-so-good result, "Look at the examination report. If there is no other opinion, I am going to give him the U-MDT treatment plan."

"There is no problem in the examination, and the diagnosis can be confirmed." Sun Lien quickly scanned the examination report.The report mentioned that Mycobacterium leprae was clearly detected under the microscope. "But... give him thalidomide to control the leprosy first, shall we?"

Kaoru Kobayashi's persistent high fever was an obvious leprosy reaction.This also made Sun Lien breathe a sigh of relief - Kobayashi Kaoru did not have any immune system problems. If he had an autoimmune system disease, he would not have such a severe leprosy reaction.

"No problem." Dr. Jiang now obeys Sun Lien's words. "Then I'll go to the doctor's order first-those crew members must also receive preventive treatment."

Sun Lien nodded, and the other crew members had been in close contact with Kaoru Kobayashi.They are also at risk of infection.After the meeting began to treat Xiaolin Xun, he planned to ask Lin Lan to go to the ship to inform the crew, to test all the crew, and then distribute enough medicine for prevention.

"What are you doing hiding here?" Liu Tangchun suddenly appeared in the inspection room, holding his own Maritime satellite phone in his hand, "That old Xiaolin from Takeda Pharmaceuticals called you everywhere, and his calls came to me. .You call him back." Liu Tangchun glared at Sun Lien with some dissatisfaction, "What's the situation with his son? Have you figured it out yet?"

Sun Li'en nodded, took out his maritime satellite phone and prepared to dial, and said while dialing, "It's diagnosed, it's leprosy."

(End of this chapter)