Doctor: I picked up attributes in the hospital

Chapter 294 Brain-Eating Amoeba? !

"Have you seen it in the hospital over there? What did the doctor over there say? Have you had any treatment?"

Zhao Heng asked again and again.

Headache, fever, vomiting, and loss of language function are very typical manifestations of cerebral edema, but it is not known what causes cerebral edema.

Cerebral edema refers to the pathological phenomenon that the increase of water in the brain leads to the increase of brain volume, and it is the response of brain tissue to various pathogenic factors.

Cerebral edema can lead to intracranial hypertension, that is, symptoms of headache and vomiting, and damage to brain tissue, which also affects the functions of language and motor centers.

Clinically, it is common in neurological diseases, such as craniocerebral trauma, intracranial infection (encephalitis, meningitis, etc.), cerebrovascular disease, intracranial space-occupying disease (such as tumor), seizures and systemic diseases such as toxic dysentery , Severe pneumonia.

"I saw it at a hospital on Jeju Island. The doctor said it was acute meningitis, and the treatment was infusion."

The girl thought for a while and said.

This time, it was the third anniversary of her relationship with her boyfriend. She originally wanted to go to Jeju Island for a romance, but unexpectedly, on the third day after going there, her boyfriend developed a fever for no reason.

Not only did she have a fever, but she also had a headache and vomiting, and then she couldn't even speak, which made the girl very anxious.

Just when Zhao Heng was about to continue the consultation, the young man lying on the hospital bed suddenly stared, with a look of fear on his face, his hands scratching at his chest, and a violent "hissing" sound from his throat, although he couldn't understand , but it sounds like a single word, as if to express something.

"Doctor, what's wrong with him?"

Seeing the appearance of her gentle and personable boyfriend in the past, the girl couldn't help asking in disbelief.

"Push a unit of diazepam statically, and contact the imaging department for emergency brain CT."

Seeing the young man's sudden madness, Zhao Heng said to Tian Zhen and Liu Meng without any panic on his face.

"it is good."

Hearing Zhao Heng's order, Liu Meng and Tian Zhen nodded at the same time.

Moments later, with a unit of diazepam infused, the young man fell silent.

However, the horrible look of his madness just now made the atmosphere a little dignified.

The girl seemed to be frightened, and after a while, she slowly asked Zhao Heng: "Doctor, what's wrong with him? Could there really be something dirty?"

When she was in Jeju Island, she had heard horror legends there, saying that several tourists who came back from there before went crazy and so on.

"This is an illusion caused by impaired brain function. Believe in science."

Zhao Heng said in a gentle way to comfort the girl.

Not only did he have headaches, vomiting and other signs of cerebral edema, but now he also had hallucinations, which made Zhao Heng feel even worse.

"When you were on that island, where did you go?"

After a pause, Zhao Heng asked again.

The patient now has severe cerebral edema and impaired brain function, which is absolutely impossible for no reason.

Even cerebral edema caused by general acute illness, such as viral meningitis, will not have such a big impact on the language and visual centers.

Therefore, Zhao Heng had an extremely bad premonition in his heart.

"I just strolled around the beach, and the rest was eating local delicacies and swimming in the hotel's swimming pool."

The girl thought hard and said slowly.

"Doctor, is he suffering from some strange disease?"

After a moment of hesitation, the girl asked again.

This time, her boyfriend got sick, which frightened her. It can be said that she has suffered a lot since her boyfriend got sick. These few days, can be said to be the most difficult days in her life.

She couldn't imagine what would happen to her if something happened to her boyfriend.

"Perfect the inspection first, don't worry, we will do our best to treat him."

Zhao Heng comforted the girl and said.

It's normal for any young girl to panic when encountering such a situation with her boyfriend.

What is abnormal is the onset of this young boy.

"Well, thank you doctor, thank you."

The girl nodded again and again. With Zhao Heng's comfort, she felt a lot more at ease in her heart, not as scared as before.

Next, Liu Meng contacted the imaging department and performed an emergency brain CT on the boy.

Eleven in the morning.

Zhao Heng was sitting in the office, looking at the CT scan of the brain just sent by the Imaging Department under the light, with a solemn expression on his face.

"Make a call and ask Director Liu from the Department of Neurosurgery to come over."

Zhao Heng said to Liu Meng who was standing by.

"it is good."

Liu Meng nodded when she saw Zhao Heng with a serious face.

After a while, Liu Ziang walked into the office and saw that Zhao Heng was watching a film, so he didn't say anything. He stepped forward and looked at the CT film of Zhao Heng's brain hanging on the frame.

Seeing this, Liu Ziang, who was very experienced, had an unusually dignified expression.

"Student, is this the patient admitted today? Why is the brain tissue almost compressed by 60.00%?"

Liu Ziang said in a calm tone.

On this CT scan of the brain, Liu Ziang saw impressively that the patient's brain tissue was compressed by as much as 60.00%. Such severe brain tissue compression and cerebral edema were caused by him as the deputy director of the Department of Brain Surgery at Dongfang Hospital. , the authority and master of brain surgery, this is also the first time I have seen it.

"Yes, the patient became ill while traveling in Jeju Island. The first episode was headache and vomiting, and now he has language dysfunction and hallucinations."

Zhao Heng nodded and said.

"Student, do you suspect that he is?"

Liu Ziang thought of a possibility and couldn't help asking Zhao Heng.

"Imaging alone cannot be confirmed, and it is necessary to take samples for pathogen detection to make a final diagnosis."

As if knowing what Liu Ziang was going to say, Zhao Heng shook his head slightly and said.

"If it is really infected by that kind of pathogen, then the hope of cure is too slim."

Liu Ziang said in a solemn tone.

"I hope not, but there are indications that this is highly consistent with the symptoms of Naegleria fowleri infection."

Zhao Heng said.

Naegleria fowleri, another name, is the brain-eating amoeba.

Since the brain-eating worm was first discovered and named in Australia in 1970, there have been at least 146 confirmed cases in the United States, but only 4 survivors, with a fatality rate of over 97%!

In the nearly 10 case reports reported in our country, all infected patients died without exception!

The "brain-eating worm," also known as Naegleria fowleri, is a single-celled protozoan that usually lives in warm freshwater.It can enter the central nervous system through the nasal cavity, infect the brain, and eventually lead to brain death of the infected person.

The tiny amoebas, which can suspend in water or settle in soil, enter the human body when water is up their nose, and then move to the brain, where they first devour the protection that surrounds the central nervous system. Layer, then consume more brain tissue, and go deeper into the brain.

The most important thing is that in the current medical field, there is no specific drug for the treatment of PAM caused by Naglia fowleri infection, and the commonly used antibacterial drugs and conventional anti-amoeba drugs for the treatment of bacterial meningitis are ineffective .

(End of this chapter)