medical road high rise

Chapter 350 The real murderer
Invincible Chapter 352
"Show me the medical records." Qin Feng stretched out his hand.

The patient's father handed the patient's medical records to Qin Feng, and at the same time a bag of films.

Qin Feng fell into silence for a while while looking at the pile of films.

The thicker the medical record and the more films there are, the more serious the patient's condition is.

Due to the excessive number, Qin Feng directly canceled today's outpatient clinic and concentrated on receiving Zhang Xiaowen.

It took Qin Feng nearly an hour to read all the medical records.

Fortunately, the patient's parents also put some thought into organizing the medical records in chronological order, so Qin Feng didn't look so tired.

After reading it, Qin Feng came to a result.

That is, the patient's lungs and bones were pitted and pitted by unknown germs, and there were holes everywhere, which looked a bit like trees that had been eaten by insects.

Especially when I saw a recent CT scan of the lungs, one-third of the patient's lungs had been emptied. Over time, even potholes appeared on the patient's lower back and next to the spine.

One thing Qin Feng can confirm is that every second of the patient's life is suffering, and the germs are constantly devouring her body.

"Have you ever checked for HIV?" Qin Feng asked, thinking of this.

"My Xiaowen is very obedient. She has always kept herself clean and will not fool around outside..."

"That's not what I meant, because HIV is not necessarily transmitted through that kind of behavior. It may also be transmitted through other ways. The patient's condition is a bit like the collapse of the human immune system, which is very similar to HIV. I suggest you get an HIV test first. Pathogen and antibody tests." Qin Feng said.

"We did it in the provincial hospital before." The patient's mother said.

"It used to be before, and now is now. It didn't exist before, but it doesn't mean it doesn't exist now. If it happened to be the window period of HIV at that time, it wouldn't be detected." Qin Feng explained.

The patient's father made a decision and decided to go for an examination.

"Have you ever eaten wild animals?" Qin Feng continued to ask.

"No."

Because of wild animals, Qin Feng thought of a relatively rare germ, which is only found in animals.

The full name is Cyanobacterium marneffei, which is a member of the genus Talaromycetes. Most Talaromyces bacteria are not pathogenic to the human body, but Marneffei is.

The ginkgo bamboo rat is the one that carries the most amount of this disease, and the bacterial carrying rate in the body of the ginkgo bamboo rat is as high as 90.00%.

Hiv plus Marnefi, it is simply poisonous.

One siege, one erosion.

It's just that this kind of case is too rare, even in the world, there are very few cases of this kind, and there is no case in China for the time being. Of course, it may be a misdiagnosis.

"I have a preliminary idea. I may know what the patient's disease is, but I still have to wait for the HIV test results." Qin Feng said.

"What's the disease?"

"Maybe it's caused by a germ."

Hearing the germs, the patient's parents were relieved. They had heard too much about tuberculosis, and Qin Feng finally gave a different answer.

"In addition, it is necessary to take the patient's lymph, lung, skin, peritoneum and other diseased tissues for bacterial culture. This process will take about seven days, so you are living in Shanghai during this period, waiting for the notice here." Qin Feng said.

The beds in Ruijin Hospital in Shanghai are still very tight, so Qin Feng can stay in the hospital without being hospitalized. After all, the patient's condition is not life-threatening, and there will be no sudden situation.

"Okay, don't say seven days, just a month!"

The patient's parents thanked Qin Feng, and Qin Feng gave the patient a checklist.

The patient's parents went directly to pay the fee with the form, and then pushed the patient to go for the examination with a smile on his face.

The appearance of the family members was naturally seen by other medical staff who came to pretend to be wandering around.

"Could it be Doctor Qin's diagnosis?"

"It looks like it should be, but I don't know what the disease is."

"Brother Qin, what kind of bacteria caused the patient?" Zhang Yao asked curiously.

Yue Meng also came over.

"Should be Tasmanifera marneffei."

"Tradish marneffei?"

The doctors who came closer outside the door also heard it, and they all went back to their offices to search.

Unexpectedly, I found that there is no introduction about this germ in China, so I can only search for this germ through the Internet, and finally found that the above case is very similar to the patient.

The senior management of Ruijin Hospital also knew about Zhang Xiaowen's situation, and all the way was given a green light, and the hematology department quickly carried out HIV testing.

At the same time, some of the patient's lung tissue biopsy specimens, skin exudate smears, intestinal mucosal biopsy tissue, omentum biopsy tissue, and lymph node biopsy tissue were taken out and sent to the laboratory for fungal culture.

After three days, all the inspection results.

The HIV test was negative and the patient did not have AIDS.

The result given by the laboratory test department was positive, which means that Talaromyces marneffei was confirmed.

After Qin Feng got the news, he also breathed a sigh of relief.

The culprit that has troubled the patient for more than a year is T. marneffei. As for why it was misdiagnosed as tuberculosis, there is actually a reason.

Not every doctor is as involved in a wide range of topics as Qin Feng. They read papers when they have nothing to do, and they read all kinds of papers.

Facing a fungal biphasic switch without knowing Marniphy is a lot like tuberculosis.

Two-way conversion can be understood as deformation, which can be transformed into any shape.

Especially when the temperature of the human body reaches above 37 degrees, the fungus will become oval or round, and the shadow of this shape is easily misdiagnosed as tuberculosis.

The phagocytosis of T. marneffei occurs because its size is suitable for phagocytosis by macrophages. After phagocytosis by macrophages, sensitized T lymphocytes release lymphokines to achieve bactericidal effect, and cytokines will cause The necrosis of local tissues then caused the pits and pits.

Once the cause is found, the next step is to treat the disease.

"Zhang Yao, call the patient's family and tell them to come to the hospital because they have found the cause."

Zhang Yao quickly went to make a call.

In less than 10 minutes, Zhang Xiaowen's parents pushed Zhang Xiaowen to the hospital, and Xiaoping also followed.

"Dr. Qin, have you really found the cause?" the patient's father asked with a trembling voice.

"Found it." Qin Feng nodded.

Zhang Xiaowen's parents wept with joy. The illness that had plagued them for more than a year was finally solved. Now that it was solved, there must be a cure, and Xiaowen could be saved.

Qin Feng told them about the germs in detail for nearly 10 minutes, and Qin Feng wanted to use words that ordinary people could understand.

A series of terms can directly confuse the patient's family members.

"Next, just choose some antifungal drugs and treat the symptoms. However, T. marneffei is more sensitive to some antifungal drugs. If I suggest..."

(End of this chapter)