blenderwars Chapter 264
Chapter 264
Chapter 264
at this time,
Nationwide,
Because of the spread of news, more and more people are aware of this unknown and intractable disease of the patient Xiao Fei.
People who are not related are naturally curious about what the disease is and whether Lin Feng can be cured.
However, there are other rare people:
There are more than a dozen patients across the country who have the same symptoms, have been eaten all over, have been diagnosed with tuberculosis, but have no therapeutic effect, and then can’t find the cause, and have repeated relapses!
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 still patients like me?”
Hu Province, a certain patient: “…”
In Jiang Province, a doctor was also surprised: “Isn’t this the disease of one of the patients I treated? The tuberculosis treatment failed?”
…
…
Why does 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 those of Xiao Fei, the patient in front of me!
The pathogen is:
“Talaromyces Marneffei”!
Talaromyces marneffei is one of the genus Talaromyces. Although most Talaromyces do not cause human health problems, Talaromyces marneffei is pathogenic.
This fungus is widespread in nature, among which the ginkgo bamboo rat has a bacteria-carrying rate as high as 96%.
As for why to mention HIV?
Because HIV makes the body produce immune deficiency.
And Talaromyces marneffe 08 has a very fierce effect on patients with immunodeficiency (Of course, it cannot be ruled out that patients without immunodeficiency are eroded by Talaromyces marneffei).
And this germ is so rare.
In Lin Feng’s countless sign-in experience, only 5 cases have occurred out of hundreds of thousands of cases!
In China, it has not really appeared (or misdiagnosed for other diseases)!
“How is it? Doctor Lin?”
“I have a preliminary idea…” Lin Feng said.
“real?”
Xiaofei and her parents shouted in surprise.
“What’s the disease?”
“Preliminary consideration is caused by a germ…”
“Bacteria?”
Xiao Fei and her parents are really excited now!
It’s finally not tuberculosis!
In these 3 years, every hospital, the final diagnosis result was tuberculosis.
Therefore, they are really afraid that Lin Feng will also give the answer-suspected tuberculosis!
fine!
Lin Feng said it was a suspected germ!
The result is not the same as before!
Lin Feng told: “I’m just making a preliminary judgment, and I can’t really confirm…wait for an HIV pathogenic antigen test…”
“Besides, let’s take some diseased tissues such as lymph, lung, skin, peritoneum, etc. for bacterial culture… This process takes 7 days, so during this period, you are now living in the imperial capital, waiting for the hospital to inform…”
The beds in Harmony Hospital are very tight, and it is often difficult to find a bed.
So Lin Feng tried his best not to be hospitalized as much as possible.
Xiao Fei’s parents were incoherent with excitement.
“Thank you doctor, thank you doctor!!”
Lin Feng opens an order…
“Pay the fee, and then go and do all these checks…”
“Okay, go right now…”
Xiao Fei’s parents took the checklist, and then happily pushed Xiao Fei out of the door, and flew to draw blood…
…
When the patient’s family left, the happy appearance was clearly seen by the emergency doctors and nurses.
“Diagnosed?”
“Isn’t it? Doctor Lin is really okay?”
“Go, ask Doctor Lin to go!”
At this time, all the medical staff were scratching their hearts with cat’s claws, and they were very curious.
What kind of disease is this disease?
Soon, Xiao Feng, a curious impatient nurse, ran in and asked Lin Feng.
“Dr. Lin, has it been diagnosed?”
Look up, curiosity, and admiration.
Lin Feng smiled and said: “Probably, it should be a relatively rare fungus-cyanobacterium marneffei, but we have to wait for the results of the culture…”
soon,
The answer “Blue bacteria Marneffei” spread throughout the emergency department.
The doctors and nurses are all curious.
Marneffei cyanobacteria?
What’s coming from?
If you don’t understand, just check the internet…
Domestic network, there is no…
There are many people in the emergency department, many of whom have studied in the world-class hospitals in the beautiful country, and quickly searched for cyanobacteria marneffe through the Internet.
Searched for hours,
Finally found a result!
In a relatively uncommon publication, I found the cyanobacteria marneffei.
There is a case above, a patient from Southeast Asia, the symptoms are just like the patient Xiaofei’s.
The emergency department was shocked!
“I go!”
“It looks alike!”
“But this paper is a bit rough. I guess it’s not enough research. It’s a pity that I just tried it out.”
…
That day,
The blood was also sent to the hematology department for HIV testing.
Xiao Fei’s lung tissue biopsy specimens, skin fluid sheet, intestinal mucosal biopsy tissue, omentum biopsy tissue, and lymph node biopsy tissue were taken out and sent to the laboratory for fungal culture.
Fungus culture and positive test are the “gold standard” for diagnosing this pathogen!
4 days later,
HIV is completed, and the result is negative, which means that Xiao Fei does not suffer from AIDS.
And at this time,
The laboratory gave the results of training for 4 days:
Positive (that is, found: C. marneffei)!
Continue to extend to the 7th day,
Result: still positive!
When the news reached Lin Feng,
Lin Feng smiled.
confirmed!
This tortured Xiaofei for more than 3 years, and the culprit who ate Xiaofei’s body was the cyanobacterium Marneffei!
As for why the patient is misdiagnosed as tuberculosis?
that is because,
This fungus is very cunning, and its biggest magic weapon is to “deform”.
Two-phase conversion!
In the human body, it is round or oval at 37 degrees
shape.
At room temperature, which is 25 degrees, it slowly stretches out its antennae and transforms into a hairy hypha shape. It is difficult for inexperienced doctors to see its true colors.
Therefore, at 37 degrees, it can easily be misdiagnosed as tuberculosis.
And why the cyanobacteria marneffei causes the patient to have a “grabbing” state, that is because:
· Talaromyces marneffei grows as yeast in the body, and its size is suitable for phagocytosis by macrophages. After phagocytosis by macrophages, sensitized T lymphocytes release lymphokines to achieve a bactericidal effect. And cytokines can cause local tissue necrosis…and then cause pits and pits.
Now that the truth has been found,
Then the next step is to treat the disease!
“Xiao Ai, call the patient Xiao Fei and find the real murderer. Let them go back to the hospital for treatment.”
“Okay, Dr. Lin is really awesome!”
The eyes of several nurses in Xiao Ai are full of admiration!
…
soon,
Xiaofei, her parents, and the reporter Zhang Zhen, who had heard the good news, walked into the emergency department with excitement and anticipation.
“Doctor Lin, here we come!!”
With a trembling voice, he knocked on the door and entered Lin Feng’s clinic.
“sit.”
“Dr. Lin, have you really found the cause?”
“found it!”
Lin Feng smiled.
At this moment of 977, Xiao Fei’s family suddenly became excited and cheered, and turned to cry.
Mom and Dad holding Xiaofei, tears kept streaming down.
Tortured for three years!
Tossed around the country!
Now there is finally a result!
They already yelled with excitement in their hearts: Doctor Lin, awesome! !
They just wanted to give it a try, but they didn’t expect that Dr. Lin Feng would actually get it done.
“The specific reason for Xiao Fei’s illness is:…”
Lin Feng told them some information about Talaromyces Marneffei.
When Xiao Fei and her parents were angry, she sighed again:
“Unexpectedly, it was so cunning, no wonder it went to so many hospitals and didn’t find the reason!”
Lin Feng smiled: “Next, it’s targeted treatment. Talaromyces marneffei is still more sensitive to many antifungal drugs… So, just choose some antifungal drugs and treat symptomatically…”
Xiao Fei’s parents nodded again and again: “This troubles Doctor Lin!”
Lin Feng nodded: “The one I chose is called “Amphotericin B Liposome”. It is more expensive. A 10 mg piece costs 300 yuan, and Xiao Fei needs 90 mg a day, which means it costs 2700 a day. It needs to last for 2 weeks, a total of 27,800 yuan…In addition, I also need to take itraconazole for 2 weeks, but this does not require any money…”
2.78 million! !
Including admission fees and the like, more than 30,000!
Xiaofei’s parents are embarrassed.
Naturally, they unconditionally support the healing of their daughter… But, this money…
The whole family has long been in debt after looking for doctors all over the country for 3 years.
30000,
They need to think about where to borrow money…
——–
PS: This story is adapted from a real story and pays tribute to Mr. Wang of the laboratory. Regarding cyanobacteria marneffei, our country has made a very outstanding contribution in this regard. .