Chapter 295 Biopsy
Author: Favorite fried potatoes
"If the pathogen is detected through cerebrospinal fluid, it will take a certain amount of time, and the results of cerebrospinal fluid may not be accurate."
After hearing Zhao Heng's words, Liu Ziang frowned and said.
The most critical thing now is to determine whether the patient in front of us is infected with Naegleria fowleri, which is the brain-eating amoeba.
If it is really this terrible parasite, then it is not just about this one patient.
Once it is confirmed that the patient is infected with Naegleria fowleri, it means that the waters that the patient came into contact with before are very likely to be a breeding ground for Naegleria fowleri. In this case, it is possible that
He was not the only one who was infected.
You must know that the mortality rate of patients infected with Naegleria fowleri around the world has reached a terrifying level of 97%. That is because once the patient starts to develop symptoms, that is, headache, fever and vomiting, etc.
When there are signs of cerebral edema, it means that Naegleria fowleri has parasitized into the brain tissue and has multiplied to a level sufficient to cause disease.
The 3% of patients who escaped were saved because the doctor who treated them happened to have this rare experience and carried out targeted treatment at a very early stage. However, although their lives were saved, they were still alive.
It left very serious sequelae of brain function damage, including memory loss, impairment of language function and motor function, etc.
"The most critical thing now is to confirm the diagnosis, then submit a report to the Center for Infectious Disease Control, and conduct pathogen screening for all tourists who may have been exposed to the waters where Naegleria fowleri breeds."
Zhao Heng said with a very solemn expression, this is no longer just a patient's problem, it has already involved a public health emergency.
Jeju Island has become a hot spot for tourism in recent years. Since this year, the highest daily number of tourists has reached 41,000.
If this patient was infected with Naegleria fowleri in public waters, then it is difficult to imagine how many people would be infected with this terrible parasite with a fatality rate of 97%.
The seriousness of this matter makes people feel horrified and shuddering just thinking about it.
"If you want to be fast and accurate, you can only do tissue biopsy through minimally invasive procedures."
Liu Ziang thought for a while and said.
Tissue biopsy, that is, directly taking brain tissue for pathogen screening and detection. This detection method is a last resort and can be said to be the last resort.
Although he and Zhao Heng's skills are very strong and will not damage brain tissue during the minimally invasive biopsy process, from the perspective of operating procedures, it is illegal to use such detection methods from the beginning.
Moreover, it is still unknown whether the patient's family members can accept such testing methods.
"Senior, please report to the hospital committee. I will go and communicate with the patient's family."
Zhao Heng thought for a while and said to Liu Ziang.
Now that the situation is urgent, we can only divide our forces into two groups.
There are currently more than 100,000 tourists on Jeju Island. Once the patient in front of you is diagnosed with Naegleria fowleri, it means that in a certain public water area on the island, there is a disease with a fatality rate as high as 97%.
% of the deadly parasite, and everyone on the island has the possibility of being exposed to this deadly parasite.
In this way, the first thing to do is to conduct a round of pathogen screening on the entire island.
The most important thing is that after such an incident, it was a fatal blow to Jeju Island’s tourism industry.
Just thinking about the stakes involved makes one's scalp numb.
If you think about it, you will know how much economic benefits it contains for a tourist resort that receives 41,000 tourists a day.
"Okay, I'll go right away."
Liu Ziang nodded, now the matter is of great importance and the troops must be divided into two groups and take action immediately.
But the best thing at the moment is that this parasite can only infect the human body through direct contact with the same body of water. Therefore, people who come into contact with this patient will not be infected unless they have negative distance contact.
risk of infection.
Liu Ziang went out from the office to report the current situation to the hospital committee. Zhao Heng also came to the ward and found the family members of the boy who was in a sedated state, that is, the boy's girlfriend.
At this moment, the girl is much calmer than before. The way her boyfriend went crazy just now really frightened her.
Seeing Zhao Heng coming over, the girl asked impatiently: "Doctor, what's wrong with him? What disease is he suffering from?"
"At present, we suspect that he is infected with a fatal parasite called Naegleria fowleri, which is currently parasitic in the brain, but further examination is needed."
Zhao Heng organized his language and said.
If it were other patients' family members, he would not speak so directly, but would give the patients' family members some time to adapt. But the current situation is urgent, and he can only tell the truth.
"Ah?! Parasite?"
When she heard Zhao Heng's words, the girl's eyes darkened. When she thought about the parasites parasitic on her brain, she felt goosebumps all over her body, and her whole body felt weak.
Girls are inherently afraid of bugs, let alone bugs that parasitize their brains.
"Yes, judging from his current symptoms and imaging examination results, there is a high probability."
Zhao Heng nodded and said.
"Am I also infected with this parasite?"
As if she had thought of something, the girl turned pale and said.
"You have been with him all the time. If you are infected, according to the incubation period of this parasite, you will not have any symptoms, so the possibility of your infection is very small, but you still need to be checked to rule it out."
Zhao Heng comforted the girl and said.
Even in waters where Naegleria fowleri exists, not everyone will be infected, and this infection must meet certain conditions.
"Well, well, doctor, please give me a quick checkup."
The girl said quickly.
Infectious diseases can cause great panic, not to mention that the fatality rate of such parasites in the brain is so high.
The girl can now speak and think normally, which is a sign of good psychological quality.
"We will examine you later. In order to confirm the diagnosis as soon as possible, we need to take an invasive brain tissue biopsy on the patient, which requires your consent."
Zhao Heng said again.
"Doctor, I'm just his girlfriend, is it okay if I agree?"
The girl suddenly thought of a question and asked with some confusion.
"In the absence of family members, you as the girlfriend can also sign. This is an emergency."
Zhao Heng nodded and said.
"Then I agree, doctor."
When the girl heard Zhao Heng's words, she hesitated for a moment and then nodded.
The most important thing to save now is that as for the boyfriend's parents, they can only wait for someone to come and explain.
Chapter completed!