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Chapter 608 Collection of Medical History
Chapter 608 Collection of Medical History
It wasn't a disease contracted in the United States, and the infected people were all men... Sun Lien learned some information from Iweala, but he couldn't see the use of this information at all.
Compared with this, the treatment records are more meaningful.Sun Lien returned to the office in the isolation area with a stack of reports in his arms, and a vacant room was vacated for Sun Lien and others to use.At the same time, all the medicines carried by the two medical teams were openly supplied to Sun Lien and others—in order to know what they were doing, Hu Jia volunteered to check the medicine inventory first.And Sun Lien and Hu Chunbo started the "hard work" paperwork - Director Liu summoned a few American doctors who dared to go to the front line to take care of the patients together.
According to the treatment plan of the US side, they conducted group treatment on 28 patients.One group used multiple antibiotics including meropenem according to bacterial infection.Another group was treated with antiviral drugs including ganciclovir and aciclovir.The third group was even worse, and they even used amphotericin B to fight a possible fungal infection.
However, there was no direct difference in the performance of the three groups of patients receiving treatment.The death toll is still rising rapidly.Six of ten patients in the antibiotic group died, seven of ten patients in the antiviral group died, and six of seven patients in the antifungal group died.From the data point of view, almost all treatments had no effect on the disease.All patients with acute meningitis have a mortality rate of more than 70%, no matter which treatment method is adopted.
"There's something wrong with this." Sun Li'en looked more and more frightened, he put down the treatment records in his hand, and said to Hu Chunbo, "It doesn't work for all the treatments, so what is the source of infection?"
There are 28 people who get sick at the same time. This is definitely not a genetic disease-it must be some kind of pathogen that can infect 28 people at the same time.
"It has something to do with the brain. The death rate is so high...it can't be mad cow disease, right?" Hu Chunbo was also a little worried. The first thing he could think of was mad cow disease, which was compatible with the current situation.But Creutzfeldt-Jakob disease, which occurs after a person is infected with epigastric virus, does not progress so quickly, and the symptoms do not appear so consistent.This idea was immediately rejected by himself, "It is true that it is difficult to treat, but the course of the disease is not right."
Sun Lien's attention was attracted by the few remaining survivors, "If everyone dies within 48 hours of onset..." He clicked on the record in his hand, "Then this one has an onset... 54 hours Why are the soldiers still alive?"
Andrew Jackson, a 19-year-old American soldier.It was recorded in his medical records that he was serving his first military service and being deployed overseas for the first time.Andrew's past health was documented in the medical record, with a history of drug abuse five years earlier.After receiving community drug rehabilitation, he passed the medical examination at the conscription station and successfully enlisted in the army.
"The old friend of him and Director Liu had the disease on the front and rear legs named Mattison. As soon as Mattison had the attack, he began to show apathy, fever and vomiting." Hu Chunbo also saw this case, and he clicked According to the above content word by word, "It has been more than 54 hours since the onset of the disease, but he is still alive."
"Although it may be worse than death, he is indeed still alive." Sun Li'en nodded, "The biggest difference between him and the other deceased patients should be his youth - the average age of other patients who died was 32 years old, the older the deceased The sooner... But there are exceptions." Sun Lien took out another case, "This person is Alexander Jefferson, Mattison's teacher, and he is 69 years old this year. He has been ill for 49 hours and has not died yet."
"If the conditions of these two patients are not special cases, it means that both of them have certain characteristics that can slow down death." Hu Chunbo nodded, and Sun Lien's discovery is very important. "Younger ones may have stronger resistance and a more active immune system. This activity caused his death to be a little slower...that is to say, they were indeed infected with some kind of pathogen that can be cleared by the human immune system. It must be It's not the epilepsy virus."
"As for the older one... I suspect that his slow death rate is entirely due to his age. The human brain will shrink slightly with age." Sun Li'en pointed to Alexander's case, "Because there are brain atrophy state, so he has a stronger tolerance for increased intracranial pressure."
This logic is unobstructed.But... Sun Lien and Hu Chunbo shook their heads together, "These two people are not in the same treatment group."
Alexander was treated with amphotericin B injections, while younger Andrew was treated with meropenem.The two belong to different treatment groups, and the situation cannot be simply reduced to the same level.
"I'm more curious about why only men are sick." The first conjecture seems to be temporarily unworkable, and Sun Lien's thinking naturally diverges towards the second direction, "From 19 to 69 years old, Infected patients are only male? It doesn't make sense."
"There's nothing wrong with this." Hu Chunbo was quite open to Sun Li'en's question, "Men are boys until they die. Regardless of the age difference, men's lives are basically the same. Especially in the United States. It advertises a free and open country, and all men’s lives are basically the same—beer, sports, women.” Hu Chunbo shook his head and smiled, “Not to mention the United States, the situation in China is similar. I met a 17-year-old during my internship. Syphilis, I have seen 70-year-old syphilitic encephalopathy when I became the attending doctor. In fact, they are all the same."
"That is to say..." Sun Li'en chewed on Hu Chunbo's words carefully, his mind was running at full speed, trying to grasp any possible inference, "the way they were infected may be a...a battle in which all 28 people participated Drinks or tobacco products at the party... maybe even a woman in a special service industry got sick, so 28 people were infected at the same time?"
"Very bold speculation." Hu Chunbo nodded, muttering in his heart that young people still lack life, "but the last one is unlikely, after all, receiving 28 guests a night, even women in the special service industry I can’t bear it. And you have to know that Americans are still very afraid of AIDS when they go to Africa. The US military’s condom distribution system is free to prevent this kind of thing.”
"So it's not sexual transmission, but other ways are still possible." Sun Li'en suddenly became interested, and he seemed to see the key to the diagnosis, "I'll ask Ms. Iweala again, maybe she has some ideas."
·
·
·
"I don't have any possible thoughts about this, my dear." Ms. Iweala shook her head with a weary smile. "We have carried out three epidemiological tracing activities. But none of them can explain why they have the disease. sickness, while other people who participated in the event were able to stay healthy, not only the women, but there were a dozen men in the camp who did not get sick."
"Then can you tell me, do you have any group activities recently?" Sun Lien still didn't give up. His previous career told him that if he wanted to find the correct answer to the question, he had to break the casserole and ask the end. "Like a party that everyone participated in?"
"This happens often." Ms. Iweala nodded. "We also suspected this problem, but in the past two months, we have conducted a sampling inspection of the beer and cigars provided by the supplier, and found no problems."
Another road was blocked.Sun Lien was so worried that he wanted to scratch his hair. "Then do they have any small-scale group activities? Like small gatherings?"
"If I knew about this kind of thing, I would have told you, my dear." Ms. Iweala spread her hands, "If it was their small gathering, then I must not know about it. If you still want to ask , I suggest you ask Captain Hoon, who just fell ill, or his deputy, Lieutenant Park."
(End of this chapter)
It wasn't a disease contracted in the United States, and the infected people were all men... Sun Lien learned some information from Iweala, but he couldn't see the use of this information at all.
Compared with this, the treatment records are more meaningful.Sun Lien returned to the office in the isolation area with a stack of reports in his arms, and a vacant room was vacated for Sun Lien and others to use.At the same time, all the medicines carried by the two medical teams were openly supplied to Sun Lien and others—in order to know what they were doing, Hu Jia volunteered to check the medicine inventory first.And Sun Lien and Hu Chunbo started the "hard work" paperwork - Director Liu summoned a few American doctors who dared to go to the front line to take care of the patients together.
According to the treatment plan of the US side, they conducted group treatment on 28 patients.One group used multiple antibiotics including meropenem according to bacterial infection.Another group was treated with antiviral drugs including ganciclovir and aciclovir.The third group was even worse, and they even used amphotericin B to fight a possible fungal infection.
However, there was no direct difference in the performance of the three groups of patients receiving treatment.The death toll is still rising rapidly.Six of ten patients in the antibiotic group died, seven of ten patients in the antiviral group died, and six of seven patients in the antifungal group died.From the data point of view, almost all treatments had no effect on the disease.All patients with acute meningitis have a mortality rate of more than 70%, no matter which treatment method is adopted.
"There's something wrong with this." Sun Li'en looked more and more frightened, he put down the treatment records in his hand, and said to Hu Chunbo, "It doesn't work for all the treatments, so what is the source of infection?"
There are 28 people who get sick at the same time. This is definitely not a genetic disease-it must be some kind of pathogen that can infect 28 people at the same time.
"It has something to do with the brain. The death rate is so high...it can't be mad cow disease, right?" Hu Chunbo was also a little worried. The first thing he could think of was mad cow disease, which was compatible with the current situation.But Creutzfeldt-Jakob disease, which occurs after a person is infected with epigastric virus, does not progress so quickly, and the symptoms do not appear so consistent.This idea was immediately rejected by himself, "It is true that it is difficult to treat, but the course of the disease is not right."
Sun Lien's attention was attracted by the few remaining survivors, "If everyone dies within 48 hours of onset..." He clicked on the record in his hand, "Then this one has an onset... 54 hours Why are the soldiers still alive?"
Andrew Jackson, a 19-year-old American soldier.It was recorded in his medical records that he was serving his first military service and being deployed overseas for the first time.Andrew's past health was documented in the medical record, with a history of drug abuse five years earlier.After receiving community drug rehabilitation, he passed the medical examination at the conscription station and successfully enlisted in the army.
"The old friend of him and Director Liu had the disease on the front and rear legs named Mattison. As soon as Mattison had the attack, he began to show apathy, fever and vomiting." Hu Chunbo also saw this case, and he clicked According to the above content word by word, "It has been more than 54 hours since the onset of the disease, but he is still alive."
"Although it may be worse than death, he is indeed still alive." Sun Li'en nodded, "The biggest difference between him and the other deceased patients should be his youth - the average age of other patients who died was 32 years old, the older the deceased The sooner... But there are exceptions." Sun Lien took out another case, "This person is Alexander Jefferson, Mattison's teacher, and he is 69 years old this year. He has been ill for 49 hours and has not died yet."
"If the conditions of these two patients are not special cases, it means that both of them have certain characteristics that can slow down death." Hu Chunbo nodded, and Sun Lien's discovery is very important. "Younger ones may have stronger resistance and a more active immune system. This activity caused his death to be a little slower...that is to say, they were indeed infected with some kind of pathogen that can be cleared by the human immune system. It must be It's not the epilepsy virus."
"As for the older one... I suspect that his slow death rate is entirely due to his age. The human brain will shrink slightly with age." Sun Li'en pointed to Alexander's case, "Because there are brain atrophy state, so he has a stronger tolerance for increased intracranial pressure."
This logic is unobstructed.But... Sun Lien and Hu Chunbo shook their heads together, "These two people are not in the same treatment group."
Alexander was treated with amphotericin B injections, while younger Andrew was treated with meropenem.The two belong to different treatment groups, and the situation cannot be simply reduced to the same level.
"I'm more curious about why only men are sick." The first conjecture seems to be temporarily unworkable, and Sun Lien's thinking naturally diverges towards the second direction, "From 19 to 69 years old, Infected patients are only male? It doesn't make sense."
"There's nothing wrong with this." Hu Chunbo was quite open to Sun Li'en's question, "Men are boys until they die. Regardless of the age difference, men's lives are basically the same. Especially in the United States. It advertises a free and open country, and all men’s lives are basically the same—beer, sports, women.” Hu Chunbo shook his head and smiled, “Not to mention the United States, the situation in China is similar. I met a 17-year-old during my internship. Syphilis, I have seen 70-year-old syphilitic encephalopathy when I became the attending doctor. In fact, they are all the same."
"That is to say..." Sun Li'en chewed on Hu Chunbo's words carefully, his mind was running at full speed, trying to grasp any possible inference, "the way they were infected may be a...a battle in which all 28 people participated Drinks or tobacco products at the party... maybe even a woman in a special service industry got sick, so 28 people were infected at the same time?"
"Very bold speculation." Hu Chunbo nodded, muttering in his heart that young people still lack life, "but the last one is unlikely, after all, receiving 28 guests a night, even women in the special service industry I can’t bear it. And you have to know that Americans are still very afraid of AIDS when they go to Africa. The US military’s condom distribution system is free to prevent this kind of thing.”
"So it's not sexual transmission, but other ways are still possible." Sun Li'en suddenly became interested, and he seemed to see the key to the diagnosis, "I'll ask Ms. Iweala again, maybe she has some ideas."
·
·
·
"I don't have any possible thoughts about this, my dear." Ms. Iweala shook her head with a weary smile. "We have carried out three epidemiological tracing activities. But none of them can explain why they have the disease. sickness, while other people who participated in the event were able to stay healthy, not only the women, but there were a dozen men in the camp who did not get sick."
"Then can you tell me, do you have any group activities recently?" Sun Lien still didn't give up. His previous career told him that if he wanted to find the correct answer to the question, he had to break the casserole and ask the end. "Like a party that everyone participated in?"
"This happens often." Ms. Iweala nodded. "We also suspected this problem, but in the past two months, we have conducted a sampling inspection of the beer and cigars provided by the supplier, and found no problems."
Another road was blocked.Sun Lien was so worried that he wanted to scratch his hair. "Then do they have any small-scale group activities? Like small gatherings?"
"If I knew about this kind of thing, I would have told you, my dear." Ms. Iweala spread her hands, "If it was their small gathering, then I must not know about it. If you still want to ask , I suggest you ask Captain Hoon, who just fell ill, or his deputy, Lieutenant Park."
(End of this chapter)
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