I can see the status bar

Chapter 824 Doze and Pillow

Cryptococcus is a fungus.And it's not a fungus that routinely infects people -- it tends to be more common in HIV patients.

However, over time, more and more immune-competent patients were found to be infected with Cryptococcus. Whether this means that Cryptococcus has gradually evolved into a structure that is more suitable for infecting humans is unknown.However, the threat of cryptococcus to the human body has been increasing.

It's not that Sun Li'en and the others have never considered cryptococcal infection, but because of a very simple reason, "cryptococcus" has long been put on the list of "excluded" by them.

Cryptococcus is a deep fungus, and its main place to infect the human body is the nervous system.More than 80% of cryptococcal patients present with neurological symptoms rather than cough and fever.

As a nervous system-loving fungus, the doctors would never have thought that the pathogen in Ji Xiuying's lungs was Cryptococcus—after five years of infection, this nervous system-loving fungus had been confined to Ji Xiuying's lungs. Ying's lungs... This is really beyond imagination.

But... under the assisted test of Tongxiehe mNGS, Sun Lien and others also had to say that this time their eyes were really opened.

"It's really Cryptococcus..." Ever since he received the result in the morning, Sun Lien has been in shock back and forth.

After the diagnostic team received the mNGS results in the morning, they immediately performed a lumbar puncture for Ji Xiuying.The test results showed that no trace of cryptococcus was found in her cerebrospinal fluid.This can indeed be called a small miracle.

"How did this germ get into my lungs?" Compared to the fact that cryptococcus infected her for five years but did not enter the nervous system and cause serious sequelae, what Ji Xiuying wanted to know most after learning the result was this. Where did the germs come from.

"This...it's hard to say." Sun Lien tried to popularize science with Ji Xiuying about what "opportunistic pathogens" are, but he was still defeated in the end.He explained with the content of the information he had consulted before, "This fungus can grow in many places...such as pigeon droppings or fruits..."

"Pigeon droppings?" Ji Xiuying's eyes widened, and then he asked, "Is this... definitely coming from here?"

"Pigeon feces are the main source of infection, but there are other ways." Sun Lien asked, "Do you have contact records with pigeons?"

Ji Xiuying gritted her teeth and said, "Why not! My husband only raises pigeons!"

Pigeon breeding is a popular sport.There are about 40 members across the country participating, and more than 2000 million foot rings dedicated to pigeons are issued every year.And Ji Xiuying's husband is a member of the local Pigeon Association.

"Sometimes he doesn't bother to tidy up the pigeon coop, I'm the one who sweeps the floor!" Thinking that her husband's long-haired, flat-beaked beasts have caused her torture for the past five years, she was even more furious. "I'll kill all those precious pigeons of his and drink the stew later!"

Although he said he wanted to drink pigeon soup, he had to wait until the treatment was over and he was sure there would be no recurrence.According to the existing guidelines, Sun Lien prescribed a treatment plan for Ji Xiuying, oral fluconazole, and amphotericin B intravenous injection at the same time.If this treatment plan can achieve better results than the previous few "lesion absorption", it means that the treatment is indeed working.If not...then scratching your hair again.

Ji Xiuying has completed the diagnosis, so she was transferred to the second group for follow-up treatment.The doctors in the treatment group were caught by Sun Lien and brought into the conference room, and began to look at Wei Aihua's lung slices.

"Why is it a problem with the respiratory department?" Xu Yourong frowned after glancing at the film, "Could it be another Cryptococcus?"

"The imaging manifestations of Cryptococcus are related to the immune response, and there are various changes. Any type of imaging features may be present..." Zhou Ce added embellishment, "Don't say it, this is really possible."

Bruen glanced at Zhou Ce, and then muttered, "Now is not the time to joke." He looked at the film and asked, "Does this patient need to be diagnosed, or does he need to be diagnosed?"

Lao Bu's Chinese is getting better and better.The subtle difference between the two words did indeed convey his doubts.

"It needs to be diagnosed." Sun Lien said his judgment, "The patient has used a lot of nasal drops with liquid paraffin as the solvent, about 360 ml in three years. The paving stone sign should be the result of exogenous lipoid pneumonia— —but I don't feel like having a bad morning cough."

"Considering the damage caused by exogenous lipoid pneumonia to the alveoli, hindering the movement of lung cilia, and destroying the original structure of the alveoli...there is a risk of tuberculosis." Dr. Pascal, who participated in the discussion, asked, "Should it be Think about it in this regard?"

"It makes sense." Sun Lien was worried about how to lead Wei Aihua's diagnosis to tuberculosis, but he didn't expect someone to hand him a pillow just as he fell asleep.Sun Li'en didn't do it so smoothly when he went down the donkey, "Then add...GeneXpert to her."

One of the disadvantages of being a doctor now is that it is always easy to mix Chinese and English when speaking.It's not that Sun Li'en and the others took care of Brun and Pascal, deliberately using some English terminology.Mainly... these imported machines and equipment do not have commonly used Chinese translations.

"A molecular biology test from the very beginning?" Yuan Ping'an had some objections to Sun Lien's suggestion, "Would this be a bit...overdone?"

"The patient has been checked in the affiliated hospital before. The sputum smear and culture are all negative, and the antibody test is also negative." Sun Lien quickly swipe the PPT, showing the inspection report of the affiliated hospital. "The only thing they haven't tried is GeneXpert—or we'll see how lucky our patients are to find evidence of tuberculosis in a needle biopsy."

"Then let's go to molecular biology..." Yuan Ping'an pondered for a few seconds, and then said helplessly, "I was worried... even the puncture may not be able to find tuberculosis."

"I'm quite confident—we won't have to use mNGS for such a patient." Sun Lien said with a smile, "Then let's check first, the patient's current symptoms are not serious, and symptomatic treatment is enough—be sure. Just stop prescribing her nose drops."

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"The funding for the Comprehensive Diagnostic Center and Dr. Sun is good for the company - I am very confident in this judgment." In a residential area about 800 meters away from the Fourth Hospital, Wang Tianqi is making a transoceanic phone call .On the other end of the phone is a member of the board of directors of Takeda Pharmaceutical.

"Wang Sang, we still haven't seen enough evidence." Takeda Pharmaceutical's board of directors are all middle-aged and elderly men.And the attitude of these old and stubborn people towards women should not be too bad-the whole social environment in Japan is like this.In their eyes, women should cook at home, do housework and take care of their children.Matters in the company, of course, should be decided by men.Even the director Xiaomu who is speaking now has lived and studied in the United States for more than 20 years, but this kind of... attitude that looks down on women is still obviously unacceptable. "I hope you will not make a wrong judgment because of the gentle attitude of women."

After working in a Japanese company for almost eight years, Wang Tianqi should have gotten used to this inexplicable male superiority long ago.But I don't know if it's because of too much pressure to supervise the decoration recently, or because I've been in Ningyuan alone for so long and I'm in a bad mood.After Wang Tianqi heard this sentence, she felt as if a rope snapped in her mind.

The old lady is not going to bear it anymore!
"Director Xiaomu, you hold 0.2% of the company's shares. The annual salary and travel reimbursement add up to a minimum of 1 million yen." Wang Tianqi said quickly, "and Dr. Sun's family holds [-]% of the company's shares, The amount of funding that companies have available is not proportional to the amount of shares they own—that’s something we take advantage of.”

"What?" Ogisoji was stunned for a while in disbelief, and then he flew into a rage, "What do you mean?"

"The value Dr. Sun has created for Takeda Pharmaceuticals far exceeds that of you." Wang Tianqi sneered, and then continued, "Investing in a young and promising doctor who has already created huge profits for the company is better than continuing to give you money." This kind of drowsy old man is better. If you must say that the company really can't afford the money now, then I suggest Director Xiaomu that you retire immediately - this will save us a lot of expenses. "

(End of this chapter)