From small clinic to medical empire

Chapter 148 The third species of trypanosoma [Please collect!Please recommend! 】

Due to the habits of the Chinese nation, Zhang Zifan originally did not intend to question (slap) (face) such a respected old expert in public.

But now that the matter has come to this, Zhang Zifan can only bend down and shake hands with Fauci.

On the one hand, bending over is to show respect. Of course, the most important thing is that Zhang Zifan is about 1.8 meters tall, and it is too difficult to shake hands with Fauci.

"Dr. Fauci, I would like to take the liberty to say that your judgment about this patient's illness may be wrong."

As soon as Zhang Zifan said this, Fauci, who was originally smiling, became a little stiff.

It's not that he doesn't like the younger generation questioning himself, but he doesn't understand why this young man would question such a certain thing.

Zhu Jiannan and others were almost squeezed to the door because of their status in the world, but Director Hu Mingjie of Yangcheng Central Hospital was on the sidelines.

He said with some displeasure: "Are you a doctor from the Second Hospital of Guancheng? Isn't the bone marrow test done by your hospital? Are you going to overturn your conclusion now?"

"Let me just say that the rigor of medical treatment in mainland China is very problematic, and the relevant tests are not credible at all." A mushroom-headed woman about 45 years old and wearing glasses said sourly from the side.

Zhang Zifan ignored her, and by the accent, he knew where she was from.

Zhang Zifan shook his head at Director Hu Mingjie, and said, "Director Hu, I am not a doctor from the Second Hospital of Guancheng, and similarly, what I question is not the result of the bone marrow test of the Second Hospital of Wancheng.

The fact that I believe that trypanosomes were present in that specimen does not mean that Dr. Fauci was right. "

"What do you mean? Since you believe in the test results of the Second Hospital, how can you deny Professor Fauci's diagnosis? Do you know how important the early diagnosis of African sleeping sickness is to the treatment of patients?" Several experts Asked after hearing the words.

Looking at the gradually noisy experts at the scene, Zhang Zifan shook his head, and said, "African sleeping sickness is indeed a very rare tropical disease. Mr. Fauci was able to see through the complicated information and lead the way of diagnosis to this aspect. As a junior , I am also deeply impressed.

It can be said that without his guidance, my team and I could not deduce the real culprit of the disease. "

"The real culprit? You mean..."

Hearing this, Fauci seemed to think of something, his eyes flickered.

Zhang Zifan nodded and said respectfully: "Yes, Dr. Fauci, you are only one step away from the correct answer, but you also know that in science, there is no way to reach the other side with even a little difference. For the sake of the patient's life and health, I have to No offense to you!"

"It's okay, I want to hear your young people's deduction." Fauci waved his hand generously, but his expression suddenly became brighter.

It seemed that because of Zhang Zifan's inspiration, he also thought of the point that he had been missing.

Zhang Zifan nodded to him, and then said to everyone: "African sleeping sickness is rare, but it is also famous.

Whether it is the tsetse fly or the strange symptoms of lethargy, they are all distinctive.

When people mention trypanosomes, they generally refer to the two African Trypanosoma brucei species, Trypanosoma gambiae and Trypanosoma rhodesia.

But in fact, in addition to these two mainstream trypanosomes, the trypanosome family also has a distant cousin, the American trypanosoma cruzi!
This kind of trypanosome infects the human body. In addition to the symptoms of lethargy and acute infection, the main thing is that it will attack the human cardiovascular system, especially the heart muscle. They can even be transmitted from person to person through blood transfusion and other methods!

Some scholars called it a new type of AIDS sensationally because of its infectious mode and clinical symptoms!
Of course, human-to-human transmission is only a minority, and this patient was obviously infected with Trypanosoma cruzi in a more conventional way!That way is the transmission of triatomine bugs! "

Zhang Zifan reached out and lifted the blanket off the patient, exposing the patient's ankle.

"After the identification of the chief entomologist of our Haoran Medical, the bite marks on the patient's ankle were not caused by the common and harmless red-banded triatomine bug in Guangzhou, but by the hemipterus of the order stink bugs. Order Heteroptera, suborder Triatopsidae, and the named species of Triatominae, caused by the giant triatomine bug!
Combined with other clinical symptoms, we can judge that the patient is most likely suffering from Chagas disease caused by Trypanosoma cruzi, not African sleep disease caused by Trypanosoma brucei! "

Those present were all infectious disease scholars. Even though they had little research on tropical diseases, after Zhang Zifan's reminder, they immediately felt that it made sense.

This is the difference between scientists and politicians.

Although scientists also talk about human relations and authority, deep down, everyone believes in facts and sticks to the truth.

To put it simply, because of their butt problems and their ability to open their eyes and tell lies, they are relatively poor.

Immediately, an epidemiologist from Brazil spoke in support of Zhang Zifan.

Because he had dealt with several cases of Chagas disease in his hometown, the early symptoms were indeed similar to this case.

More importantly, the wound on the patient's ankle really looked like the work of some kind of triatomine bug.

"Dr. Zhang, you can actually distinguish the specific species of triatomine bugs. It seems that you must have a high level of research in entomology. I thought the world's best research team on insects and infectious diseases is in our Brazil. It seems It's me who is ignorant!"

What kind of disease do you have, what kind of discipline you develop.

China is a big country with hepatitis B, so the level of liver transplantation in China is the best in the world.

Central and South American countries such as Brazil and Cuba are plagued by tropical diseases, and their entomology and tropical diseases are naturally relatively developed.

Zhang Zifan smiled and replied: "I don't know much about insects, but Haoran Medical has a great team behind me. This time, our chief entomologist played an important role in the remote consultation!"

When he mentioned the six words chief entomologist, Zhang Zifan straightened his back under Yang Tingting's suspicious eyes, his face was bright and aboveboard.

…………

PS: Regarding the triatomine bug disease mentioned in this article, that is, Chucks disease, it is indeed very rare. When it landed in Guangdong a few years ago, it caused excessive panic.

Friends in Guangdong may still remember the interesting story that the government called on everyone to catch triatomine bugs?
In fact, if you are bitten by a triatomine bug, no matter whether it is a dangerous species such as trypanosomes, harassing triatomines, or a native species such as red-banded triatomines, it is best to seek medical treatment in time.

Whether it is African trypanosomiasis or American trypanosomiasis, the incubation period can be as long as more than ten years, and only a few cases have such an acute onset as in this article.

So don't take it lightly just because you don't have symptoms.

Of course, there is no need to panic too much. The background of this article is when our country first came into contact with African trypanosomiasis and American trypanosomiasis. Now, large hospitals have no problems with these two diseases.

(End of this chapter)