Connected to the landline, Gu Jiashu heard some of the little sister's voices, and was stunned at first, but quickly reacted that the little sister had already taken sick leave and started to go to work.

Gu Jiashu said that the hospital received a case of suspected scrub typhus, which is now reported to the CDC.

According to the requirements, the disease control should send people to the hospital for sampling and investigation.

Gu Yanan: "Brother, you send me the patient's electronic medical record file first, I will go over to take samples in a while, and by the way, ask the patient for some information, and the patient is now conscious, right?" ”

"Although there are some neurological symptoms, the consciousness is clear, and the symptoms are typical compared to the patients with scrub typhus who have been seen before, and there are no high-risk complications such as sepsis. Wait a minute, you're going to come in person? Is your leg healed? ”

"It's completely fine, the recovery is certified by a doctor's diagnosis, and there are no functional sequelae."

"Okay, I'll send you the patient's information now, he has been to Qingcheng Mountain, has a history of wild jungle and wild mouse contact, and you can come or send someone to ask the patient in person when the time comes."

The patient's electronic medical record file was quickly sent to Gu Yanan's email address, opened on the desktop, and Wang Xiaoxiao came over curiously.

Through the news revealed by Gu Yanan on the phone just now, the members of the emergency team all know that there is a new epidemic, and they may be busy again.

Wang Xiaoxiao stared at Gu Yanan's computer screen and found that the patient information column was actually someone she knew.

"Zheng Qi!" Wang Xiaoxiao exclaimed, "It's really Zheng Qi!" ”

Gu Yanan asked, "The patient is your friend?" ”

Wang Xiaoxiao pursed the corners of her lips awkwardly, "I wish he was my friend, but it's a pity that I know him, and he doesn't know me." ”

Everyone was puzzled by Wang Xiaoxiao's words, she then explained, "This Zheng Qi is a celebrity, he is a famous photographer, his works have won awards in many international competitions, the key is that he is handsome, and he had an affair with the big star Li Jiahui before, but later both of them came forward to clarify, saying that it was just a friend relationship, and Zheng Qi was Li Jiahui's royal photographer." ”

Lu Li: "That Zheng Qi, I have the impression that the photos he takes often appear in "National Geographic Impurities". ”

Wang Xiaoxiao's eyes were full of stars, and he begged Gu Yanan, "Sister Yanan, let me go to the hospital for sampling and flow survey." ”

Gu Yanan knew that Wang Xiaoxiao was taking advantage of her work to chase stars, but seeing that she was so enthusiastic, she couldn't bear to refuse, "You and Lu left the hospital, and at the same time took samples to understand the situation clearly with the patient, the experience of going out, the people who came into contact with the people before and after the onset of the disease, the home address, etc., although there is rarely direct transmission between people, but this possibility is not ruled out, if there is no human-to-person transmission and other cases, it is better to deal with it, and when the time comes, it will be over by going to the place where he may be infected to catch rats and chigger mites." ”

Lu Li and Wang Xiaoxiao went to the First People's Hospital with the sampling box, Gu Yanan was still not at ease, it was autumn, and this season was the season when scrub typhus was common in Lianhai City.

Before the onset of the disease, the patient, Zheng Qi, had traveled to the vicinity of Qingcheng Mountain, which is the natural foci of scrub typhus in Lianhai City.

If there is one case, then it is likely that there will be others in succession.

The causative agent of scrub typhus can latent in field mice, and through the continuous passage of scrub mite eggs, scrub mites live on rodents such as field mice and lurk in the natural environment for a long time.

It is now the rice harvest season, and according to past experience, there will be cases of scrub typhus among rural people, and this year there has been no report from the local county disease control, so Gu Yanan decided to take the initiative to investigate.

First entered the epidemic system network, and there was no report of incidence information.

Gu Yanan called the section chief Pang of the Qingcheng County Disease Control and Prevention Department and asked if there were any suspected scrub typhus patients in the vicinity of Qingcheng County, especially in several villages under Qingcheng Mountain.

Section Chief Pang and Gu Yanan have always had business dealings, the two are familiar with each other, and after receiving a call from Gu Yanan, Section Chief Pang thought about it and said, "Not yet, according to the experience of previous years, there will be scrub typhus typhus around October, Director Gu called so early, is there something found in the city?" ”

"Well, the First People's Hospital of the city received a suspected scrub typhus patient, he had been to the vicinity of Qingcheng Mountain to collect wind, and had contact with wild mice, the hospital and our CDC highly suspected that it was scrub typhus, so I want to know from your county CDC whether there are other scrub typhus patients near Qingcheng Mountain."

Section Chief Pang: "We haven't received a report from the hospital yet, since Director Gu asked so, I'll inquire with the hospital first, and call you back when there is news." ”

At noon that day, before Section Chief Pang called back, Lu Li and Wang Xiaoxiao came back from the First People's Hospital, and the samples of patient Zheng Qi were sent to the disease control laboratory, and the two returned to the emergency office with the flow investigation data.

Lu Li put the information on Gu Yanan's desk and reported to Gu Yanan, "Zheng Qi's information has been investigated clearly, and no cases with similar symptoms have been found among the people he has been in contact with." There is a map here that he went to when he first went to Qingcheng Mountain to collect wind. This guy has been to a lot of places, the whole Qingcheng Mountain has been around, he said that the scenery near Qingcheng Mountain is good, I asked him if he has had contact with wild animals, such as wild mice, he said that he has seen a few farmers who harvest rice catch wild mice, he has taken pictures at close range, this is the place to take pictures. ”

Gu Yanan looked at the information and thought thoughtfully.

Gu Jiashu sent another message, it was the new test results from the hospital's laboratory department, and through the Feida experiment and the Waifei reaction, it was determined that the patient Zheng Qi was infected with scrub typhus.

In the afternoon of the same day, the test results of the CDC laboratory also came out, and Zheng Qi's body fluid sample was positive for scrub typhus occupantis nucleic acid.

The results of both the hospital and the CDC confirmed that Zheng Qi was indeed suffering from scrub typhus.

Before there was a laboratory basis for diagnosis, Gu Jiashu had already treated Zheng Qi according to the scrub typhus treatment plan, and now Zheng Qi's condition has improved, and the CDC has to investigate the source of infection.

Gu Yanan speculated that Zheng Qi was infected with scrub typhus when he was collecting wind at the foot of Qingcheng Mountain, and now he is going to the foot of Qingcheng Mountain to investigate the wild animals and the surrounding people.

Whatever you want, Section Chief Pang of Qingcheng County CDC called Gu Yanan back in time.

"Director Gu, I have asked several hospitals in Qingcheng County, due to the limitations of our local medical level, there are no laboratory confirmed cases, no clinically diagnosed cases, and no typical scrub typhus patients have been found, but there is a suspicious situation, many villagers in Lijia Village at the foot of Qingcheng Mountain are sick and admitted to the county hospital."

"What are the symptoms?" Gu Yanan asked.

"The most obvious symptom is stomach pain, mainly in the upper abdomen, persistent dull pain, nausea, no vomiting, because many people in the village were admitted to the county hospital at the same time, so the doctor suspected that it was collective food poisoning at first, but after asking the patient, what they ate was home-made, and the food was the same as usual, there was no suspicion, and now no clear cause has been found, they are planning to report to the CDC, and report this matter as a collective food poisoning incident." I have sent people from our department to the county hospital for sampling, sent to your Municipal Center for Disease Control and Prevention laboratory for testing, and asked the Municipal Center for Disease Control and Prevention to help see what the specific cause is. ”

Gu Yanan felt strange, how could it be so coincidental? In Lijia Village, at the foot of Qingcheng Mountain, where Zheng Qi, a confirmed scrub typhus patient, passed, there was a suspected collective food poisoning incident.

What causes the symptoms of suspected food poisoning? Have these people been in contact with scrub typhus patient Zheng Qi? Is it related to scrub typhus?