In the scorching summer, the sun is scorching.

Binhai District, Lianhai City, Little Red Flower Kindergarten.

It was nap time at noon, and the kindergarten teacher took care of the children to sleep.

The air conditioner was on, the white curtains were tightened, and the room was dimly lit.

More than 20 children around the age of three slept in simple beds lined up on the ground.

"Ahem, ahem, ahem......"

There was a strange coughing sound outside the door, like a dog barking.

The life teacher opened the door and poked his head out to find the kindergarten principal in his 50s standing outside.

"Director Li?" The young kindergarten teacher was a little surprised.

Director Li took sick leave two days ago, and it was really surprising that he suddenly came back today and was still standing at the door.

Her neck, in particular, was much more swollen than before she took leave, and it seemed that her condition was serious.

"Director Li, why are you here?" The young teacher asked.

"Come back and pick up something, and take a look at the kids by the way, ahem......"

She coughed again, coughing and tugging at her neck, and the green tendons burst out.

Afraid that the coughing noise would disturb the sleeping children inside, she tried to cover her mouth and try her best to hold back the cough.

The young teacher frowned slightly, worried about the elderly Director Li in front of him, and worried about the children inside, and asked softly, "Director Li, didn't you go to the hospital to have a look?" Your neck seems to be swollen and your voice is hoarse. ”

"I saw it, I went to the community clinic to see it, the doctor said it was a cold, plus tonsil inflammation, I took medicine, but I didn't feel good, I came to get the medical insurance card, and I was going to go to the big hospital again, cough cough ......"

After Chief Li finished speaking in a hoarse voice, he couldn't help coughing and hurriedly covered his mouth.

After coughing for a while, and finally stabilizing her breathing, she let go of her hand and told the young teacher, "It's hot now, but the air conditioner can't be turned on too low, be careful that the children catch a cold, I may just blow the air conditioner to blow the sick, I won't go in, don't infect the children." ”

The young teacher nodded silently.

Seeing the back of Principal Li leaving, the young teacher returned to the classroom and turned up the air conditioner by another degree.

2:30 p.m.

The life teacher beckons the children to get up.

This class is a nursery class and is under the age of three.

Taking care of more than 20 children and getting up at the same time is a big job.

The two life teachers were busy helping the children dress and put on their shoes and make their beds.

After getting up and washing your hands, it's time for a snack.

The weather is hot, and the kindergarten prepares rock sugar pear porridge for the children.

More than 20 children gathered around several tables and began to drink porridge, and the life teacher noticed that one of the children was listless.

"Lele, what's wrong with you? Why don't you drink porridge? The life teacher leaned over the child and asked.

"My mouth hurts and I don't want to eat."

Lele's voice was a little hoarse.

The life teacher raised his hand and touched Lele's forehead.

Feverish!

Teachers are most afraid that children will get sick and have a fever.

Fever can be a variety of diseases, such as the flu in autumn and winter, hand, foot and mouth in spring and summer, and even a common cold can spread to other children.

Xiaohonghua Kindergarten is a private kindergarten, small in scale, not equipped with a kindergarten doctor, the child has a headache and brain fever can only inform the parents to take the child back to see a doctor.

The life teacher called Lele's parents.

Soon, Lele was picked up by her mother.

Lele's mother was worried about her son, before her son's appetite at home was not good, and after arriving in kindergarten, he suddenly had a fever and fell ill, I thought it was a common cold, but I saw that her son's symptoms were different from the previous cold and fever, this time the voice was hoarse, and the child was soft, what kind of serious illness did he have?

Not believing in the level of the small clinic, Lele's mother took the child directly to the best hospital in the city.

——

The First People's Hospital of Lianhai City, outpatient building.

Gu Jiashu's office.

Lele was lying in her mother's arms and was being examined by Gu Jiashu.

"Ah...... Open your mouth wide. ”

Gu Jiashu whispered as he pressed Lele's tongue with a tongue depressor, and the light of the flashlight shone on his throat, and a yellowish-white membrane could be seen faintly on the reddened throat.

Throat inflammation?!

There are many diseases that can cause inflammation of the throat, such as purulent tonsillitis, thrush, exudative angina caused by adenovirus, herpangina caused by coxsackie group A virus......

The throat inflammation caused by different pathogens is not the same with different medications, so it is necessary to do a pathogen test.

"When did the child start to feel uncomfortable?" Gu Jiashu continued to ask for consultation.

"I received a call from the kindergarten teacher this afternoon, saying that Lele had a fever, so I rushed to the kindergarten and took the child to the hospital." Lele's mother hugged the child tightly and continued to complain, "Lele has always been fine at home, but he must have been infected by other children in kindergarten, or he was frozen by the air conditioner when he went to bed at noon." ”

"I'll take a throat swab for the child first, and then open a blood collection list, and then you go to the laboratory on the second floor to pay for blood testing, and hand over my throat swab directly to them."

The doctor explained, the patient agreed, and Lele's mother nodded seriously.

According to the process, he gave Le Le a throat swab, but found that the yellow-white film in the child's throat was not easy to fall off.

Gu Jiashu's heart trembled, the pseudomembrane would bleed when it fell off?

This is no ordinary symptom.

Gu Jiashu asked, "Has the child been fully vaccinated?" Have you ever played the triplet seedling? ”

Lele's mother hesitated for a moment, for the sake of the child's condition, and finally decided to tell the truth, "In fact, Lele has not been in good health since he was a child, he had heart valve surgery when he was a child, and he recovered for a long time after surgery, many vaccines have not been given, but I heard people say that children are not vaccinated and nothing, as long as they usually pay attention, I rarely get sick after the operation, and my appetite is not very good a few days ago, but I have no fever." ”

Poor appetite is also one of the symptoms of the disease.

It seems that the real situation of Lele is that he has undergone heart surgery since he was a child, and he has not been fully vaccinated with a type of immunization vaccine prescribed by the state, and it is very likely that he has not been vaccinated with diphtheria, tetanus......, tetanus

All symptoms point to one possibility.

Corynebacterium diphtheria infection!

However, diphtheria has disappeared in Lianhai City for more than 20 years, and now it has suddenly appeared, so don't misdiagnose it.

"I suspect that the child may be infected with diphtheria and recommend hospitalization."

As soon as Lele's mother heard that she was going to be hospitalized, she immediately became nervous, "So serious? Need to be hospitalized? And what is diphtheria? Is this disease serious? ”

"Diphtheria is a Class B infectious disease stipulated in our country, if it is not treated in time, there will be very serious complications, now from the symptoms it should be diphtheria, but there is still a laboratory diagnosis of this situation, we have to report to the CDC, they will come to do the investigation in a while, you have to cooperate with the investigation."

Lele's mother was already confused.

She had never heard of diphtheria before, and now that she heard that even the CDC was coming to investigate, it must be a very serious disease.