The monkeypox virus outbreak mentioned by Dr. Zhao has just ended, and the African green monkey is the source of infection, which is raised in Li Yixuan's home in the villa area in the western suburbs.

However, the source of the infection has been dealt with and the CDC has declared the outbreak over, and the chances of a recurrence of the monkeypox outbreak are slim.

Moreover, Mrs. Zhang did not have a rash on her body, which did not meet the symptoms of human monkeypox virus infection.

Although monkeypox was ruled out, Gu Jiashu suddenly linked Mrs. Zhang and Li Jiahui's illness.

Although the symptoms of the two men are different, they both have a sudden onset and may both have aseptic meningitis with pneumonia.

Gu Jiashu: "It's not monkeypox, but it doesn't rule out the possibility of other infectious diseases, or wait for the results of the laboratory, you come to me for consultation, just to determine whether it is monkeypox virus infection." ”

Dr. Zhao smiled embarrassedly, "Aren't you an infectious disease expert in our hospital, and your little sister is an infectious disease expert in disease control, ask for insurance, if there is a possibility of highly contagious, transfer to your infectious disease department." ”

How could Dr. Zhao suddenly suspect that Mrs. Zhang is an infectious disease? And the smile is still mysterious, and he wants to talk and stop.

Gu Jiashu: "Did you hear any news?" ”

Dr. Zhao: "I heard that the big star Li Jiahui lives in your infectious disease ward?" ”

"Can't see it, you're still chasing stars?"

"Star chasing is one thing, the most important thing is that I know that Li Jiahui was sent from the villa area in the western suburbs, and his younger brother, Li Yixuan, who was infected with the monkeypox virus last time and lived in your infection department, also came."

"You are quite well-informed, you are here, but Li Jiahui's symptoms are not monkeypox virus infection."

Dr. Zhao also wanted to gossip about Li Jiahui's news, when there was a sudden knock at the door of the ward.

Then, a young man's head poked through the crack in the door.

Li Yixuan looked at Gu Jiashu and whispered, "Doctor Gu, regarding my sister's illness, I have a situation to reflect with you. ”

Mentioning that he was in charge of the patient's condition, Gu Jiashu was very concerned, and after returning Mrs. Zhang's case to Dr. Zhao, he walked up to Li Yixuan, "What's the situation?" ”

"My sister went to Africa two days ago, and you know that there are a lot of infectious diseases in that part of Africa, could my sister have contracted any infectious diseases in Africa?"

"When did you come back from Africa?"

"A week ago."

Gu Jiashu's mind quickly flashed through several infectious diseases that are common in Africa.

Li Jiahui has symptoms of high fever, and the incubation period is about 7 days......

Is it malaria?

Gu Jiashu asked Li Yixuan, "After your sister came back from Africa, did she say whether she was bitten by mosquitoes?" ”

Li Yixuan thought for a while and shook his head, "My sister rarely talks about working outside, but I know that she is going to Africa to take photos, and she will definitely be bitten or two on the beach, on the grass, and under the big trees with her arms and legs exposed." ”

Now Gu Jiashu seriously suspects that Li Jiahui is infected with malaria, and it is likely that she was infected in Africa, and she became ill after returning to China, which is a typical imported case of malaria.

However, this is only Gu Jiashu's speculation, and the diagnosis will have to wait for the test results of the laboratory.

Gu Jiashu turned around and said goodbye to Dr. Zhao, "I have a patient to deal with, so you will deal with it according to the previous treatment plan first, and we will contact you when the test results are out." ”

Gu Jiashu left the oncology ward and went to the infection department.

On the way, Li Yixuan followed behind Gu Jiashu and asked, "Doctor Gu, do you have a suspected cause?" ”

"It could be malaria."

"Malaria?! My sister had contracted malaria in Africa before, but that was more than a year ago, could it be a relapse? ”

"It's unlikely to recur, it's more likely to be a second infection."

Gu Jiashu contacted the laboratory department, and when he arrived at Li Jiahui's ward, Xiao Li from the laboratory department was already standing next to the bed with a slide, collecting finger blood and making a blood smear on the spot.

"Xiao Li, when will the results be available?" Gu Jiashu was anxious to know the result.

"Dyeing and microscopic examination, more than 20 minutes, and when the results are out, I will call you."

Unwaiting for the results of the laboratory department, Gu Jiashu has begun to contact the pharmacy to see if there is a stock of antimalarial drugs.

He remembers that the last time there was an imported malaria outbreak in Lianhai City, the treatment drugs were temporarily transferred from the Institute of Parasitology under the CDC, and this time they had to be prepared in advance.

Li Jiahui was lying on the hospital bed, listening to Gu Jiashu talking about the names of artemisinin and quinine on the phone, and guessed in her heart.

When Gu Jiashu hung up the phone, Li Jiahui asked, "Doctor Gu, do you suspect that I have malaria?" ”

"The initial suspicion may be malaria infection, I just asked the pharmacy, the hospital does not have antimalarial drugs in stock, but you can rest assured, our city has all the reserves of parasites, I will contact the CDC later......"

Without waiting for Gu Jiashu to finish speaking, Li Jiahui said very conclusively, "I'm not suffering from malaria this time." ”

Gu Jiashu was stunned, "Why do you say that?" ”

Li Jiahui: "I have had malaria before, it is not this symptom at all, malaria will be hot and cold, I have a high fever this time, and I still have hives on my body, which is more like allergies." ”

Gu Jiashu also knew that Li Jiahui's symptoms were not like the typical stage III symptoms of malaria, but when the cause was unknown, none of them could be let go.

Li Jiahui then added, "And this time, I also have a very strange symptom, I always feel a sweet strange taste in my mouth. ”

"Sweet weird smell? Since when? ”

"At the same time that I was feeling feverish."

Gu Jiashu was very curious about Li Jiahui's new symptoms.

A change in the sense of taste, which is not a good sign.

Li Yixuan was very worried, "Sister, don't scare me, you are usually in good health, how could you suddenly get sick, and the hospital can't find the reason, sister, or I will contact Qinggeng, he comes from a medical family, and he usually knows a lot about various incurable diseases, and now he works in the CDC, come to him to take a look, maybe you can see the problem." ”

The cause of the disease has not been found, and the patient's family has begun to distrust the attending doctor and the hospital, which Gu Jiashu has encountered before.

Before making a diagnosis, Gu Jiashu decided to start with antimalarial drugs based on clinical symptoms.

Just as he was about to contact his little sister Gu Yanan, who was working at the CDC, Xiao Zhang, a young doctor from the infectious disease department, rushed into the ward, "Doctor Gu, the emergency department wants to transfer a patient to our infectious disease department, who was sent from the villa area in the western suburbs, suddenly had a high fever and vomiting, and checked the blood in the emergency department, the white blood cells are very high, and they suspect that it is an infectious disease." ”

Gu Jiashu felt puzzled, based on these symptoms alone, he couldn't be sure that it was an infectious disease, "Infectious disease? What infectious disease is suspected? ”

Doctor Xiao Zhang: "I don't know, the emergency doctor said that the patient said that he was the nanny of Mrs. Zhang's family, and in the afternoon Mrs. Zhang was hospitalized with high fever and vomiting, and in the evening, she had similar symptoms, and the nanny felt scared and came to the hospital." ”

"Which Mrs. Zhang?"

"It's the old lady Zhang you just went to the oncology department for consultation."

"Mrs. Zhang's nanny? Isn't she taking care of Mrs. Zhang in the hospital? ”

"It's not the nanny, it's the other, Mrs. Zhang's family has two nannies, one is taking care of patients in the hospital, the other is tidying up the room at home, and now the one who is in the emergency department is the one who does housework at home."

If two patients with similar symptoms occur in a family at the same time, it is considered a collective illness, and the possibility of infectious diseases is very high.

However, during the oncology consultation just now, the cause of Mrs. Zhang's illness was not clarified, and this newly admitted nanny may have brought clues.