Speaking of this, the patient excitedly grabbed Gu Jiashu's arm and begged in a tone, "Doctor Gu, I know that you are the best doctor, you must help me." ”

Gu Jiashu withdrew his arm without a trace and began to ask, "What's uncomfortable now?" ”

The patient pointed to his left eye, "My left eye hurts, it's been painful for a while, and it hurts very badly this morning, and I have a little fever, and there are some small lumps under my arm, I can move!" ”

Moving lumps?!

Gu Jiashu examines what the patient calls a moving lump, pressing it with his hand, and the lump slides freely under the skin.

Tumor? Abscess? Cyst? Cysts formed by parasites?

Seeing the doctor's expressionless examination, the patient added, "Doctor, I worked abroad last year and had malaria, but I was cured at that time, so this shouldn't be the sequelae, right?" ”

Gu Jiashu's mind quickly flashed the examination report he had just read, and several of the data in it showed that it might be a parasitic infection, could it be that the patient in front of him was infected with some kind of parasite abroad?

"Where do you work abroad? Time? And the environment of contact? Have you ever been bitten by a mosquito? Gu Jiashu asked.

"In May ~ November last year, I was working in the Democratic Republic of the Congo in Africa, labor dispatch, building a railway in the local deep mountains and old forests, I was bitten by a lot of insects, there are many insects in Africa, not only mosquitoes, but also all kinds of unnamed ones, at that time the body was bitten out of the bag.

I contracted malaria on the construction site, but I went back to the city for a while and was cured, and then I didn't get sick again.

At the end of last year, when I returned to China, I began to feel uncomfortable after the Chinese New Year, my hands and feet were swollen and stiff, and there were still a few moving lumps on my arms.

I still have pain in my left eye, and I can't see clearly......"

The patient, Yang Kangdi, complained while rubbing his left eye with his hand, rubbing many tears.

"Doctor, you can help me look at my eyes, it hurts and itchy......"

"Don't rub your eyes yet, let me see."

Gu Jiashu restrained the patient's hand, lifted the patient's head with one hand, and used a flashlight to examine it, and found that there was a white silk thread at the corner of the patient's eye.

Picking up the tweezers, he grabbed the end of the silk thread and gently pulled it out, and pulled out a slender worm.

The insect is about 4 centimeters long, about the length of an adult's index finger.

The tweezers clamped the end of the bug, and its body was still writhing.

Heartworms?!

Seeing insects coming out of their eyes, Gu Jiashu and patient Yang Kangdi were stunned.

Yang Kangdi exclaimed, "Oh my God, what is this? How can I have bugs in my eyes? ”

Gu Jiashu frowned slightly, remembering the case he received last year, and said: "According to your previous experience, it is very likely that you were bitten by a spotted fly and infected with Loa loa loa during your work abroad, and several moving lumps on your arm should also be adult filarial worms. ”

Patient Yang Kangdi was already scared into a cold sweat, and shook his head in disbelief, "Doctor, don't scare me, you mean that these lumps on my body are all worms?" How can it be? It's disgusting......"

"To confirm my hypothesis, we can take the worms on the spot and do a minor operation."

"Surgery? Over here? Patient Yang Kangdi asked.

"Rest assured, a very small incision, the pain is similar to that of an injection."

Gu Jiashu asked the patient Yang Kangdi to sit on the medical bed behind the curtain in the consultation room, selected a lump on his arm for routine skin disinfection, and cut it with a small scalpel, and the epidermal incision was only about half a centimeter.

The skin was cut open, and sure enough, there was a white worm body exposed under the incision.

Use ophthalmic tweezers to gently pick out the worms and put them into the medical tray.

The patient was already in a cold sweat, and the lump moving on his body turned out to be a worm.

Thinking of this, Yang Kangdi grabbed Gu Jiashu's sleeve and begged, "Doctor, I want to be hospitalized, you must get all the worms out of my body and cure me." ”

"Well, the cause has been found, there is a special drug, and you will recover after a period of hospitalization, I will arrange for you to be hospitalized now, and let the family go through the hospitalization procedures."

After sending the patient Yang Kangdi away, Gu Jiashu called the laboratory department and asked them to make a special filariasis diagnosis on the patient's specimen, including anti-filariasis antibody testing.

Although the patient's experience and the adult worm in front of him preliminarily judged that it was Loa loa, further laboratory confirmation is needed.

In recent years, there are often confirmed cases of Loa loa loa infection among those who have returned from the African filariasis-epidemic area, so the First People's Hospital also has corresponding diagnostic reagents, and the case Gu Jiashu received today is the first case this year.

After communicating with the laboratory department, Gu Jiashu reported the case online, and according to the regulations, imported parasitic cases should be reported to the epidemic network, and the CDC will deal with the epidemic.

Although there have been many cases of imported Roa filariasis in recent years, due to the lack of a transmission vector in China, spotflies, it is only reported online, and the CDC makes an archive, and there are no additional control measures.

While recording information on the Internet, Gu Jiashu muttered in his heart: Fortunately, it is only an imported case, if there is a local case of filariasis, then my little sister will be busy.

The next patient enters the office.

A middle-aged man, alone and unaccompanied by his family.

The man was wearing a short-sleeved T-shirt, cropped pants that reached the knee, and sandals with yellow mud on them, as if he had just returned from working in the fields.

The man's eyes were timid, and he sat down on the chair according to Gu Jiashu's instructions.

"What's wrong?" Gu Jiashu asked softly.

The man rolled up his sleeves and trouser legs, and lifted up his clothes, revealing the skin on his body, and there were many red threads on his belly, arms, and thighs.

"Doctor, I have a lot of red threads on my body recently, it hurts and itchy, and my legs are still a little swollen."

red line, edema...... It turned out to be a symptom with Sha Hongyu and his wife who came before.

A thought flashed through Gu Jiashu's mind, could it be that the legendary Flowing Fire has appeared again?

Liuhuo is the Chinese medicine term for filariasis.

A long time ago, there was an epidemic of filariasis in China, and the types of filariasis are mainly Malayan filariasis and bansoni filariasis.

But the drift fire has disappeared in the country for decades, how could it suddenly appear?

"Where do you live?" Gu Jiashu asked.

"Shajia Village next to Fairy Lake in Yuntai County."

The same goes for residential addresses.

Could it be a cluster outbreak?

A disease that had disappeared for decades reappeared, and in clusters.

This time it's a big deal.

Gu Jiashu first arranged for the patient to undergo various examinations, and then called Gu Yanan.

——

Lianhai Center for Disease Control and Prevention, Emergency Office.

The emergency response team of 6 people is busy in the office.

The office phone on the desk rang, Gu Yanan glanced at it, it was a familiar number, picked up the phone, and heard the voice of his brother Gu Jiashu.

"Little sister, just now our hospital received several suspected filariasis patients, and I suspect that it is a cluster outbreak of filariasis." Gu Jiashu said the problem directly.