Gu Yanan picked up the landline on the desk and began to dial, first dialing his brother Gu Jiashu's number.

"Brother, can you help me ask Andy if he has donated blood since he came back from Africa?"

Soon, Gu Yanan got Gu Jiashu's reply, "Andy has never donated blood. ”

Gu Yanan called Li Jianjun's wife's number again.

The phone was connected, and Gu Yanan asked directly: "Mrs. Li, I am Gu Yanan from the Municipal Center for Disease Control and Prevention, I just went to your house in the morning to investigate Mr. Li's epidemiological history, and I have another question to ask you, did Mr. Li donate blood before his death?" ”

"After my husband came back from Africa half a month ago, he went to the mobile blood donation vehicle on the street to donate blood once after three days."

After receiving Mrs. Li's affirmative answer, Gu Yanan hung up the phone and began to look for the number of the city blood station.

"Hey, is it a blood bank? I am Gu Yanan from the Emergency Office of the Municipal Center for Disease Control and Prevention, and there is a malaria person who donated blood during the incubation period of malaria, and now I need you to trace the whereabouts of this blood, and I will provide you with the detailed information of the malaria person. ”

Gu Yanan sent Li Jianjun's information to the blood station, and the blood station quickly found out the whereabouts of Li Jianjun's blood.

The blood donated by Li Jianjun was transfused to a pregnant woman who had a caesarean section at the Municipal Maternal and Child Health Hospital yesterday morning.

Based on the information provided by the blood bank, Gu Yanan urgently contacted the Municipal Maternal and Child Health Hospital and suggested that the pregnant woman who received Li Jianjun's blood should be treated for antimalaria.

Lu Li and Wang Xiaoxiao, watching Gu Yanan call after phone call, busy for nearly half an hour, and finally finished the matter.

Lu Li finally understood that although malaria is transmitted by mosquito bites, it can be transmitted from person to person through blood, especially through blood donation and transfusion.

Lu Li covered his pounding heart, "Fortunately, Sister Yanan reacted quickly, otherwise another blood transfuse would have suffered." ”

——

A few days later, Andy's malaria clinical symptoms were cured.

Andy prepares to be discharged from the hospital.

In Andy's hospital room, Anna packed up Andy's clothes and supplies, and only waited for the attending doctor to make his last rounds before leaving.

Gu Jiashu took a group of residents and intern medical students to conduct routine ward rounds.

Checking Andy's bedside, Andy smiled and took the initiative to greet Gu Jiashu, "Doctor Gu, thank you, this time I really took a trip from the ghost gate." Now my body temperature is normal, I am no longer hot and cold, and I am completely recovered. ”

Gu Jiashu: "Not yet, I have to review it regularly for a period of time." ”

Andy's face was alarmed, "You mean, my illness will come back?" ”

Gu Jiashu: "Actually, for the falciparum malaria you got this time, according to the medical definition, it will only rekindle and will not recur. ”

Andy was puzzled, "Rekindled?" Relapse? Is there any difference between the two? ”

"Re-ignition refers to the reproduction of a small number of Plasmodium parasites in the red stage due to the remaining small number of Plasmodium parasites in the body, and after a period of time, it causes the onset of malaria.

Relapse refers to the recurrence of malaria in patients with the initial episode of malaria, after the elimination of the Plasmodium parasite in the red stage without vector-borne infection, and after a few weeks or a year or so, the malaria flare-up occurs. Recurrence is usually caused by the resuscitation and development of dormant spores in stem cells, and the release of merozoites re-enters red blood cells to multiply, causing malaria attacks. ”

Gu Jiashu said too professionally, Andy obviously didn't understand, but Andy still understood a little, "Doctor Gu, I just need to come to the hospital for regular check-ups as required, right?" ”

"Yes, regular reviews will be a little safer."

After receiving an affirmative answer, Andy breathed a sigh of relief and sighed: "This time I was seriously ill, and now I still have palpitations, and I don't dare to go to Africa to play in the future." ”

Gu Jiashu comforted: "If you really need to go to a malaria-endemic area in the future, it is good to take preventive measures in advance."

First of all, to prevent mosquito bites, wear long-sleeved clothes and pants when going to the wild, and apply insect repellent to exposed areas of the skin.

It can also be prevented by medication, before going to a malaria-endemic area, you can take antimalarial drugs such as chloroquine, and I can write a copy to you for the specific way to take the medicine. ”

Gu Jiashu casually took a piece of sticky note paper, took out the pen in the pocket of his white coat, and began to write how to take preventive antimalarial drugs.

Andy looked at Gu Jiashu's eyes full of admiration, and said "Thank you" one after another. ”

Gu Jiashu handed Andy the written method of taking it, and at the same time instructed: "Because malaria can be transmitted through blood transfusion, you cannot donate blood for 3 years after you are discharged from the hospital." ”

Andy agreed.

Looking at the chic handwriting on the paper in his hand, as well as the polite figure of Gu Jiashu beside him, Andy suddenly felt his heart beat faster.

Andy quickly found a reason in his mind, wanting to leave a way to contact Gu Jiashu in the future, "Doctor Gu, I'm worried that after I am discharged from the hospital, my illness will recur, in case it recurs...... Oh no, it's a resurgence, in case of a resurgence, I want to be able to contact you in time, after all, you are my attending doctor, I trust you. ”

Gu Jiashu handed Andy a business card, "This is my business card, it has a phone number on it that can contact me." ”

After saying that, Gu Jiashu took the students to the next ward for a routine examination.

Andy looked at the business card happily, but found that there was only one landline number on the business card, and it was still the landline number in Dr. Gu Jiashu's office, and there was no private mobile phone number for Gu Jiashu at all.

——

A few days later, the woman who contracted malaria due to a blood transfusion was also cured and discharged from the hospital.

Gu Yanan began to write an epidemiological report on the imported malaria case.

Andy, a model, went to Africa for a photo shoot under the arrangement of the agency.

Bitten by a mosquito containing Plasmodium falciparum in its body during filming.

Andy contracted malaria as a result.

The incubation period for falciparum malaria is about 12 days, and after Andy returned from Africa, the clinical signs of malaria appeared.

After experiencing chills, fever, and sweating, Andy thought it was a common cold and took cold medicine, but it happened that malaria entered an intermittent period again, and the body temperature returned to normal.

Andy, who was in the intermittent period of malaria, was shopping with his friend Anna when his condition suddenly deteriorated while drinking coffee in a café, and after being taken to the hospital, he developed symptoms of black urine fever and cerebral malaria.

When Li Jianjun was on a business trip to Africa, he worked in the field for a long time.

Mosquitoes containing malaria parasites in the wild in the tropics bit Li Jianjun, who contracted malaria.

Li Jianjun, who is also in the incubation period of malaria, donated blood once after returning to China.

After Li Jianjun returned to China, he entered the onset of malaria in China.

After the typical symptoms of malaria repeated several times, Li Jianjun drank with friends during the interval of malaria, and on the way home at night, his condition aggravated and he died halfway through.

The blood donated by Li Jianjun was transfused into a pregnant woman who had a caesarean section.

As a result, the mother was infected with the malaria parasite.

Fortunately, it was detected in time and treated early, and the malaria parasite in the mother was finally cured.

Together with a malaria-stricken foreign passenger who entered the country from a malaria-endemic area in Africa who was intercepted at Lianhai Airport, there were three imported malaria cases and one blood-borne local malaria case, with one death and three cured.

。 m.