The kindergarten teacher thought to herself, isn't it the flu?

However, it is now summer, and according to the practice of previous years, there will be a little more hand, foot and mouth disease at this time, and the flu will be rare.

The kindergarten teacher immediately took the temperature of the other 8 children who had come to the kindergarten, and found that two of them had a high body temperature, 37.2 degrees Celsius and 37.6 degrees Celsius respectively, and the cold symptoms were not obvious.

The trained kindergarten teacher immediately reported the situation in the class to the principal, who reported the outbreak of suspected influenza cases to the local Dongcheng District Center for Disease Control and Prevention as usual.

——

Lianhai Center for Disease Control and Prevention, Emergency Office.

Except for Gu Qingcen, the five members of the emergency team are all in the office.

Lu Li was answering the phone on his desk.

After the call, Lu Li reported the situation to Gu Yanan.

"Sister Yanan, Dongcheng District CDC just reported an epidemic, saying that there was a collective outbreak of influenza cases in the Xiaohonghua Kindergarten in their jurisdiction."

Gu Yanan's brows furrowed inadvertently, "Flu? Lianhai City has very few flu in this season, have you asked the patients for their symptoms? ”

"I asked, the people from Dongcheng District CDC reported that they went to the kindergarten and the sick child's home for sampling, and the patient's body temperature was around 38 degrees, and his throat was sore, which met the definition of a flu-like case, and the samples collected were being sent to our city CDC."

Gu Yanan thought about it, the initial symptoms of many diseases are similar to colds, but there are only a few that can cause collective illness in the kindergarten, "Contact the laboratory to collect samples, first use rapid detection reagents to check for influenza viruses, if not do respiratory tract multi-pathogen testing." ”

"Okay, I'll get in touch."

Lu Li was arranging the detection of the suspected flu epidemic in Xiaohonghua Kindergarten here, and Gu Yanan's mobile phone rang.

Caller ID Nan Han Fei.

"Yanan, there's something you need help with." Nan Hanfei's tone was slightly anxious.

"What's the matter?"

"Uncle Ge is sick again, now in the hospital, the doctor let him be hospitalized, I originally wanted to accompany him, but I have a case to follow up, I want to hire a nurse for him, Uncle Ge is unwilling, he wants you to come, do you have time now? I know it might be a bit ...... for you to come to the hospital during working hours like this."

"Okay, I'll go." Without waiting for Nan Hanfei to explain, Gu Yanan agreed.

——

The First People's Hospital of Lianhai City, Infectious Disease Ward.

Nan Hanfei was taking care of Uncle Ge in the ward.

Seeing Gu Yanan come in, Uncle Ge immediately said to Nan Hanfei, "Yanan is here, she will take care of me, you, the captain of the criminal police, hurry up and do something else." ”

Nan Hanfei was already very familiar with Uncle Ge, and when he said this, he couldn't help but smile, "You really don't treat her as an outsider." ”

"Of course, we have been through so much, we have long been our own people, and Yanan's brother is the director of the infectious disease department, and the sister of the director of the infectious disease department is personally taken care of, and my illness will get better quickly."

When Nan Hanfei saw Gu Yanan, he didn't say much else, and directly handed over Uncle Ge's pile of test reports just now to Gu Yanan, "Uncle Ge's inspection reports are all in there, I haven't been here for the past two days, and when the task is over, I will take the initiative to contact you." ”

"Okay, I'll leave it here."

Nan Hanfei left the ward, Gu Yanan glanced at Uncle Ge on the hospital bed, the old man was thinner than the last time he saw him, and his mental state was not very good, but when he saw Gu Yanan to take care of him, he still tried to squeeze out a smile.

Gu Yanan looked at Uncle Ge's examination report again, especially carefully looked at the X-ray chest X-ray, and found that there were infiltrating patches in the lungs, radiating outward from the hilum of the lungs, fan-shaped.

Symptoms of pneumonia are severe.

Gu Yanan comforted Uncle Ge, "Don't worry, it's not serious, it will get better soon after treatment according to the doctor's instructions." ”

Uncle Ge has always believed Gu Yanan's words, "I'm not worried, this is the best hospital in our Lianhai City, even one of the largest hospitals in the country, there are the best doctors and experts here, if they can't cure my disease, then I am really hopeless." ”

"Uncle Ge, let's not say anything unlucky, you are just a minor illness, and you will be hospitalized quickly, what else do you need now? I'll go out and get you ready. ”

Gu Yanan was talking to Uncle Ge when Gu Jiashu pushed open the door of the ward.

Seeing that Xiaomei was in the ward, Gu Jiashu was very surprised, "Xiaomei, why are you here?" I was thinking about calling you just now, wanting you CDC to help test the specimens, but I didn't expect you to be here, and the telepathy between our brothers and sisters has reached this level? ”

Gu said that when talking to people close to him, he often has a lot of humor.

"What specimens are you helping to test?"

Gu Yanan knows that every time the hospital encounters an epidemic, or some incurable disease, and cannot determine the pathogen, he often asks for help from disease control.

Gu Jiashu glanced at Uncle Ge on the hospital bed, glanced at Gu Yanan, and motioned to talk to him outside the ward.

Corridor outside the ward.

Gu Jiashu told the little sister, "It's the specimen of Uncle Ge inside." ”

"The pathogen that caused Uncle Ge's infection has not been found?"

"Well, he was admitted to the hospital two days ago, and the initial symptoms were headache, muscle aches, fever and other initial symptoms of a cold, and then he developed anemia, liver dysfunction, and now the central nervous system is also involved, and the symptoms of pneumonia are severe, and treatment with cephalosporin antibiotics and levofloxacin is ineffective.

After asking about the medical history, I found that Uncle Ge had used the air conditioner at home two days before he got sick, so I suspected that it was Legionnaires' disease, so I asked the laboratory department to do a blood culture, and the result was negative. ”

Gu Yanan stared at Uncle Ge's chest X-ray in his hand, "It is also very likely that it is a lung infection caused by a virus or fungus." ”

"I did a smear of the lung wash and found no fungus."

"If it's a virus, it's most likely a flu virus......

Gu Yanan suddenly remembered the detection of the suspected influenza epidemic in Xiaohonghua Kindergarten in Dongcheng District, "The CDC laboratory is about to do a batch of 9 respiratory pathogen tests, and it is just enough to send Uncle Ge's specimen over to do it together." ”

More than two hours later, the results of the CDC test came back.

Uncle Ge's blood, lung wash, nasopharyngeal swab specimens, and 9 respiratory pathogens were all negative.

The nasopharyngeal swab specimens of the Xiaohonghua kindergarten patients were also tested negative for 9 respiratory pathogens.

After getting the test results of the disease control laboratory, Gu Yanan analyzed in his mind that the 9 pathogens in the respiratory tract were tested including the pneumophilic army, Mycoplasma pneumoniae, Rickettsia Q, Chlamydia pneumoniae, adenovirus, respiratory encyclopedic virus, influenza A virus, influenza B virus, parainfluenza virus types 1, 2, and 3, if these pathogens were ruled out, what rare pathogens did Uncle Ge infect?

There are also children in Little Red Flower Kindergarten, who suddenly have cold symptoms collectively to rule out common pathogens, and what other uncommon pathogens can cause such cold-like symptoms?

Gu Yanan stood in the corridor outside Uncle Ge's ward, called Lu Li, and arranged for him to go to Xiaohonghua Kindergarten for a second investigation.

The content of the survey is mainly to investigate the environment that the sick child was exposed to before becoming ill.

As for Uncle Ge, Gu Yanan felt very familiar, and he went to his house with Nan Hanfei two days ago to deliver a red-billed firesparrow......

Red-billed flaminch?!