Gu Jiashu smiled mysteriously, but didn't explain, just said: "There is no means, if you want to know the blind date process, invite me to dinner another day." ”

Gu Yanan knew that his brother must have played some tricks, but he couldn't guess it, so he nodded and agreed, "Okay, as long as my brother has time, I will accompany him at any time." ”

Gu Jiashu saw Nan Hanfei who was following Gu Yanan, "Why are you two together?" I also came to the hospital together, who is sick? ”

"We were eating at a café when we came across a woman who fell to the ground and was convulsing, and we took her to the hospital, and she was already in the emergency room, and we were about to go back," Gu Yanan explained. ”

Gu Yanan has always used "we" to call her and Nan Hanfei, Gu Jiashu felt strange, and thought of Gu Yanan just said that the two were eating together in a café, and couldn't help but ask: "Your blind date today won't be Nan Hanfei, right?" ”

Gu Yanan nodded happily, and at the same time grabbed Nan Hanfei's arm, and said to his brother Gu Jiashu: "Yes, it's very coincidental, and I don't have to be forced by my mother to go on a blind date in the future." ”

Gu Jiashu looked at the intimacy of the two, and an expression flashed on his face that he didn't know whether he was happy or melancholy.

Gu Yanan said in an intimate and slightly complaining tone: "Brother, what kind of expression do you have?" Shouldn't you be happy for me? I will be able to escape from my mother's forced marriage in the future. ”

Gu Jiashu squeezed out a smile, "Well, I'm happy." ”

Gu Yanan: "What is your happy expression, are you sad because you haven't taken off the list yet, don't worry, as long as you take the blind date seriously in the future, you will definitely get off the list as soon as possible." ”

Gu Jiashu didn't want to discuss this topic anymore, and asked instead: "What are the symptoms of the woman you brought to the hospital?" ”

Gu Yanan: "High fever, sweating profusely, and convulsions, like a disease of the nervous system, could it be encephalitis?" ”

Gu Jiashu seemed to want to leave quickly, "I'll go inside and have a look, you guys can go first, you can't help here." ”

——

After coming out of the hospital, Gu Yanan and Nan Hanfei returned to the bachelor apartment and went to Uncle Ge's courtyard with the red-billed firesparrow.

Because of Gu Yanan and Nan Hanfei's visit, Uncle Ge's mood was obviously much better.

Here, Gu Yanan and Nan Hanfei were comforting the elderly, but the patient Gu Jiashu was concerned about suddenly had a problem.

Because Andy had symptoms of fever and hepatosplenomegaly, he was transferred from the emergency department to the infectious disease unit.

Gu Jiashu became Andy's attending doctor.

Based on Andy's existing symptoms, Gu Jiashu began the diagnosis.

Generally, fever is caused by infection, coupled with the symptoms of hepatosplenomegaly, Gu Jiashu thought of several common possibilities: schistosomiasis, amoebic liver abscess, sepsis, typhoid, leptospirosis, brucellosis, acute pyelonephritis, various viral infections.

What kind of disease Andy is has to be examined one by one.

Tested with schistosomiasis kit, negative.

Excludes the possibility of schistosomiasis.

Ultrasonography showed no mass in the liver, and the number of white blood cells increased but decreased.

Excludes amoebic liver abscess.

Negative blood culture.

Excludes the possibility of sepsis.

Blood, bone marrow, fecal urine bacterial culture is negative, and Phytosis reaction is negative.

Typhoid fever is ruled out.

Leptospira serum immunology test is negative.

Excludes leptospirosis.

Brucella serum agglutination test is negative.

Excludes the possibility of cloth disease.

Several common viruses, influenza, dengue fever, and the recent Japanese encephalitis virus circulating in Lianhai City, were tested using molecular biology techniques, all of which were negative.

Viral infection is ruled out.

All possibilities were ruled out, and Gu Jiashu was stumped.

If it weren't for the above infections, what would have caused Andy to have fever, hepatosplenomegaly, and convulsions?

Gu Jiashu was guarding the analysis of the report of the laboratory department, and after reading the report, Gu Jiashu felt that he should first ask Andy if she had any recent travel experience.

Gu Jiashu came out of the doctor's office and was about to go to Andy's ward, when the little nurse on duty suddenly came to report: Andy was in a deep coma.

Gu Jiashu rushed into Andy's hospital room, and after examination, it was found that Andy had indeed fallen into a deep coma.

The diseases that can cause coma are encephalitis, meningitis, epilepsy, brain cysts, brain tumors, cerebrovascular accidents, etc., but Andy did not have these tests.

Gu Jiashu remembered that her younger sister Gu Yanan had dealt with an outbreak of West African trypanosomiasis in Lianhai City.

Could it be that Andy contracted trypanosomiasis in the tropics?

The last time there was an outbreak of trypanosomiasis in Lianhai City, the hospital stockpiled a batch of reagents for the detection of trypanosomiasis.

Gu Jiashu immediately contacted the laboratory department of the hospital, and after examination, the possibility of trypanosomiasis was also ruled out.

Gu Jiashu stood by Andy's bedside, seeing that the sweat on Andy's body was almost soaking her hospital gown, Gu Jiashu suddenly thought of a disease that rarely occurs in Lianhai City, could it be malaria?

Gu Jiashu asked Anna, who was guarding Andy's bedside, "Has Andy been to Hainan, Yunnan and other southern cities recently, or has he traveled to Africa and Southeast Asia?" ”

Anna nodded in surprise, "We've been to Africa, is this Andy's illness related?" ”

"Well, do you know where Andy has been in Africa?"

Anna began to talk about her experience with Andy in Africa, "Andy and I are both models, and some time ago the company arranged for us to go to Africa for photo shoots, first to Egypt, then to the Sahara Desert, and then to some sub-Saharan countries, and the seaside......"

Africa is the hardest hit area of malaria, especially in sub-Saharan Africa, where malaria is rampant, and Andy has been to malaria-endemic areas and is likely to be infected with malaria.

Gu Jiashu immediately stepped on Andy's fingertip blood at the bedside, made a blood smear, and sent it to the laboratory for malaria parasite examination.

Before the laboratory department issued the examination report, Gu Jiashu asked Anna about some of Andy's condition before he was hospitalized.

Anna said: "After we returned from Africa, Andy once said that she was not very well, one night, Andy suddenly said that her limbs were cold, her whole body was cold, goosebumps all over her body, I saw that his lips and nails were purple, his face was pale, her cold teeth chattered up and down, I covered her with three quilts, she felt cold, about half an hour later she was not cold, she began to have a fever, and her complexion began to become very red.

Andy said that she was very uncomfortable, and she should have a bad cold, so I gave her the cold medicine and fever medicine that I had stored at home.

In the early hours of the morning, Andy began to sweat, sweating a lot, and changed two sets of pajamas.

The next morning, Andy's fever subsided, and we all thought it was cured, but two days later, it recurred, and I started to have chills, and then I had a fever, and finally I sweated and the fever went away, and so on three times.

Later, I felt that something was wrong and wanted to take her to the doctor, but Andy was like a normal person after the fever subsided, Andy said it was okay, so we went out shopping, but when we were eating at the café, Andy suddenly convulsed and fell to the ground, thanks to a kind person who sent her to the hospital. ”

。 m.