Gu Yanan was embarrassed by his anxious appearance, hurriedly straightened his breath, and replied: "I just don't want to have one more patient in the rabies epidemic caused by the Wild Monkey Ridge Bat Cave this time." ”

Nan Hanfei smiled even deeper, "Oh, then I still have to thank you." ”

Gu Yanan: "I heard that there are three hunters who were captured this time, and Zhang Youwei is one of them. Since they had lived in the Monkey Ridge Bat Cave, the other two people were also at risk of being infected with rabies. ”

Nan Hanfei: "Those two people are still in the police station, do you want me to take them to the hospital for examination?" ”

Gu Yanan: "If there are no clinical symptoms, just collect their body fluid samples and send them to the CDC's laboratory for examination, and you don't need to bring them to the hospital." ”

Nan Hanfei looked at Gu Jiashu again, and Gu Jiashu nodded, agreeing with Gu Yanan's point of view, "Indeed, there are no clinical signs of rabies, so there is no need to bring it to the hospital." The situation of the two poachers falls within the scope of the rabies outbreak investigation and is under the control of the CDC. ”

——

Lianhai City Police Station, Information Room.

Nan Hanfei questioned two other poachers.

Before questioning, Nan Hanfei asked the police doctor to take body fluid samples from the two poachers, Zhang Lishan and Zhang Dali, and sent the collected specimens to the CDC.

When Nan Hanfei told them that Zhang Youwei had a rabies attack and there was no cure, one of the young people, Zhang Dali, suddenly launched a frenzy in the inquiry room.

Zhang Dali's symptoms were the same as those of Zhang Youwei when he first became ill, sweating profusely, drooling at the corners of his mouth, and constantly tearing his clothes, as if he was going crazy to bite.

Nan Hanfei thought to himself: It can't be so coincidental, is it?

Nan Hanfei took Zhang Dali to the hospital and sent him to the isolation ward of the infection department.

Gu Jiashu saw that Nan Hanfei brought another one, and asked, "Has his specimen been sent to the CDC?" ”

"Just delivered."

"Well, we just wait for the results from the CDC, they have the results quickly, and now they can only treat the symptoms routinely."

Nan Hanfei went back to the police station in advance, leaving only two young police officers to guard the door of the infectious disease ward.

Two hours later, Gu Yanan fed back Zhang Dali's test results to Gu Jiashu.

Zhang Dali and Zhang Lishan's body fluid samples tested negative for rabies virus nucleic acid.

In other words, Zhang Dali and Zhang Lishan were not infected with the rabies virus.

Zhang Dali is not infected with the rabies virus, but why does he have rabies symptoms?

Gu Jiashu came to Zhang Dali's ward again and began to check.

Zhang Dali was tied to the hospital bed with restraint belts by medical staff, but he still kept struggling, saliva at the corners of his mouth, and sweat on his head, all of which were consistent with the symptoms of rabies.

Gu Jiashu took a glass of water, walked to Zhang Dali's bedside, and talked to Zhang Dali, "Do you want to drink water?" ”

Zhang Dali yelled at Gu Jiashu, "I have rabies, can I drink water?" ”

Although there are symptoms of anger, there is no spasm of the pharyngeal muscles when the water is seen.

In other words, Zhang Dali has no real hydrophobia symptoms.

Gu Jiashu opened the curtains of the ward again, the sun shone on the hospital bed, and Zhang Dali did not respond.

There are no photophobia symptoms.

Lacking these two typical clinical signs, Gu Jiashu had his own inference.

Gu Jiashu held a small bottle of medicine, stood beside Zhang Dali's bedside, and said, "You know that there have been cases of cured rabies abroad. ”

"I don't know, isn't it 100 percent dead if you have rabies?"

Gu Jiashu: "Now to give you some knowledge, once rabies occurs, the mortality rate is close to 100%, but there are also individual cases that have been cured, for example, there have been recent reports abroad that someone was bitten by a vampire bat and had rabies, but was saved by a local doctor and saved his life." ”

Gu Jiashu shook the small medicine bottle in his hand in front of Zhang Dali again, and continued: "This medicine is imported from abroad, and it is a special medicine specially used to treat rabies, but it is very expensive, do you want to use it?" ”

Zhang Dali seemed to suddenly see hope, and his temper was no longer irritable, and he hurriedly said: "No matter how much money you have, I will use it, I have money." ”

Gu Jiashu smiled slightly, "Well, rabies treatment is fast, and the money for this bottle of imported medicine will be recorded in your account first." ”

Gu Jiashu took out a disposable syringe, sucked out the liquid in the small medicine bottle, disinfected Zhang Dali's arm, and then injected the potion into it.

"Okay, the imported medicine has been injected into you, you only need to sleep for a night and rabies will be cured, and you can be discharged from the hospital when you wake up."

Zhang Dali was obviously very happy, and after making a fuss for a long time, he suddenly felt very tired, so he closed his eyes and fell asleep.

Gu Jiashu walked out of Zhang Dali's ward, and the little nurse who had been following Gu Jiashu looked at Gu Jiashu's operation and asked curiously, "Doctor Gu, what did you inject Zhang Dali just now?" What kind of cure for rabies is there in our hospital? ”

Gu Jiashu smiled, "The liquid just now is just the most ordinary saline. ”

"Saline?! Why would you want to do this? ”

"Zhang Dali does not have rabies virus in his body, but he has rabies symptoms, there is only one explanation, he has rabies-like hysteria, and the treatment of hysteria, the method I just used is the most useful."

——

Lianhai Center for Disease Control and Prevention, Emergency Office.

Gu Yanan writes at her desk about the rabies outbreak caused by the Wild Monkey Ridge Bat Cave in Yuntai Mountain.

Chen Feng and Wang Juan participated in the Yuntai Mountain expedition organized by the travelers, and the two went to the Wild Monkey Ridge Bat Cave alone and stayed in the bat cave for one night.

Chen Feng's palm was injured, and the bleeding wound came into contact with bat feces containing rabies virus, and he also breathed the air containing rabies virus aerosols in the bat cave.

Chen Feng was infected with the rabies virus, and a month after returning from Yuntai Mountain, he had a rabies attack, and on the way to work, he had a rabies attack in the subway car, biting the passengers on the subway.

The bitten passenger and Wang Juan were vaccinated in time, and the immune effect remains to be seen.

The Center for Disease Control and Prevention conducted samples in the Wild Monkey Ridge Bat Cave in Yuntai Mountain and found that the air in the bat cave and bat feces contained rabies virus.

The bat cave is a potential rabies foci and warning signs have been erected outside the bat cave.

Tracing the recent rabies patients in Lianhai City from the epidemic network, it was found that someone had been to the bat cave in Wild Monkey Ridge three months ago, and the rabies outbreak occurred within a month after returning, and it was initially speculated that it was caused by breathing the air containing rabies virus in the bat cave.

The three poachers captured by Nan Hanfei from Yuntai Mountain - Zhang Youwei, Zhang Dali, and Zhang Lishan.

The three of them once lived in the bat cave for nearly ten days in order to poach them.

Zhang Youwei became ill.

Zhang Dali heard the news of Zhang Youwei's rabies and developed rabies-like hysteria, which was later cured.

Zhang Dali and Zhang Lishan were vaccinated against rabies in time, and the immunization effect remains to be observed.

The rabies outbreak caused by the Wild Monkey Ridge Bat Cave proves that rabies virus can be transmitted by bats, and when the aerosol concentration of rabies virus in the air reaches a certain level, rabies virus can also infect humans through the respiratory tract.

Closing the epidemic summary report, Gu Yanan fell into deep thought, it seems that the prevention of rabies in the future has another task of monitoring the virus carried by bats in the wild.

。 m.