Chapter 294: Biopsy
"If the etiological test is done with the brain crest fluid, it will take a certain amount of time, and the results of the brain crest may not be accurate."
Hearing Zhao Heng's words, Liu Ziang frowned and said.
The most important thing now is to determine whether the patient in front of him is infected with Naegrea fowlii, that is, the brain-eating amoeba.
If it's really this terrible parasite, then it's not just about this one patient.
Once it is confirmed that the patient is infected with Naegleria flexneri, it means that the water that the patient has been exposed to before is very likely to be a breeding ground for Naegleria flexneri, so he is not the only one who may be infected.
You must know that the reason why the mortality rate of patients infected with Naegria flexneri in the world has reached such a terrible level as 97% is that once the patient begins to show symptoms, that is, headache, fever and vomiting and other signs of cerebral edema, it has been shown that Naegleria fowleri parasitizes into brain tissue and has multiplied enough to cause morbidity.
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The 3% of the patients who escaped were saved because the doctors who received them happened to have this rare experience and targeted treatment at a very early stage, which saved their lives, but although their lives were saved, they still left very serious sequelae of brain function impairment, including memory loss, language function and motor function impairment.
"The most important thing now is to confirm the diagnosis, then submit a report to the Center for Infectious Disease Prevention, and screen all visitors who may have been exposed to the waters where the Amoeba fowleri breeding area are screened for pathogens."
Zhao Heng said with a very solemn face, this is not only a patient's problem, but also involves a public health emergency.
Jeju Island has been a popular tourist destination in recent years, with the highest number of visitors per day reaching 41,000 this year.
If the patient had been infected with Naeglera fowleri in public waters, it would be hard to imagine how many people would have been infected with this terrible parasite, which has a 97% fatality rate.
The severity of this matter makes people feel creepy and chilling just thinking about it.
"If you want to be fast and accurate, then you can only do tissue biopsy through minimally invasive."
Liu Ziang thought for a while and said.
Tissue biopsy, that is, directly taking brain tissue for pathogen screening and detection, is a last resort and can be said to be the last resort.
Although he and Zhao Heng's skills are very strong, and they will not damage the brain tissue in the process of minimally invasive biopsy, but in terms of operating procedures, it is not standard to use such a detection method from the beginning.
Moreover, it is still unknown whether the patient's family will be able to accept such a test method.
"Senior, please report to the hospital committee, and I will communicate with the patient's family."
Zhao Heng thought about it and said to Liu Ziang.
Now that the situation is urgent, the soldiers can only be divided into two ways.
At present, there are more than 100,000 tourists on Jeju Island, and once the patient in front of him is diagnosed with Naegria fowleri, it means that there is a deadly parasite with a fatality rate of up to 97% in a public water area on this island, and everyone on this island has the possibility of being exposed to this deadly parasite.
In this way, the first thing to do is to conduct a round of pathogen screening throughout the island.
The most important thing is that after such an incident, it will be a fatal blow to Jeju Island's tourism business.
The stakes in this, just thinking about it a little, make people's scalps tingle.
If you think about it, a tourist destination that receives 41,000 tourists a day has a huge economic benefit.
"Okay, I'll go."
Liu Ziang nodded, the stakes are very high now, and the troops must be divided into two ways and act immediately.
However, the best point at the moment is that this parasite can only infect the human body through direct contact with the same water, so there is no risk of infection unless the person who comes into contact with this patient is in negative distance contact.
Liu Ziang went out from the office to report the current situation of the hospital committee, and Zhao Heng also came to the ward to find the family of the boy who was in a state of sedation, that is, the boy's girlfriend.
At this moment, the girl is much calmer than just now, and the way her boyfriend went crazy just now really scared her.
Seeing Zhao Heng coming, the girl couldn't wait to ask, "Doctor, what's wrong with him?" What is the disease? ”
"At this point, we suspect that he is infected with a deadly parasite called Naegrea fowlii, which is currently parasitic to the brain, but further tests are needed."
Zhao Heng organized his language and said.
If it was other patients' families, he would not say it so directly, but gave the patient's family some time to adapt, but the current situation is urgent, and he can only tell the truth.
"Huh?! Parasite? ”
Hearing Zhao Heng's words, the girl's eyes darkened, and when she thought of the worms parasitic on her brain or something, she felt goosebumps all over her body, and she felt weak all over her body.
Girls are already afraid of bugs, let alone bugs that parasitize their brains.
"Yes, based on his current symptoms and imaging results, there is a high probability."
Zhao Heng nodded and said.
"Am I also infected with this parasite?"
As if thinking of something, the girl said with a pale face.
"You have been with him all the time, if you are infected, according to the incubation period of this parasite, there will be no symptoms, so the possibility of you being infected is very small, but you still have to do a test to rule it out."
Zhao Heng said comforting the girl.
Even in the waters where Naegria fowleri is present, not everyone can be infected, and this infection must meet certain conditions.
"Well, well, doctor, let's get me checked."
The girl said hurriedly.
Infectious diseases can cause a lot of panic, not to mention the fact that this kind of parasitic bug in the brain has such a high fatality rate.
The girl is now able to speak and think normally, which is already a good indication of her psychological quality.
"I'll do a test for you later, and now in order to confirm the diagnosis as soon as possible, we need to take an invasive brain biopsy of the patient, which requires your consent."
Zhao Heng said again.
"Doctor, I'm just his girlfriend, can I agree?"
The girl suddenly thought of a question and asked with some confusion.
"In the absence of family members, you can also sign as a girlfriend, this is an emergency."
Zhao Heng nodded and said.
"Then I agree, doctor."
When the girl heard Zhao Heng's words, she hesitated slightly, then nodded.
Now it's the biggest help, as for the boyfriend's parents, they can only wait for someone to come and then explain.