With the girl's consent, Zhao Heng urgently contacted the operating room and prepared to perform minimally invasive surgery to take a brain biopsy.

It will take some time to prepare for the operation, so Zhao Heng returned to the office and began to inquire about the information about the protozoa naegleri fowlii.

There are only 10 cases of this parasitic infection in China, and in Dongfang Hospital, that is, among all the experience that Zhao Heng has picked up, there is no treatment experience for one case.

Therefore, for the infection of this deadly parasite, Zhao Heng can be said to be blind at present, and it can also be said to be the biggest crisis that Zhao Heng has encountered since he started medicine.

Because this time, it is not only the treatment of a patient that is involved, but also a serious transnational public health emergency, which is unprecedented in complexity.

Just when Zhao Heng turned on the computer and checked the literature, Liu Ziang, Gao Jun, and Dean Liu Shangming walked into the office.

As soon as he came in, Liu Shangming said to Zhao Heng bluntly: "Xiao Zhao, can you be sure that it is Naegria fowleri infection?" ”

Just now, he was talking to Gao Jun about things in the dean's office, when Liu Ziang suddenly came over and told them about it.

As soon as Liu Shangming heard this, he realized that the situation was serious and came over immediately.

If he is confirmed, he must report to the ministry within two hours of the diagnosis, which is a necessary procedure for handling public health emergencies.

"Judging from the patient's present medical history and symptoms, the probability of Naegrea fowleri infection is basically more than 90 percent, and now it is only necessary to prepare the operating room for tissue biopsy to confirm the diagnosis of the pathogen."

Zhao Heng said.

Although there are no doctors in Dongfang Hospital who have seen such patients, there are still doctors who have seen the literature in this area.

Therefore, Zhao Heng is still sure that he will be diagnosed.

"Well, we must be diagnosed as soon as possible, this matter can't be delayed, has the family agreed?"

Liu Shangming nodded, he still appreciated Zhao Heng's ability, and Zhao Heng had not made a mistake so far, so Liu Shangming trusted Zhao Heng's judgment very much.

What's more, if it is diagnosed, then it will be a big deal for Oriental Hospital.

Liu Shangming, who has just ascended to the throne, has encountered such an urgent emergency, and if it is not handled well, the consequences may be very serious.

"The patient's family hasn't arrived yet, and the patient's girlfriend's consent has been obtained."

Zhao Heng said.

"Dean, do you want to talk to the department's emergency department right now?"

Gao Jun said suddenly.

"It hasn't been diagnosed yet, and it stands to reason that if you report it now, it's not in line with the process, but it's good to breathe."

Hearing Gao Jun's proposal, Liu Shangming thought about it and said.

The process is to be followed, but it is also necessary to know how to be flexible.

Needless to say, if Old Man Gao knew about this matter, then the follow-up treatment would not make the East Hospital too passive.

....The handling of this matter cannot be taken over by a unit of Dongfang Hospital.

"Last month, I actually saw the news, the Disease Control Department of Country H said that the first case of infection with "brain-eating amoeba" in country H appeared. According to the report, the patient died of sudden meningitis more than 10 days after the onset of related symptoms, and the disease control department detected the gene of Naegreba fowleri in his sample. ”

"I didn't expect that just a month later, there were also suspected cases of Naegrea fowleri infection in tourist destinations like Jeju Island."

Liu Ziang said with some sighs.

As a master and expert in brain surgery, he certainly has something to say about "brain-eating amoeba", a rare parasite that specializes in brain infections, so as soon as the news came out, he knew about it.

It's just that what he didn't expect was that a patient with Naegria flexneri infection was confirmed by the Disease Control Agency of Country H a month ago, so why didn't he do anything about the suspected infection of tourists on Jeju Island this time?

Could it be that the hospital in Jeju Island did not report it to the top?

"If it is really confirmed, then the first thing Jeju Island will face is to ban tourists from entering, and it will have to be fully disinfected and screened on a large scale, and it will be no longer able to receive tourists for at least half a year."

Gao Jun thought for a while and said.

As the largest island in country H, Jeju Island has created an amazing economic value as a tourist attraction, and it is simply unimaginable that it will not be able to receive tourists for half a year, which will damage and hit the tourism industry hard.

"Is tourism more important or is human life important? I don't believe that the doctors over there will not think about the onset of this patient at all. ”

Hearing this, Liu Shangming said a little angrily.

The medical treatment of country H is still very developed, and naturally there is an early warning mechanism for the prevention and treatment of infectious diseases, and the disease management department of country H has confirmed a case of Naegria flexneri infection in a patient, so the disease spectrum will be added to the database of the entire infectious disease early warning mechanism.

What's more, in a tourist destination, for patients with symptoms such as headaches, vomiting, and fever, which are clearly related to infectious diseases, as local attending doctors and CDC staff, do not consider the possibility of some kind of infectious disease at all?

"Dean, the national situation is different."

"Maybe in our eyes, human life comes first, but in the eyes of others, it may not be like this."

Gao Jun said with some sighs, this is a fundamental difference in concept, and it is not something that can be reversed by manpower, and now he can only try his best to deal with this matter.

"Xiao Zhao, what do you think about treatment? The 10 cases previously reported in China all died of rapid onset, and the medical community has no experience in the treatment of Naegleria fowleri infection. ”

Dean Liu Shangming said to Zhao Heng with great concern.

"Naegleria flexneri trophozoites enter the patient's body mainly through the nose and reach the human brain through the cribriform plate, causing serious damage to the central nervous system, which is why this parasite is called Brain-eating Amoeba."

"The patient is currently developing very severe cerebral edema and meningitis, and I am considering a combination regimen of amphotericin B, fluconazole, azithromycin, rifampicin and mitifosin."

Zhao Heng thought for a while and said.

"Xiao Zhao, you will magnify your moves as soon as you come up, but for now, it can only be like this."

As soon as Liu Shangming heard the treatment plan proposed by Zhao Heng, he knew that Zhao Heng was directly giving this patient a big move, because whether it is amphotericin, fluconazole, or azithromycin, under normal circumstances, it is used when the patient has other antibiotics that are ineffective.

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