After a while, Zhao Sheng and Sun Li came to the ward.

As soon as he entered the ward, Zhao Sheng saw that there was a six- or seven-year-old boy lying on the bed, and what was shocking was that the little boy's face, neck, chest, abdomen, hands and feet, all the exposed skin was covered with red spots, and the skin was eroded in a large area, and the epidermis even loosened, just like the bark of a pine tree that was about to fall.

In the already cracked skin, bright red flesh could still be seen.

Hiss~

Seeing this scene, Zhao Sheng couldn't help but gasp.

Is this a burn, or is it a scald?

Zhao Sheng couldn't help but think in his heart when he saw this little boy with most of the skin on his body as if he was burned.

Next to the hospital bed, there stood a middle-aged couple, their faces full of anxiety and distress.

And Li Mujia was also doing a detailed physical examination of the little boy at this time.

Seeing Zhao Sheng come in, Li Mujia said to Zhao Sheng with a somewhat solemn face: "I have never seen such a serious epidermal peeling situation. ”

"What did you say when you were transferred from a local hospital?"

Zhao Sheng nodded, and then asked.

"The local hospital diagnosed varicella-zoster infection and used acyclovir and topical calamine lotion, but there was no improvement."

Li Mujia said very methodically that she has always been very serious and meticulous, especially in terms of consultation.

After receiving the child, she contacted the attending doctor of the previous local hospital and learned about it in detail.

"Okay, I got it."

Zhao Sheng nodded, indicating that he knew the situation.

"When did the child start to be bad?"

Zhao Sheng routinely asked the little boy's mother.

Nowadays, many doctors are a little relaxed about the consultation, and some doctors just say a few words to the outpatient clinic, and then let the patient go to various examinations.

In fact, the causes of many diseases are hidden in the consultation.

Consultation is an important means of diagnosing diseases, through which we can understand the occurrence and development of diseases, diagnosis and treatment, past health conditions and previous diseases, which is of great significance to diagnosis, and also provides the most important basic information for the subsequent physical examination of patients and the arrangement of various diagnostic examinations.

"It's been a week, doctor."

The little boy's mother said quickly.

"What are the main symptoms when you first start bad?"

Zhao Sheng asked again.

"It's just that one day the teacher said that Haohao had a cold and a little fever, so we brought Haohao back from the school, and then he kept having a fever and shouted that his whole body hurts."

"The day after I got it back, my skin began to peel off."

The little boy's mother replied.

"Doctor, what's wrong with Haohao? What the hell is this strange disease? ”

After a pause, the little boy's mother, that is, Haohao's mother, asked Zhao Sheng very anxiously.

A good child, I don't know what's wrong, as soon as he comes back from school, his body begins to molt like a pine tree, and they all say that the tree can't live without bark, and if this person loses all his skin, he will definitely not live.

"What kind of medicine have you given your child before? Or did you accidentally touch something? ”

Zhao Sheng thought for a while and asked.

Such severe skin loosening and sloughing can only be seen in severe burns or scalds.

"I just took some cold and fever medicine."

The little boy's mother thought for a moment and said.

It's impossible for a child to become like this just because he took some cold medicine!

"Which one exactly?"

Zhao Sheng then asked.

"It's the fever medicine prescribed by the pharmacy, the kind of red water, the kind that tastes a little sweet."

The little boy's mother thought carefully and thought about it, and then said.

"Ibuprofen suspension?"

Zhao Sheng asked.

"Well, that's it!"

"Doctor, we all gave him this medicine when Haohao had a fever before!"

The little boy's mother said puzzled.

"Did your child have any previous allergies to any medicines?"

Zhao Sheng asked again.

As soon as he heard that the little boy had taken ibuprofen suspension, an antipyretic analgesic, Zhao Sheng had a bottom in his heart.

"No, I didn't find any drug allergies."

The little boy's mother said.

"This is exfoliative dermatitis caused by drug allergies, also known as toxic epidermal necrolysis."

Zhao Sheng gave a clear diagnosis.

There is a clear history of taking antipyretic and analgesic drugs, and the oral mucosa, skin erythema, epidermal release, and erosion appear after taking the drug, which can basically be diagnosed as severe drug eruption - toxic epidermal necrolysis (TEN).

This is a very rare disease, and under normal circumstances, it only occurs in adults, and it is still rare in seven-year-old children, which is still rare, so it is no wonder that the doctors at the local hospital did not think of it.

"Allergies?"

"Doctor, what now?"

The little boy's mother asked anxiously.

"The child's epidermal lysis is very strong now, and it must be controlled immediately, and when the dangerous period is over, look at the subsequent skin recovery, if necessary, skin grafting is required."

Zhao Sheng thought for a while and said.

"Alright, alright, doctor, please!"

The little boy's mother was relieved when she heard Zhao Sheng's affirmative answer, the child was sick like this, as a parent, what she was most afraid of was that she couldn't even figure out what the child's illness was.

"Dr. Li, pay attention to maintaining the balance of water and electrolytes in the child at any time, intravenous immunoglobulin infusion, topical protective agent for skin lesions, and cyclosporine first."

Zhao Sheng quickly formulated the current treatment plan and said to Li Mujia.

"Good!"

Li Mujia nodded, and at this time, she looked at Zhao Sheng's eyes, which were already full of admiration.

To be honest, exfoliative dermatitis caused by severe drug allergies is actually written in textbooks.

But it's not the same thing in textbooks and in reality when you see a patient and can diagnose it.

As soon as Zhao Sheng saw this child, he was able to diagnose the child as an extremely rare toxic epidermal necrolysis in such a short period of time, which shows that the knowledge base in Zhao Sheng's mind, whether it is width or breadth, is far beyond that of ordinary doctors.

Working with Zhao Sheng, Li Mujia felt very relieved, as if he had a solid backing.

In the past, Li Mujia still felt that the gap between her and Zhao Sheng's level was not very big, but now it seems that unconsciously, Zhao Sheng has become a target that Li Mujia needs to catch up with for the rest of his life.

Of course, this virtuous cycle is actually a good thing.

Just when Li Mujia breathed a sigh of relief and was about to give a medical order to the little boy, and then observe the condition, the head nurse Zhou Hong hurriedly ran in and said to Zhao Sheng: "Director Zhao, there have been many poisoning incidents, and the ambulance is already on the way!" ”

"Multiple people have been poisoned?!"

When Zhao Sheng heard this, his scalp immediately went numb.

The last time I dealt with this kind of multi-person poisoning incident, it was the warrior who dared to use Caowu to soak in wine, and there were four people poisoned at that time, if it wasn't for the time, and it was diagnosed as Caowu poisoning as soon as possible, but if any link was a little slower, the four people who drank Caowu soaking wine might be gone.

Now that there is another acute multi-person poisoning incident, I am afraid that I will not have to sleep this night.

(End of chapter)