Brucellosis, or "brucellosis", is a well-known zoonotic disease. The incidence of this disease is relatively high in developed animal husbandry areas such as Europe and the United States, and in China, it is mainly concentrated in pastoral areas and a small part of the southern free-range cattle and sheep areas.

There are many types of Brucella, in addition to the most common Brucella ovis, there are also classifications of Bovine, Porcine, Canine, and Brucella ovis. However, these classifications do not affect the symptomatic presentation and extent of the disease. As a systemic disease, Brucella infections can invade every organ throughout the body. About 30% of these cases present with symptoms of bone involvement – and are common in the spine, known as brucellosis spondylitis (BS).

Judging from the duration of symptoms, if Liu Baoguo suffered from brucella spondylitis, then he should be subacute, which lasted less than 52 weeks. From the point of view of symptoms, he basically has all the manifestations of brucella spondylitis, and it is nothing more than one less fluctuating fever.

Brucellosis is known by two names, one is "Maltese fever" and the other is "wavy fever". Yes, there is a very characteristic type of fever among the symptoms of brucellosis. The type was so unique that for a while, people simply named brucellosis after the symptoms.

Undulating fever refers to a type of fever in which the patient's questions begin to rise gradually over a period of time, breaking through the normal body temperature, even rising to about 39 degrees, and then slowly falling back to normal body temperature after a few days, and circulating back and forth. The symptoms are so specific that they are synonymous with brucellosis – but it is important to note that not all brucellosis has the manifestations of brucellosis, but almost all patients with brucellosis are infected.

Those who are not brucellosis have undulating fever...... Probably tuberculosis, right?

Shen Qingmei left the ward early, and Sun Lien's question caused the two doctors present to fall silent, Luo Ge's level was a little worse, and he couldn't remember the performance of brucellosis for a while. But Lin Yanan is different, she knows very well that Sun Lien's suspicions are very reliable.

Aside from that, the possibility of TB developing to the level of tuberculous spondylitis without contact with TB patients and not causing any respiratory symptoms in the middle is too small. It's not impossible for animals to transmit TB to humans, but more often than not, it's human-to-animal TB – in every sense of the word, it's more like a "human" zoonotic disease than a "zoonotic" disease.

Brucellosis is different, and from the patient's own description, he has all the "source of infection", "mode of transmission" and "population susceptibility" required for infection. And the time is exactly the right number. Brucellosis is indeed very likely.

"Possibly. And it's not unlikely. After pondering for a while, Lin Yanan gave his opinion, "It is necessary to do further inspection and verification." ”

Sun Lien nodded, he looked at the time, "Let's take samples for testing now, send samples for cultivation, it's better to be earlier than later." ”

After sending off Luo Ge and Lin Yanan, Sun Lien found a stool and sat down. It can be seen that Liu Baoguo is currently extremely confused, and he urgently needs a doctor to explain to him what is wrong with his body.

"Mr. Liu, have you lost a lot of weight recently?" Sun Lien was silent for a moment, and chose to start the conversation in a more gentle way, "There must be a ...... Ten pounds?"

"I've lost almost thirty pounds in the past six months. Liu Baoguo regained a relatively stable psychological state and poured a cup of tea for himself and Sun Lien again. "At first, I thought it was because of the recent tea drink...... They say that the green tea they grow can scrape oil. Liu Baoguo handed Sun Lien a cup of tea, and said with a wry smile, "Now it seems ...... It should be because of this what a bru ......"

"Brucellosis spondylitis. Sun Lien took the teacup and took a sip gently, "Of course, now we are only suspicious, and the real diagnosis will not be known until the test results come out." ”

"You just had that big nurse draw a lot of blood from me. Liu Baoguo glanced at Sun Lien, "According to what you say, will I have to be pumped out of some blood later?"

"It won't be too much. Sun Lien smiled, "Just take care of it." ”

After chatting for a while, seeing that Liu Baoguo's mood seemed to be improving a little, Sun Lien continued to explain, "As for this disease, there are treatment options after infection. Don't stress about it – it's actually easier to treat than TB. ”

The treatment plan is clearly written in the diagnosis and treatment guidelines for brucellosis, rifampicin or streptomycin combined with cidocycline for treatment, if streptomycin is used, a course of treatment is about two to three weeks, and two courses of treatment are basically enough. For patients with subacute onset such as Liu Baoguo's disease, who develop brucellospondylitis, treatment with a combination of third-generation cephalosporins is required—and if necessary, surgical treatment of spinal lesions may be required.

But in general, brucellosis is treated in a shorter time than tuberculosis, and because the chance of transmission from a brucella patient is minimal—there is only a sexual route—there is only a possible way to spread it sexually—there is also much less psychological stress for people with brucellosis.

"Anyway, I'll just cooperate with you. Liu Baoguo did seem to have decided to cooperate with Sun Lien, "When Mr. Shen strongly asked me to come to your hospital at the beginning, I was still a little unimpressed. He paused and sighed with some emotion, "At the end of last year, in order to find a suitable hospital for Mr. Shen's girl, I also asked many friends to go to the hospitals in the capital and Shanghai to inquire. As a result, when I showed the test results to others, I shook my head and said that I couldn't do it. ”

In fact, it is certain that other hospitals do not dare to do this kind of surgery - no matter how careful you are, the traditional surgical plan will damage the white matter of the brain. This kind of person asks for it, and generally the difficulty of the operation is too high to dare to accept it.

As for the capital's refusal to take ...... That's probably for Liu Pingchuan's sake, right?

"We also used some relatively rare techniques to solve this problem. Sun Lien didn't know what Shen Qingmei and Liu Baoguo said to find out more, and he didn't dare to talk about the treatment plan in detail, after all, this involves the privacy of patients, "But if you really have brucella spondylitis, it will be similar anywhere you treat it - this treatment plan is common throughout the country." ”

"What are you going to do elsewhere? and then be drawn a dozen tubes of blood?" Liu Baoguo shook his head with a smile, and pointed to the surrounding environment by the way, "Such a new inpatient department, and it is still a bed and a room, this kind of treatment is not available in other public hospitals." ”