novelraw Chapter 366 - 248: Rare Bacterial Disease, Searching for the Source of Infection
Chapter 366 - 248: Rare Bacterial Disease, Searching for the Source of Infection
After the discussion was over, Qin Feng settled them down.
As for Xiaoru’s illness, he continued to verify by comparing her current symptoms and progress with the medical experience he had acquired in his mind.
In the office, Qin Feng sat dazed in front of his desk.
The few doctors on duty looked at him puzzled by his demeanor.
However, they had also heard some information about the little girl patient who had just arrived, and she seemed to be in quite a serious condition.
Moreover, she came directly to see Qin Feng personally!
What kind of doctor can make a patient actively seek treatment?
Even with my big toe, I can figure that it must be a well-known expert, a professor, or someone with considerable achievements in a certain field.
At least in the entire Intensive Care Unit, besides the chief and deputy chief, no one else has this qualification.
But Qin Feng hadn’t been here long, and he already had a patient coming voluntarily, which was somewhat enviable.
"Qin Feng, what illness did that little girl have just now?"
Chen Fang couldn’t help but ask.
"I can’t determine yet."
Qin Feng returned to his senses, smiled bitterly, and shook his head,
"Her condition is not very good right now. If she doesn’t receive timely treatment, she has at most six months left."
"Six months?"
Upon hearing this, everyone was shocked.
This level is on par with most malignant tumor cancer patients, showing the severity of her condition.
Qin Feng looked at the MRI results just now; Xiaoru’s liver and kidneys were already starting to show signs of failure.
Especially the lungs, the function of the left lung was almost completely lost, very dangerous!
After verifying all of his medical experience, he could only identify the issue as a concentrated bacterial infection, but he still couldn’t diagnose it.
With many test results still pending, an accurate judgment couldn’t be made.
What could be done for now was to prioritize stabilizing Xiaoru’s physiological indicators through bacterial infection standard methods, laying a foundation for further treatment.
The next day,
After the directors of various departments, including Meng Dawei, started work, Qin Feng did not leave but went to find him.
"Qin Feng, I was just about to look for you."
As soon as he walked into the director’s office, Meng Dawei looked up and said,
"You came about the patient admitted last night, right?"
"Yes, Director."
Qin Feng nodded, "I want to hold a full consultation to do a detailed analysis of Xiaoru’s condition."
"What do you think caused her condition?"
"Fungal infection."
"Hmm, I thought the same, but it’s impossible to determine which fungus it is."
Meng Dawei nodded, his expression somewhat solemn,
"I’ll contact experts from various departments for a consultation. If the symptoms match rare standards, we can apply for research treatment."
"Thank you, Director."
Hearing this, Qin Feng also showed a faint smile.
Research consultation is a method to study and treat rare or never-before-seen diseases, and patients themselves can waive all treatment costs.
The main purpose is to have a detailed research process of the disease!
To put it more bluntly, the patient is a guinea pig, and the hospital conducts in-depth exploration of the disease.
Finally, to achieve the purpose of gaining disease research, the hospital conducts multi-faceted, multi-level experimental treatments on the patient.
At 10 a.m.,
All examination reports came out, and experts and directors from all departments also arrived at the ICU meeting room.
"Directors, you’ve all seen the case, right?"
At the head of the table, Meng Dawei and Qin Feng sat side by side, taking the lead,
"Regarding specifics, let’s have Dr. Qin talk a bit."
"Patient Lin Xiaoru, admitted on August 13, 2017, due to a high fever...."
Qin Feng stood up, introduced the entire situation, and then presented the latest examination results to everyone,
"Currently, the patient’s tissues have undergone bacterial culture, which will take about a week."
As soon as he finished speaking, everyone quickly engaged in discussion, but most directions leaned towards bacterial infection.
The symptom confinement range is very small, but the types of fungal infections are diverse.
There are no less than five fungi that could cause Xiaoru’s condition!
Aside from Vibrio vulnificus from the ocean, there’s group A streptococcus and Staphylococcus aureus, among others, commonly referred to as ’flesh-eating bacteria.’
Flesh-eating bacteria is not a single bacterium; it refers to necrotizing fasciitis caused by different bacteria, a general term for streptococci or bacteria damaging muscle tissue.
Among them, the most common pathogens are streptococcus pyogenes and Vibrio vulnificus, while others include staphylococcus, Escherichia coli, Klebsiella pneumoniae, etc.
Group A streptococcus mainly enters the body through wounds or inflamed throat, proliferates strongly in the body, produces toxins quickly, erodes muscle and body tissues, causing disability, shock, or even death.
The early symptoms of flesh-eating bacteria resemble those of influenza, including fever, muscle aches, sore throat, etc.
This is very similar to Xiaoru’s onset symptoms; now it’s about determining which fungus through the development of later symptoms.
Treatment means for this disease are currently very limited.
Start with antibiotic treatment, then surgically remove necrotic body tissue.
Afterward, it depends on the patient’s own fate.
The meeting lasted more than an hour, where they corroborated Xiaoru’s various conditions, but ultimately did not obtain a satisfactory answer.
"Qin Feng, are you somewhat disappointed?"
After the meeting, in the office, Meng Dawei looked at the frowning Qin Feng and smiled.
"It’s okay; I’m not disappointed. I didn’t expect to get results in one go."
Hearing this, Qin Feng smiled faintly and exhaled a long breath.
If this disease were so easy to solve, a full consultation wouldn’t be necessary.
Diseases that can prompt a hospital like Peking Union Medical College Hospital to conduct a full consultation already indicate how tricky and difficult it is.
Even dangerous!
"How is the patient’s current condition?"
"Her physiological signs are relatively stable, but all indicators are very low. We’ve already used combined antibiotics to curb the possibility of further deterioration."
"Okay, I’ll help you treat the patient. If there’s any problem, I’ll take responsibility."
Upon hearing Meng Dawei’s words, Qin Feng was stunned, then slightly moved.
This was completely trusting him!
If the patient’s treatment goes well, it’s an invaluable experience for him, but if there’s a mistake, all the blame can be put on Meng Dawei.
It’s essentially taking the hit for him.
"Okay, I understand, thank you, Director."
Qin Feng nodded in agreement, expressing his gratitude.
"No need to thank me; you’re a treasure. In just three years, your diagnostic and surgical abilities are on par with my 20 years of experience."
Meng Dawei stood up happily, patting him on the shoulder, full of praise,
"Go on, study well, and strive to cure her!"
"Understood."
Qin Feng nodded and turned to leave, silently chanting in his heart,
’Sign in.’
(Ding! Day 1302 sign-in, [World-class experience in Sigmoid Colon Cancer Resection Surgery])
It’s not about bacterial infection.
Hearing the prompt in his mind, he was a little disappointed.
The experience he currently possesses was still not sufficient to face this disease.
He could only look for related cases and literature.
After returning home,
Qin Feng quickly began searching for information on Xiaoru’s condition, hoping for some inspiration.
Many bacterial and fungal infections are mainly transmitted through animals and plants, typically through wounds or ingestion.
If the direction isn’t wrong, perhaps Lin Xiaoru was also infected by the fungus in this way.
Thinking of this, Qin Feng suddenly had a flash of inspiration!
The range of infection seemed to narrow again!
Because although many animals on land carry this kind of serious pathogen, they are certainly not in daily food and environment.
"That’s right! The infection source must be something she ate or a place she visited!"