novelraw Chapter 368 - 250: Diagnosis Confirmed! Treatment Begins Smoothly
Chapter 368 - 250: Diagnosis Confirmed! Treatment Begins Smoothly
Hearing Qin Feng’s words, Meng Dawei’s eyes lit up.
He seemed to have thought of something too!
Upon hearing Mr. Lin’s strange tone, he quickly explained with a smile,
"Mr. Lin, please don’t be so nervous. HIV is not transmitted only through sexual contact; there are many other transmission routes, and the host carrying the pathogen might not even be human.
Due to HIV causing the immune system to collapse, it’s very likely for your daughter to face such a situation, so we need to conduct pathogen and antibody tests immediately."
After saying this, Mr. Lin’s face slightly improved.
Moments ago, hearing Qin Feng’s words almost made him faint; his daughter was a well-behaved and diligent student.
She hadn’t even been in a relationship; how could she contract such a shameful disease?
"If that’s the case, then my daughter’s illness is..."
"Don’t worry, Mr. Lin, once the test results come out, everything will be clear."
Qin Feng assured over the phone.
Mr. Lin, upon hearing this, felt a mix of excitement and conflict, his eyes turning red.
Three years!
For three whole years, they had been struggling for their child, halting both her education and his business.
Who could understand what kind of days they had been through as parents during these three years?
Watching their child step closer to the abyss of death every day, yet being powerless.
No matter how many hospitals they visited or how many doctors they consulted, the result was always unknown, undetectable.
Apologies~~~
But Qin Feng’s words were like a lifeline, firmly grabbing hold of their family.
It was the first time in three years they heard there could be a confirmed diagnosis!
"Thank you! Thank you! We’re counting on you!"
With that, he stood up and gave Meng Dawei a deep bow.
Soon,
the two freshly drawn blood samples were sent to the laboratory, with the results expected by early next morning.
The call ended, and Qin Feng breathed a long sigh of relief.
Finally resolved!
Although he hadn’t seen the test results, he had a decision in mind.
Moreover, he was already formulating a treatment plan based on Xiaoru’s current condition.
First thing tomorrow at work, once all results are out, the final diagnostic explanation will be made.
The reason for undergoing HIV testing is due to the characteristics of the pathogen.
Malassezia furfur is the only dimorphic and highly pathogenic opportunistic fungus within its group; T. marneffei infection is a deep fungal infection, with immunocompromised individuals being susceptible.
This bacterium is widely present in nature, with a high carrier rate of up to 95% in several bamboo rat species.
HIV causes immune deficiency, and for patients with immune deficiencies, Malassezia furfur poses a highly pathogenic and fatal risk!
This fungal infection is extremely rare!
In millions of recorded cases, fewer than 5 have been definitively diagnosed!
Even in Jiuzhou Country, there hasn’t yet been a confirmed case.
This is also a key reason why all experts are at a loss!
Of course, this doesn’t rule out the possibility of misdiagnosis, as even Peking Union Medical College Hospital, the top-tier hospital in the country, couldn’t detect it, let alone lower-level hospitals.
...
The next day,
Qin Feng arrived early at the hospital.
Today he wanted to get the final test report at the earliest opportunity for a confirmed diagnosis.
At 7 o’clock, the first report from the laboratory came out, specifically the expedited results for Xiaoru.
Meng Dawei and he waited by the door.
"Qin Feng, are you confident?"
Meng Dawei was still a bit concerned and doubtful, asking in a low voice.
Regarding Qin Feng’s conclusions, he had also looked up related cases abroad last night, where all symptoms matched.
But since there was no prior experience domestically, even he, a leading figure in critical care medicine in the country, couldn’t confirm it.
"Director Meng, I believe my inference should be correct."
Qin Feng nodded at his words, his tone firm despite not giving a definitive answer.
"Alright, I hope you’re right."
Click~
Just as he finished speaking, the office door opened, and Director Lu from the laboratory came out.
"Director Meng, Dr. Qin, the report results you requested have been expedited."
Director Lu smiled and handed them a thick report.
"The conclusion matches Dr. Qin’s inference, have a look."
"Really?!"
Hearing this, Meng Dawei was immediately overjoyed.
Qin Feng took the report and quickly opened it.
Xiaoru’s lung tissue biopsy specimen, intestinal mucosal tissue, omental tissue, lymph tissue... all fungal cultures were completed.
HIV result, negative.
This means Xiaoru was not infected with HIV, which is good news.
Next was looking at the tissue fungal culture!
Test results, positive!
"As expected!"
Upon seeing the diagnosis, a smile appeared on Qin Feng’s face.
His hypothesis was 90% verified!
Now only one final part remained, which was the cultivation results for Malassezia furfur.
Though this would take time, they could already start early treatment.
"Quick! Qin Feng, the rest is up to you."
After seeing the results, Meng Dawei patted him on the shoulder contentedly.
With that, he turned and left, as he was no longer needed here.
"Thank you, Director Lu."
Qin Feng nodded with a smile, then hurriedly returned to Critical Care Medicine.
Upon seeing Xiaoru’s condition, he immediately adjusted the treatment plan, prioritizing antifungal suppression for Malassezia furfur infection.
On the third day,
The fungal culture results came out.
Malassezia furfur, positive!
Completely diagnosed!
The unknown disease that had tormented Lin Xiaoru and her family for three whole years was finally unraveled.
The culprit that had been devouring Xiaoru’s lungs and spreading through her body was indeed Malassezia furfur!
The reason it was constantly misdiagnosed as tuberculosis also became clear.
Malassezia furfur is a special type of fungus; it is an extremely rare dimorphic bacterium, which means it can alter its form!
When the human body is in a normal state, in order to evade antibody phagocytosis, it disguises itself as normal bacteria.
Once the body’s temperature rises and the immune system fails, Malassezia furfur slowly transforms to another form and begins to reproduce.
But based on early symptoms, without specific fungal cultures, it remains undetectable.
All symptoms would suggest a common disease, tuberculosis!
This is why for three years, Xiaoru had been trapped by the words ’tuberculosis’, with no improvement regardless of treatment.
Because it was wrong from the start!
Malassezia furfur grows and reproduces in the body as yeast, reaching a level suitable for macrophage phagocytosis, causing sensitized T-lymphocytes to release lymphokines for a bactericidal effect.
This aftermath results in infected local tissues undergoing necrosis and being phagocytosed and disappearing.
This also explains why Xiaoru’s lungs and bones showed large areas of disappearance!
Now that it has been fully confirmed.
Full treatment will commence!
"Director Meng, the results are out; it’s confirmed as Malassezia furfur!"
"Good! Qin Feng, this time, you’ve truly made a great contribution, hahaha!"
On the phone, Meng Dawei laughed heartily,
"Treat as soon as possible and communicate this case nationwide. I believe Xiaoru is not the only patient!
You’ve saved them all!"
"Got it, rest assured, Director."
With that, Qin Feng hung up the phone and headed directly to the ward.
He wanted to share this news with Xiaoru’s parents as nothing else could make them happier right now.
Because Xiaoru’s illness could be cured!
Inside the ward,
"Dr. Qin, is what you say true?"
"Yes, that’s right. We’ve fully confirmed that your daughter has been infected by this fungus and it can be completely cured."
Hearing Qin Feng’s response, the woman burst into tears, seemingly drained of energy, collapsing onto the chair, bawling into her hands.
Mr. Lin, with panda-like eye circles, flushed, gripped his hands tightly.
"Dr. Qin~ Thank you~ Our whole family thanks you!"
"No need to be so polite, Mr. Lin. It’s my duty; leave the rest to me."
Qin Feng nodded, smiling comfortingly.
"Please do all you can~ If it can save my daughter, I wouldn’t hesitate to sell everything and beg on the streets!"
Tears fell from Mr. Lin’s cheeks as he spoke, looking at Xiaoru, whose face was pale, lying on the sickbed.
"Rest assured!"
Qin Feng sighed, responding resolutely.
That afternoon, Mr. Lin directly paid 50,000 in fees, determined not to burden the hospital.
Lin Xiaoru was also moved from the general ward to special care, with all medications adjusted to start control!
This exhilarating news was also announced publicly by Meng Dawei in Critical Care Medicine and reported to hospital administration for comprehensive tracking as a rare case.
Qin Feng, this patient’s attending doctor, instantly became the focus at Peking Union Medical College Hospital...