Modern Express news two patients are elderly, 63-year-old Grandma Zhu (pseudonym) after nearly a month of rescue, has been out of the ventilator can drink a small amount of water, and 66-year-old Grandpa Liu (pseudonym) is still in an extremely dangerous moment, the hospital is making every effort to treat.
Sun Liqun, deputy director of the Intensive Care ICU of the Second Affiliated Hospital of Southern Medical University, reminded that in winter, it is necessary to be vigilant against uncommon infections, and once a patient has an unexplained high fever, he should go to the hospital in time to grasp the best treatment time.
The beginning of the onset of the disease
High fever, headache, and particularly rapid progression
Grandma Zhu is 63 years old this year, yesterday the reporter saw Grandma Zhu in the intensive care ICU ward of the Second Affiliated Hospital of Southern Medical University, her mental state was still good, just the day before, Grandma Zhu removed the high-flow ventilator, the indicators are getting better, and the elderly have been able to drink a small amount of water. Rescued for more than 20 days, the old man can not even remember "what is the past and present", laughingly asked the reporter the date of the day, count the days, and look forward to the Spring Festival to go home and reunite with his family.
The condition came suddenly, on January 1, 2022, the old man came to the Second Affiliated Hospital of Southern Medical University for treatment because of fever, "headache, breathlessness", in the respiratory department, the doctor found a series of test results can not explain Grandma Zhu's symptoms.
But the disease progressed extremely rapidly, and the elderly were quickly transferred to the intensive care ICU, "with large areas of ground glass plaques on the lungs and severe hypoxemia." Director Sun Liqun introduced that the examination showed that the elderly were not routine bacterial and viral infections, and the corresponding treatment methods could not be effective.
Diagnosis of "parrot fever"
The disease causes multi-organ injury
In addition to serious lung infections, the elderly also have other organ damage, liver function, kidney function is significantly abnormal, creatine kinase significantly increased to 2700 ... Ventilating, hemodialysis, enteral nutrition... The rescue measures against Grandma Zhu cannot be delayed.
"We immediately organized experts to discuss difficult cases and consult the literature." Sun Liqun said that the rapid development of the elderly's condition made them worried, after repeated discussions, the expert team suspected that the elderly had "atypical pneumonia", through fibromytroscopy to take sputum, blood for genetic testing, the result was confirmed that Grandma Zhu was infected with "Chlamydia parasitis". Soon, the ICU expert team of the Second Affiliated Hospital launched targeted treatment for the elderly.
After more than 20 days of treatment, Grandma Zhu's symptoms gradually eased, her consciousness gradually became clear, and she was able to communicate with the medical staff and express her gratitude. Yesterday the elderly also got rid of the high-flow ventilator, and today further reviewed the CT, all indicators have improved significantly, and can soon be transferred out of the ICU.
Warm painting at the head of the bed
Affection accompanies them in the fight against disease
Like Grandma Zhu, Grandpa Liu was also diagnosed with "parrot fever", and Grandpa Liu was transferred to a severe ICU 5 days ago, and the symptoms are still very serious. "Symptoms of respiratory distress are present." During the interview, Director Sun Liqun was inserting a naso-jejunal tube at the bedside through blind insertion next to the bed to further take the prone position to ensure the most appropriate ventilation and blood flow ratio in the lungs of the elderly and alleviate the symptoms of respiratory distress. Sun Liqun explained, "Patients with severe ARDS require prone ventilation, which can improve the blood flow ratio of lung ventilation and improve respiratory distress symptoms. The insertion of a nasolasal jejunal tube can ensure the continuation of enteral nutrition and facilitate the overall recovery of the patient. ”
At Grandpa Liu's bedside, the reporter saw a childish painting with mountains, white clouds, and windmills, which was painted by the grandson of the old man, hanging next to the old man's bed, hoping that he could recover as soon as possible. And a photo of his wife and granddaughter was also hung next to Grandma Zhu's bedside, accompanying her through the years of struggling with the disease, and the old man even when he was confused, he also held the photo many times and was reluctant to put it down, "This is a kind of family support and encouragement, as long as the patient's family has needs, we will try to meet it." Sun Liqun said that such a strong emotion often makes medical staff unusually moved.
Unexplained hyperthermia
Go to the hospital in time
Sun Liqun introduced that Chlamydia psittacosis infection is very rare clinically, and there are few cases a year. It is reported that this chlamydia was initially isolated from the body of parrots, and later from 130 species of birds such as parakeets, pigeons, ducks, turkeys, seagulls and acacia birds. Chlamydia psittaci is a pathogen that causes diseases of the respiratory and digestive tracts of poultry and can cause infection in humans.
The prevention of Chlamydia psittaci pneumonia focuses on prevention and control, and it is best to wear a mask and wash your hands frequently when you contact poultry or the environment in which poultry is raised. However, according to the family, Neither Grandma Zhu nor Grandpa Liu has a clear history of exposure to poultry, and it is not known where the source of infection comes from.
Sun Liqun reminded that the Spring Festival is approaching, and many citizens should avoid contact with live poultry when purchasing New Year goods. At the same time, once a patient has an unexplained high fever, he must seek medical treatment in time so as not to delay the best treatment time.
Correspondent Chen Yanping Modern Express + reporter Ren Hongjuan