Recurrent fever, chills, fatigue, body aches...... Recently, a seventy-year-old couple in Meizhou had a fever for a whole month!
Yan Bo and his wife, who live in Meizhou, unexpectedly had a fever after drinking a cup of ordinary goat's milk on an ordinary day. After a month of recurrent fever and fruitless treatment, they finally found out the cause of the disease in the general department of Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital). On April 13, they were discharged from the hospital after treatment and presented pennants to the medical staff to express their gratitude.
Two elderly people came to Shenzhen from Meizhou to seek medical treatment, and after careful diagnosis and treatment, the general practitioner of Nanshan Hospital found that the cause of the fever for a month was actually a cup of goat's milk.
Repeated fever for a month, just because of a glass of goat's milk
"It has been burned repeatedly for more than a month, and it has not been found in my hometown, and our old couple are in a hurry. "75-year-old Yan Bo and his wife are from Meizhou, and the old couple have had repeated fevers for nearly a month, and they have been hospitalized in a local hospital for many laboratory tests, but the cause cannot be found, and the treatment is ineffective. The parents who are over 70 years old have repeated fevers, which makes the family anxious. The daughter brought them to Shenzhen for medical treatment, and at first they were treated in the community health center, but the doctor thought that this long-term fever was difficult to diagnose and recommended going to the general department of the hospital.
When Yan Bo and his wife came to Nanshan Hospital for general treatment, they had lost their "spirit". When the patient was admitted to the hospital, Chief Physician Wu Cuihua led the young doctor to carry out a careful examination of the two elderly people, and had a detailed understanding of the situation before and after the onset of the disease.
"Both of them had the same onset of the disease, and the characteristics of fever were similar, and it was preliminarily judged that it was unlikely that non-infectious diseases such as autoimmune diseases and tumors would cause fever, and infectious fever should be considered. Before the onset of the disease, the two elderly people had drunk goat's milk bought from a farmer, which was boiled but not pasteurized. Therefore, there is a high suspicion that a brucella infection is causing the fever. Immediately, Wu Cuihua arranged for specific tests and treated according to the empirical anti-infection of Brucella infection, and the high fever of the two elderly began to gradually ease.
Two days later, the test results came out, which verified the doctor's judgment and finally found out the real culprit.
The real culprit was found, and the treatment was easily solved. After 3 days of oral and intravenous dual anti-infective therapy with anti-Brucella "classical therapy", the body temperature of the elderly couple gradually dropped to normal. "The real culprit was finally found, and we never expected to be 'put down' by a glass of milk for a month. Yan Bo and his wife said gratefully.
Brucellosis comes from these animals and should be vigilant
Brucellosis (hereinafter referred to as "brucellosis") is mainly transmitted to humans through raw milk, meat, offal, fur and contaminated water and soil from sheep, cattle, pigs and other domestic animals infected with the disease, and "human-to-human transmission" rarely occurs. The main routes of transmission include respiratory tract, digestive tract, broken skin or mucous membranes, etc. After infection, it is more likely to manifest as chills, fever, sweating, fatigue, muscle and joint pain, etc., and fever mostly occurs in the afternoon or night.
Wu Cuihua said, "The disease is relatively rare in the south, and the cause of the two patients is also very hidden. It is also the characteristic of general practice to be thorough in the consultation, and not limited to specialist thinking, to re-examine and analyze the cause from a broader and comprehensive perspective. ”
Under the careful care of the general medical staff of Nanshan Hospital, Yan Bo and his wife gradually recovered, and after checking all indicators to meet the standards, they were discharged from the hospital on April 13, and will continue to take medication to consolidate the efficacy after returning home.
Doctors warn that drinking unpasteurized dairy products, eating undercooked beef, lamb, pork, etc., and coming into contact with the blood, urine or milk of livestock may infect brucella. In daily life, we should pay attention not to let the disease enter the mouth because of greed for a moment of deliciousness.
It is reported that the Department of General Medicine of Nanshan Hospital is the first general practice clinical department integrating medical treatment, teaching and scientific research established in a tertiary hospital in Shenzhen. Wu Cuihua said, "For health problems whose cause cannot be determined or it is difficult to determine the department, patients can choose to go to the general practice outpatient clinic, and the general practitioner will provide all-round, one-stop diagnosis and treatment of the condition from a more comprehensive perspective. In addition, the Department of General Medicine is also good at diagnosing and treating common diseases, chronic diseases, and multi-disease comorbidities, and providing services such as physical examination report consultation and health status assessment. ”
来源 | 深圳商报 记者 | 赵鸿飞
通讯员 | 何跃 陈坛鹏 刘政哲
编辑 | 黄锦彤 责编 | 董非
Audit | Lu Dongbo, Wang Tingting
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