The literal meaning of vitamins is clearly stated, and is a substance necessary to maintain life activities. They are divided into many types, each of which has different effects on the human body. The lack of a certain vitamin will disrupt the normal physiological reaction process in the body.

Of course, vitamins are essential elements for the body, but the more they are not the better. Pay attention to the amount of everything. If you consume too much, you can also be at risk of poisoning.

The old man discussed this patient with many directors, and his opinion was nothing more than a problem with the immune system and he could only temporarily use antibiotics to deal with it. He rarely had other ideas.

He really wanted different opinions, but it had to be related to the patient. The patient had been in the hospital for four months, and his physical changes were all in Coent's mind.

Every country has the lower class people. They have a single diet and no regularity, which can easily cause vitamin deficiency. Therefore, diseases caused by vitamin deficiency are compulsory courses for internal medicine doctors. Even as early as university classes, they were the focus of assessment.

It is impossible for Coenter to know the clinical symptoms after various vitamin deficiency, but after thinking about it for a while, he couldn't find the shadow of vitamin deficiency.

The old man is used to being the chief director and has a bad temper. If his subordinates are so imaginative, he will definitely scold him, but now Coent is in a complicated mood.

Qi Jing's perspective on the patient is very tricky. It seems to have nothing to do with the patient, but it has indeed attracted his attention. The seeds planted by Qi Jing in the first two passes have taken root and sprouted, giving the old man an inexplicable sense of trust in this young man. This sense of trust is not deep. Maybe it will disappear after a sleep and a dream, but it is enough to use it here.

"You'll talk about it more specifically, which vitamin? What's the relationship with this serious illness?"

"It's vitamin A, but it only has something to do with a certain virus, but it has nothing to do with the patient." Qi Jing thought for a while and said, "I have an old case here that I learned from, probably in the 1970s."

Hello, the case in the 1960s? Isn’t it too old...

Are there really people who are bored to see such cases that have been buried most of the time in history?

Everyone already had a sense of identity with Qi Jing beyond her peers. The diseases mentioned above, such as the sense of age, all looked at admiration and even jealous. Such a powerful doctor is so knowledgeable and knowledgeable. Even Beth had to accept it. She really had no confidence in the number of cases read.

But Xu Jiakang is not listed.

The more he listened, the stranger he became. The case in the 1960s?

This time he didn't even bother to ask, so he came to a conclusion directly.

Big liar!

In fact, the case really exists, but Qi Jing made some modifications and transferred some infections to the patient. As for whether it would be misleading, Qi Jing didn't care at all. It was because the magazine published in this case was too off-the-spot. A local traditional Chinese medicine magazine in the 1960s still used traditional Chinese characters in the title.

It is almost impossible to verify the authenticity.

Qi Jing took just five minutes to roughly explain the overview of the case. It was not until he explained the final cause that the doctors around him knew the reasons for choosing the case in the 1960s.

"You said it was measles virus?"

Coenter passed this virus with a sense of age in his mind and found that there was no useful information left in his memory. After all, the United States began to promote measles vaccine in 1959. Before Coenter studied medicine, measles had changed from an extremely common infectious disease to an old antique rare object.

And the young doctors below are even more so. In a medical environment that is ahead of the world, who can remember such an infectious disease?

"You mean the patient has measles, and it is the measles virus that disrupts the human immune system?" Coenter continued to shake his head after hearing this, "It's so bizarre. Even science fiction won't write this way."

"Didn't the patient get vaccinated when he was a child?"

Qi Jing nodded: "From the age point of view, I may have never beaten."

Coent is still a little unbelievable: "I haven't had measles for so many years? The measles pandemic back then, with an almost 95% incidence rate under 15 years old. It's so rare to be able to persist until now."

"Maybe it was by chance."

"But he must have been vaccinated when he went abroad. After all, he has received all other vaccines, and this one is not bad."

"Maybe it's an illusion," Qi Jing explained. "He hasn't given it, but he feels he's given it. This illusion made him say no to the measles vaccine. I really don't have a theoretical basis, and only this case can be verified. In the end, Teacher Coent has to judge it himself."

The case is fake, but the theory Qi Jing said is true. Just over a decade later, researchers did discover that the measles virus can attack the immune system.

They will erase the memory of the immune system and make the immune system arsenal lose the drawings for making specific antibodies. Without drawings, corresponding antibodies cannot be created, and people are as fragile as if they have never been vaccinated. At the same time, the measles virus can also cause immunosuppression for a period of time, with a maximum of 3 years.

Vitamin A plays a key role in measles virus infection.

Lack of vitamin A can reduce the raw materials for th immune cells and further amplify the degree of measles infection, so it has always been a risk factor for severe measles patients.

However, this patient was really too unlucky. After being infected with measles, there was no symptoms of measles, otherwise Coent's treatment team would not be able to diagnose measles.

After successively erasing the antibody memory of yellow fever and influenza, the amount of vitamin A in the patient's body continued to drop, causing the measles that should have healed in half a month to prolong. In the end, the virus actually abandoned the initial lungs and penetrated into the brain, causing more serious measles encephalitis.

"If you check the measles virus antibodies in cerebrospinal fluid now, the result should be positive." Qi Jing said with a smile, "Even if it is negative, you can do virus isolation in cerebrospinal fluid. It should not be difficult for you. Treatment can be supplemented with vitamin A first. If you can't control it, you can use hormones to relieve brain inflammation while removing other infections."

Coenter gradually began to agree with Qi Jing's point of view, but his face did not improve at all: "It's probably too late to treat now."

After saying that, he clicked on the last two pages of PPT, which were all about the third stage of the disease.

Sure enough, the third stage is complex enough, not only including Pseudomonas aeruginosa infection, but also various comorbidities of measles encephalitis. If you can use vitamin A earlier, you can reduce the risk of comorbidities, but the patient's previous diet was very picky, and the vitamin A was insufficient, and the encephalitis continued repeatedly for more than a month.

"Since measles is considered, the patient's aphasia in the third stage is a sequelae of measles encephalitis."

"The course of the disease has reached its late stages. Even if the encephalitis is processed now, the sequelae will be difficult to reverse."

“What a pity…”

Qi Jing found the cause, but it does not mean that the condition has been solved. Measles encephalitis is a very serious measles complication, and the prognosis of adults after getting sick is not good. However, I don’t know if it is a coincidence or other reasons, but the case mentioned just now is very similar to this patient named d·t in terms of sequelae.

And that document introduces the treatment methods to deal with this sequelae.

"Teacher, it's too early to give up now." Qi Jing said with a smile, "Our country not only has delicious food, but also many local methods that have been tested by history. If you are so interested in China, you may give it a try."
Chapter completed!