Clinically, patients have many symptoms, but in the face of hundreds of pathogens, the number of symptoms seems insignificant, and overlap and similarity are certain. If there is no professional bacterial culture, it is really like looking for a needle in a haystack, which is purely based on guessing.

Infectious disease scientists guess the pathogens rely on past experience. They should first determine which one they look familiar, and then slowly eliminate the possibility. In this regard, experience determines the result, and of course the possibility of a failure is also very high.

In fact, many bacterial meningitis have characteristics such as confusion, dizziness, headache, abdominal discomfort, ultra-high body temperature, rapid development of the disease, but it is very rare to cause conjunctiva to be affected.

Of course, it is difficult to determine the nature of conjunctival involvement based on the nurse's description and Ding Xiujuan's somatosensory.

Perhaps it is another type of conjunctivitis with completely different pathogens, perhaps the eyes are the first stop for the patient's infection this time, or perhaps this is really the same as what Ding Xiujuan said, but she was so troubled that she was making trouble.

Regardless of the facts, when Huang Xinghua just mentioned these symptoms, two bacteria popped up in Huang Yuhuai's mind, sitting in the car. One of them was not selected in a very short differential diagnosis, and the remaining one became the first object of his doubts.

One of the things that makes him feel so suspicious is the two cases he has handled a few years ago, and the other is the patient's symptoms that have been spliced ​​by Qi Jing and many experts in the 3i conference room.

Such complete symptoms and previous experience gave him a clear goal.

But this is just a guess and it is not even a prototype.

Huang Yuhuai has no conclusive clinical evidence and no relatively complete chain of infection, which is completely his guess. Moreover, his current attention is completely attracted by the idea of ​​parasite diagnosis: "Is that boy again?"

"Yes, he is really awesome when it comes to parasites."

Huang Xinghua smiled bitterly and had to admire him, "The main disease was not cut off, but the metaphysical disease was first cut off. Normal infectious disease doctors may care about fractures. After all, there is a possibility of bone infection destroying bones. But who would care about a dislocation accidentally fell in the background of such a serious condition?"

Huang Yuhuai nodded as he heard this, but when he reached the other end, he became silent.

"Dad, what's wrong?" Huang Xinghua smiled, "Do you think this kid is very interesting?"

Huang Yuhuai did not respond and coughed twice, saying, "You are so embarrassed to say that you were not good at learning parasites at the beginning, but now two cases have been taken first by young people. Is it embarrassing to lose them?"

"Dad, the parasite is just like that."

Huang Xinghua shook his head and had to follow the old man's thoughts to repeat the scene that had been staged at home for hundreds of times: "I have said before that viruses are the biggest enemy of humans in the microbial world. You have also seen sars last year. The infectiousness, concealment, and explosiveness of symptoms development are unprecedented."

Although Huang Yuhuai admitted this view in his heart, in his eyes, his son took a "wrong way" that was not pure enough: "The view is right, but you have gone narrower."

Hearing this, Huang Xinghua did not dare to continue the conversation, because if he continued, it would really become a conflict of ideas between father and son.

"Okay, I'm a few years old, I'm still scolding me..." Huang Xinghua, as a son of man, had to bow his head, "When will you arrive, I'll send someone to pick you up."

"It's another half an hour." Huang Yuhuai looked at his watch and said, "I've been here at the conference center several times, I know the way."

"Don't, if you fall, I will definitely be scolded to death by my mother." Huang Xinghua suddenly became nervous, "Don't look at Minghai being very bright at night, but there is a section in front of the conference center that is quite dark. I almost sprained my ankle when I left..."

.........

In the fax room in the lobby on the first floor, Yan Hong was explaining the details of the treatment to Lin Rong in person. In order to better and more carefully dosage control, the mobile phones of both parties have been connected, almost reaching the point of teaching step by step.

With the addition of blood gas analysis, electrolyte reports, and liver and kidney function reports, Yan Hong is like a top chef, taking over the follow-up process of a bad dish halfway through. Faced with the acidosis caused by Wang Gui's electrolyte disorder, cardiac function damage caused by shock and hypoxemia, every treatment she gave was textbook-level.

It may not be much to put it here with a few major directors, but its help to Ji Qing is of great significance.

Some of the treatment angles are very novel, perhaps different from the methods Wang Ting used normally, but the purpose is the same. This also gives Ji Qing the opportunity to adjust his treatment ideas. Combined with the theoretical content of the shock therapy seminar in the afternoon, many methods have gradually become his own things.

In the 3i conference room on the third floor, the atmosphere is still tense, but it is more of the fragrance of the food.

Just ten minutes ago, two young people suddenly appeared, each carrying several plastic bags to deliver a bunch of food.

Since 7 o'clock last night, these experts, including Qi Jing, have never eaten anything except cigarettes, tea and water. Faced with more than four hours of brain storm, they have long been hungry.

So Qi Jing called the two young people halfway and brought them a midnight snack.

A small number of McDonald's, which serves all night, are prepared for the two of them and Qi Jing. The more are another Yonghe Soymilk, which operates all night, which prepares a lot of Chinese food for many directors with different tastes. In fact, the most time is the roadside stall, but for the sake of hygiene, these two regular stores are more at ease.

In particular, Yonghe Soymilk spent a lot of time on two young people, and finally had to stop the midnight snack and rent it out in a hurry to come back. However, the reward was generous enough that Wang Gui and Ding Xiujuan's illness was presented to them.

"This is really complicated..." Hu Dongsheng bit the burger in his hand, quickly swept the fax file in his hand, and had to sigh, "Without even there was no patient, these people found so many things in just four hours, which is a bit exaggerated."

Gao Jian also felt this way and saw his own gap: "Okay, stop talking, hurry up and catch up with the progress."

A group of infectious disease experts will not give them special cases just because of a little food. What they are chasing here is the footsteps of the god of death, and those who cannot keep up will be abandoned.

Just as they were eating and discussing, new news came from Yunchuan.

Since Lin Rong's phone has been busy, Licheng Center for Disease Control and Prevention has now divided a phone number to connect with Huang Xinghua, which is the nurse before. She first sent a report on brain CT, and meningitis was confirmed. The next one was a biochemical report on cerebrospinal fluid that had just been checked in an emergency. The cerebrospinal fluid pressure measured during the examination was normal, but there were problems in other aspects.

In fact, Lin Rong noticed it when he was just doing lumbar piercing cerebrospinal fluid. Because the appearance of cerebrospinal fluid alone, even a resident who had just entered the clinic could tell that the problem lies with the patient's brain.

"Light yellow, turbid..." Everyone looked at Qi Jing and listened to the report on the blackboard, saying, "White cells actually reached more than 7,000, and the protein exceeded 2.5, which is a typical suppurative meningitis."

"If the quantity is higher, it may be so thick that it will be hanged on the wall." Expert b ate the bowl of noodles in his hand, plucking his cheeks and said, "Now I'll wait for Wang Gui's anti-infection treatment results, I hope it's okay."

"Oh, if the patient hadn't been far away and hadn't even touched him, how could he have missed the diagnosis of meningitis?"

Expert a literally beat the wings and kicked his feet, and the small spoon he held was so angry that he fell into the soup bowl, splashing a lot of soup: "If I had known it was meningitis early in the morning, it wouldn't have been..."

"Okay, don't be sad."

Expert b patted his shoulder and said with a smile: "What can I do if I know? The drug resistance of this bacteria is so strong, so I have to exchange for Wangu and Taineng?"

Huang Xinghua had to raise his hand to interrupt their conversation, and then calmed down after sending a wonton into his mouth. He held the southern road map he had just obtained with one hand, leaned his head and leaned over to the phone next to the table, and asked, "Nurse Li, how about Wang Gui now?"

"Director Lin is cooperating with the treatment of some of your experts. I just went to see that at least my blood pressure and heart rate were stable." The nurse said, "I have to find someone to help take Ding Xiujuan for brain CT and cerebrospinal fluid examinations. If I have nothing to do, I will die."

"Well, your phone is always on. I might call you if I have something to do."

"good."

Huang Xinghua breathed a sigh of relief for a while, and the situation gradually became clearer. And most importantly, his father Huang Yuhuai was coming here quickly. If even the old man couldn't see the problem, he would have no choice.

Now the full treatment of Wang Gui is handed over to Yan Hong, and they have to try their best to find the source of infection here.

Compared to Wang Gui's simple route of walking around with the capital Hanoi as the center of the circle, his two distant relatives are actually much more complicated. But the route is only complicated. Among the four categories of food, clothing, housing and transportation analyzed by Qi Jing before, they all turned into the simplest things.

In order to avoid malaria and cholera, they fully armed themselves, using clothes they had worn before. They drove a rental car that had been strictly disinfected along the way. People did not dare to stay in the wild for too long during the itinerary and did not dare to eat local food. They were all maintained by the dry food, instant noodles and mineral water they brought.

"I think the problem lies at the last party." Expert b walked up to the front desk, took the laser light in Qi Jing's hand and pointed it at the note on the wall, and said, "This is the first place they gathered since they separated, and it is very likely to be cross-infected."

"Where is the source?" Qi Jing asked.

Expert b shook his head in the face of this problem: "We just need to eliminate domestic factors, but foreign countries cannot be so broad."

"What if there are another group of people?"

"Yes, Yuenan has a lot of communication with the country, and there are frequent personnel exchanges." Huang Xinghua also spoke at this time, "We cannot stop all the planes coming from Yuenan because of potential infection factors, because the other party has blocked all cholera and malaria people."

In the eyes of Huang Xinghua, the director of the Center for Disease Control, this has long been an international event.

"But..." Expert b said, looking at Qi Jing beside him, and pushed him, "Why do you always look at the photo of the five people in your hand? You're just helping to say something!"

Qi Jing nodded: "Well, I agree with Director Huang's point of view."

"But now, keep checking like this...hey! You're done listening to me!" The expert b said, "What kind of weird habits does this guy have? If he takes his heart, he can't even listen to my words as the chief?"

Qi Jing's attention was once again disengaged from the main topics of the meeting, and his eyes shifted from the family photo of Wang Gui and the other one projected on the wall.

This is the previous photo of Wang Gui's bed-dwelling treatment from Lin Rong. The bandage fixed after dislocating was wrapped around his right hand. However, Qi Jing's attention did not seem to be on the bandage, but fell on the corner of his mouth: "Teacher, lend me a reading glass."

"Forehead......"

Qi Jing's sudden gathering of attention attracted everyone's attention, because it had happened twice before, and each time it would make the discussion progress significantly fast forward.

With the reading glasses enlarged, he saw clearly what he wanted to see, and then took back the use of the laser pen and said, "Let's take a look at the corner of his mouth!"

Everyone looked at the laser point, and it seemed that there was a light and small pink dot on the corner of Wang Gui's mouth.

"What's this?"

"Break?"

"Or folliculitis?"

"Maybe it's just an inconspicuous mole."

"No! It's not a mole!" Qi Jing shook the five people in his hand and said, "He doesn't have this mole in Yuenan. This only appeared after returning to China. However, two days ago, this thing was very light and mild. Now..."

Huang Xinghua had already picked up his cell phone and called back.

"Director Huang, what's wrong?" Nurse Li immediately answered the phone, not daring to delay at all, "I'm going to do brain ct here."

"Is it Ding Xiujuan?"

"right."

Huang Xinghua reacted very quickly and said quickly: "Let's see if there is any damage to Ding Xiujuan's mouth?"

"The corner of her mouth?" Nurse Li leaned over, looked at Ding Xiujuan lying on the bed, and replied, "No, there is nothing in the corner of her mouth..."

The words came to an abrupt end. After a moment of pause, she said incredibly: "No, yes, really! A small blister appeared on the corner of her mouth on her right."

“Has it happened before?”

"No." Nurse Li recalled the scene of meeting twice in his mind, and repeated with certainty, "It must be no."

Huang Xinghua clenched his fist with his right hand and hit his thigh hard. After five hours of consultation, he felt a little light before dawn: "Hurry up, ask her what the corner of her mouth feels like now? Is there any pain? Or symptoms such as itch?"

Nurse Li nodded and woke up the groggy Ding Xiujuan: "There is a blister on the corner of your mouth. Does it hurt?"

"Ah?" Ding Xiujuan frowned, feeling the noise in her ears, and she couldn't hear what she was saying, "What were you saying?"

Nurse Li had to repeat it again, but Ding Xiujuan's answer was still: "Ah? I can't hear it!"

.
Chapter completed!