Plague Doctor

Chapter 249: Legionella [ask for a monthly ticket, ask for a subscription]

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"Cough, cough..."

The night was hazy, and the sound of coughing continued to come from each ward, echoing in the corridor of the inpatient department.

The facilities in the town hospital were simple, and the isolation ward where Shen Haoxuan was located was not a real isolation ward, but an ordinary ward.

There were three hospital beds, two of which were vacant, and he lay on one of them, with a needle pricked in the back of his hand, and a few bottles of intravenous drip. There is no TV in the ward. Fortunately, his mobile phone has not been confiscated, and the network signal is still good, so he can still play on his mobile phone to relieve boredom.

Shen Haoxuan pressed his mobile phone with both hands, and sent a message to his bad friend Liu Hui on WeChat:

"It's really unlucky, pneumonia, and was quarantined."

"I was going to the general ward, but the doctor suddenly said that I needed to be quarantined, even my parents were quarantined."

"The uncle on the bus must have infected me. I may have to stay in the hospital for a few days. I hope I can catch up with the comic exhibition in the city on Saturday, but I have no choice."

After a while, Liu Hui didn't return.

Shen Haoxuan's cough became more and more uncomfortable. It has been more than half an hour since the drip, and the fever seems to have not subsided, and the cough is getting worse...

He looked again at the circle of friends that Deng Nuotong posted today: "The next stop is Shenshi University, thank you for the past, look forward to the future, come on!"

"Hehe, cough..." Shen Haoxuan couldn't help laughing when he saw it, and felt that his body was much better. I used to look forward to the summer vacation for a few more days, but now I am looking forward to the start of the university. At this time, the mobile phone vibrated when it received a WeChat message. He saw that it was from Liu Hui:

"Oops, I started coughing in the evening, and now I have a fever of 39 degrees"

"Maybe it was infected by you, pneumonia? Isn't it?"

"My mother made me cold medicine, do I want to go to the hospital now?"

Looking at these few messages, Shen Haoxuan felt sorry for his friend, and muttered uneasy, did I get infected? Besides Liu Hui, there wouldn't be anyone else, right

He thought of his parents, his few other friends, and so many people at Comic Con...

Don't think about it. Shen Haoxuan coughed and told himself that there is no such thing as an infection, even SARS.

It's just pneumonia, the doctor can handle it, and it should be cured after a few days in the hospital.

Shen Haoxuan pressed the phone and replied: "Come to the hospital quickly, blame me, when we recover, I will treat you to a meal"

The thirtieth case, the fortieth case, the fiftieth case.

If Jiangxing Town Hospital didn't have so many patients and a large number of vacant wards, it wouldn't be able to cope with the outbreak tonight. But each patient has to be isolated individually, and there are still not enough wards. Everyone who is still in the hospital at night is very busy.

The disease control department issued an order to the town to block the hospital. Patients suspected of infection can come in, but no one can leave here.

"Hey, Xiaolin, you should pay attention when the tenth patient appears."

Zhao Yutao changed his tone and was already wearing a triple mask, looking for opportunities to sneak out of the emergency room from time to time, not wanting to come into contact with patients.

Huang Lin ignored him. Although she also wore multiple masks, she stayed in the emergency room and took time to call her classmates and teachers at the university to ask for opinions.

The teacher gave her an idea, could it be "Legionella pneumonia"

Not to mention township hospitals, even in top tertiary hospitals, Legionnaires' disease is often misdiagnosed as common pneumonia first. Because this is not a common disease, ordinary doctors usually lack awareness of it, and the clinical manifestations of Legionnaires' disease are complicated, and routine examinations lack specificity. Serological tests for Legionella antibodies can only be confirmed.

"Legionaire's disease." Huang Lin read some literature on the Internet. It is somewhat similar, but not completely similar. The patient's condition progressed too fast.

And some news made her extremely disturbed. A while ago, there were outbreaks of Legionnaires' disease in many cities around the world.

Huang Lin immediately reported this possibility to the people in the Infection Department of the hospital, and only then did she know that there was a prevention and control document for disease control a few days ago that had conveyed the need to be careful of Legionnaires' disease. But the prevention and control documents are always coming one after another, the prevention and control work has been done, and the air-conditioning and refrigeration systems of the hospital have been cleaned.

Legionnaires' disease often breeds and breaks out in hospitals, but the first patient, Wang Guoxin, came to see a doctor several years ago, and he was not infected in the hospital.

At 21:45 in the evening, an hour and ten minutes after the report, the expert team sent by the city's CDC to conduct epidemiological investigations arrived.

Everyone from the Insectology Department and medical staff who greeted us in the hospital lobby was stunned. He Feng, Team Leader He, Li Wen, Deputy Team Leader Li Wen, and the other two were all wearing a full-body white protective suit and a full-face mask. Respirators, no skin exposed at all.

Then everyone in the emergency room also saw it, and Zhao Yutao hurriedly put on two more masks.

Huang Lin was already mentally prepared, and the disease control staff also suspected that Legion was sick, and the airborne transmission...

After getting to know each other, He Feng and others walked to the isolation ward area with Huang Lin while talking about the patient's condition. They went to see Wang Guoxin first. His condition continued to deteriorate, and he was already showing symptoms of insanity. He had just coughed up a large mass of bloody sputum, and the strong smell of blood and putrefaction permeated the ward.

"These medical wastes cannot be disposed of normally." He Feng specifically instructed the people in the Infection Department of the hospital.

After seeing several patients, especially Shen Haoxuan, he confirmed that this was an epidemic outbreak.

"Comic show?"

After Shen Haoxuan was infected, he participated in a comic exhibition with more than 3,000 visitors. This situation made He Feng and the others even more distressed.

He Feng hurriedly made several phone calls, asking the CDC to take it seriously, upgrade the epidemic control work, and apply for a temporary blockade of Jiangxing Town.

But he knew that the time was too rushed, there were too few test results to support, and it was late at night, so the efficiency would not be very high. If it wasn't for the recent incidence of Legionnaires' disease all over the world, and there were documents from higher authorities, his words would have been immediately echoed.

Now because he reported suspected Legionnaires' disease, and the doctor on duty Huang Lin also agreed, the disease control and various departments are still tense.

Is it Legionnaires' disease? Or something else pneumonia

It is too late to use serum for antibody testing, and it takes a week or two for the patient to produce antibodies; while the bacterial culture being done by the town hospital takes even longer.

However, in recent years, nucleic acid amplification technology has matured, and the understanding of microorganisms has shifted from external structural features to internal genetic structural features, and detection has also shifted from biochemical and immune methods to genetic level detection. Using CR technology can quickly complete the initial detection and effectively respond to such public health emergencies.

However, the conditions of the town hospital are limited and there is no CR laboratory. Either ship the samples out, or ship the equipment in.

As early as on the way here, He Feng applied to bring CR equipment into Jiangxing Town.

It was also because the superiors attached great importance to Legionnaires' disease that they quickly approved his request.

In the early hours of the morning, a batch of instruments and equipment finally arrived at the town hospital, along with a group of testing technicians, all wearing protective clothing. After everyone set up CR equipment in a small laboratory of the hospital, they immediately used 22 respiratory pathogen nucleic acid detection kits for rapid screening.

Whether it is an epidemic virus, parainfluenza virus, coronavirus, Legionella pneumophila, Mycoplasma pneumoniae, etc., it can be detected by its DNA.

It was also at this time that Li Wen, who was in charge of guiding the work of the medical staff, hurried into the laboratory, his face under the breathing mask was ugly.

"What's wrong?" He Feng asked, knowing something was wrong.

"Dr. Huang Lin has cough symptoms." Li Wenhan said, "Dr. Zhao Yutao and several nurses in the emergency department also have symptoms."

He Feng's brows suddenly frowned... Dr. Huang Lin has only been on duty for 6 hours, which is even shorter than the average incubation period of 36 hours for non-pneumonic Legionnaires' disease, much shorter...

This whole hospital is an epidemic area.

Although the CR technology is fast, it is relatively speaking. From early morning to the next morning, everyone in the laboratory is busy and waiting.

Not a virus, not strep, not chlamydia…

Legionella pneumophila! The DNA structure showed that this was a new type of Legionella.

As soon as the test result came out, He Feng, who hadn't slept all night, was a little happy. The pathogen is within the known range. Although the onset is fast and the disease develops rapidly, the way of controlling Legionnaires' disease with treatment should be able to quell the epidemic. Although Legionella can be airborne, it relies heavily on aerosols as carriers...

Just when He Feng was feeling rejoiced, without warning, because of the sudden strange feeling in his throat, he suddenly coughed, and his lungs felt stuffy.

For a moment, He Feng stood in this small laboratory, his face was pale, and he was a little dizzy. All the experimenters around were stunned.

"Level 3 protective clothing doesn't work, level 3 protective clothing doesn't work..."

He Feng muttered in a daze, and suddenly burst into a series of coughs. The sorrow and panic gushing out at the same time made him almost fall to the ground at once.

Human to human, airborne.

Infectious power can penetrate level 3 protective clothing...

Most of the visitors to the comic exhibition that Shen Haoxuan participated in were probably infected.

The entire Jiangxing Town is an epidemic area.

The entire Shanhai City is an epidemic area...