Brucellosis, or "brucellosis", is a famous zoonotic disease. This disease has a high incidence in developed animal husbandry areas such as Europe and the United States. In my country, it is mainly concentrated in pastoral areas and a small number of free-range cattle and sheep areas in the south.

Brucella has many types, in addition to the most common Brucella, there are also categories such as bovine, pig, dog, and Brucella sheep. However, these categories do not affect the symptoms and range of the disease. As a systemic disease, Brucella infection can invade various organs throughout the body. About 30% of the cases will show symptoms of bone involvement - and it is common in the spine, that is, Brucella spondylitis (BS).

Judging from the duration of the symptoms, if Liu Baoguo suffers from Brucellosis, he should be a subacute onset - the duration is less than 52 weeks. From the perspective of symptoms, he has basically all the manifestations of Brucellosis, but he is just missing a fluctuating fever.

There are two names for brucellosis, one is "Malta fever" and the other is "wavy fever". Yes, there is a very distinctive type of fever among the symptoms of brucellosis. Because its type is so unique that for a period of time, people simply named brucellosis with this symptom.

Wave heat refers to a type of heat type in which the patient's questions begin to gradually rise and break through the normal body temperature, or even rise to about 39 degrees, and then slowly fall back to normal body temperature after a few days, and cycle back and forth. Because the symptoms are too special, it has become synonymous with brucellosis - but it should be pointed out that not all brucellosis has wave heat, but almost all patients with wave heat are infected with brucellosis.

Those who are not corrugated fever patients who are brucellosis... probably have tuberculosis?

Shen Qingmei left the ward early with a wink, and Sun Lien's question caused the two doctors present to be silent. Luo Ge's level was a little worse and he would not remember the manifestations of brucellosis for a while. But Lin Yanan was different. She knew very well that Sun Lien's suspicion was very reliable.

Let’s not talk about anything else, tuberculosis should develop to the level of tuberculosis without contacting patients with tuberculosis, and there is no respiratory symptoms in the middle. The possibility is that it is too small. It is not impossible for animals to infect tuberculosis to humans, but most of the time people to infect tuberculosis are infected with animals. From various perspectives, tuberculosis is more like a "human" zoonotic disease, rather than a "human" comorbid disease.

Brucellosis is different. Judging from the patient's own description, he has all the "source of infection", "transmission route" and "population susceptibility" required for infection. And the time is completely correct. Brucellosis is indeed very likely.

"It's possible. And the possibility is not small." After thinking for a while, Lin Yanan gave his own opinions, "It's necessary to do further inspection and verification."

Sun Lien nodded, and he looked at the time, "Now take samples and test them, and send samples for training. It is better to be earlier than later."

After seeing off Luo Ge and Lin Yanan, Sun Lien found a stool and sat down. It can be seen that Liu Baoguo was already extremely confused. He urgently needed a doctor to explain to him what was wrong with his body.

"Mr. Liu, have you lost a lot of weight recently?" Sun Lien was silent for a moment and chose to start the conversation in a relatively gentle way. "It's almost a... ten pounds?"

"I have lost almost 30 kilograms in the past six months." Liu Baoguo returned to a relatively stable mental state and poured a cup of tea for himself and Sun Lien. "At first, I thought it was because I drank tea recently... They said that the green tea they grew can scrape oil." Liu Baoguo handed Sun Lien a cup of tea and said with a wry smile, "Now it seems... it should be because of this... it is because of this... "

"Brucellosis spondylitis." Sun Lien took the teacup and took a sip. "Of course, we are still just suspicious now that we have to wait for the test results to find out."

"You just asked the big nurse to get a lot of blood from me." Liu Baoguo glanced at Sun Lien, "According to your words, will I have to get a lot of blood from me later?"

"Not too much, either." Sun Lien smiled, "Just take care of it."

After chatting for a few words, seeing that Liu Baoguo's mood seemed to have improved a little, Sun Lien continued to explain, "There are treatment options for this disease after infection. You should not have any psychological pressure - this disease is actually easier to treat than tuberculosis."

The treatment plan is clearly stated in the diagnosis and treatment guidelines for brucellosis. Rifampin or streptomycin combined with citroblastin is used for treatment. If streptomycin is used, one course of treatment is about two to three weeks, and two courses are basically enough. For patients with subacute disease such as Liu Baoguo and who develops brucellosis, it is necessary to combine third-generation cephalosporin for treatment - if necessary, it may also be necessary to treat spinal lesions through surgical means.

But overall, the treatment process for brucellosis is shorter than tuberculosis, and because the chance of Brucellosis transmission is minimal—and there are only sexual pathways that may be transmitted—thus, psychological stress will be much less for Brucellosis patients.

"Anyway, I'll just cooperate with you." Liu Baoguo seemed to have decided to cooperate with Sun Lien. "When President Shen strongly asked me to come to your hospital at the beginning, I was a little dissatisfied." He paused and sighed, "At the end of last year, in order to find a suitable hospital for President Shen's girl, I also asked many friends to go to the capital and the Shanghai Stock Exchange hospital. When I saw the test results, I shook my head and said I couldn't do it."

In fact, it is certain that other hospitals dare not perform such surgery - no matter how careful they are, traditional surgical plans will damage the white matter. If you ask someone, you usually dare not take the surgery if it is too difficult.

As for the capital's refusal to accept it... it was probably because of Liu Pingchuan's face?

"We also used some rare technologies to solve this problem." Sun Lien didn't know that Shen Qingmei and Liu Baoguo had asked for more content, and he didn't dare to explain the treatment plan in detail. After all, this involves the patient's privacy. "But if you have Brucellosis, it will be almost the same where to treat it - this treatment plan is common across the country."

"What else do you do in other places? I'll get a dozen tubes of blood?" Liu Baoguo smiled and shook his head, pointing to the surrounding environment. "Such a new inpatient department, and it's a bed and a room, so there's no such treatment in other public hospitals."
Chapter completed!