Chapter 258 Acute Infectious Purpura Fulminans
"Don't worry, ma'am. You have to trust our hospital!" Wei Ping said.
"I believe in you, Dr. Wei!" the woman said firmly.
"So, Xiao Wei, what disease do you think it is?" Guo Yongping asked.
"Yes, Xiao Wei, Director Guo and I have a few ideas, but they're still not particularly clear. In order not to sway your judgment, we'd like to hear your opinion."
"Director, I think it's acute infectious purpura fulminans. It can be treated directly with ceftriaxone! Anticoagulant therapy is also required."
APP prompts: "Congratulations on diagnosing acute infectious purpura fulminans, and receive RMB 3,000! Proficiency +300, /"
Wei Ping was certain in his heart that this was indeed the disease.
Then just treat it directly.
Regardless, antibiotics are necessary.
And it also needs to be treated with third-generation cephalosporin.
This disease is an acute infectious purpura fulminans, a type of disseminated intravascular coagulation that is highly prone to thrombosis. It is most commonly associated with invasive infection by Neisseria meningitidis, Streptococcus pneumoniae, or canine neutrophil phagocytes.
Purpura fulminans is an uncontrolled systemic thrombosis caused by a severe inflammatory response in the body, leading to severe consumptive coagulopathy, systemic inflammatory response syndrome, and purpuric rash.
The disease progresses rapidly, often with a reticular rash and skin spots in the early stages, and life-threatening systemic inflammatory response syndrome and coagulopathy within 24 hours or less.
Because he saw a systemic inflammatory response, he needed to intervene quickly and treat the disease. The disease could not be delayed, otherwise, there would be problems.
"What?"
The two directors were shocked.
At this time, Guo Yongping said: "I think it is antiphospholipid syndrome, or globulin vasculitis."
"I think it's thrombotic thrombocytopenic purpura, or maybe even the rare disease calciphylaxis."
"You can do a bacterial culture first. But before that, I think you should treat it with a third-generation cephalosporin like ceftriaxone. Otherwise, if the disease progresses, it might be detrimental to the patient."
Wei Ping said this.
He was very sure that it was this disease.
His views were completely different from those of the two directors.
Blood culture takes about 11 hours to culture, and only when microbial growth is detected in the aerobic blood culture bottle can it be finally determined which type of bacteria it is. However, no matter which type it is, antibiotic treatment should be started first.
We cannot wait until half a day has passed to talk about treatment, as it will be too late by then.
"What is your basis?"
Calciphylaxis is a fatal vascular disease that is common in patients with end-stage renal disease undergoing dialysis. Skin lesions commonly appear on the abdomen, breasts, buttocks, and limbs. Early on, they present as livedo reticularis, violaceous plaques, or indurated nodules, which gradually progress to skin ulcers and necrosis.
Antiphospholipid syndrome is a disease characterized by recurrent arterial or venous thrombosis, miscarriage, and persistently positive antiphospholipid or lupus anticoagulant tests. In most cases, it coexists with SLE and may cause a reticular rash.
Cryoglobulinemia vasculitis typically presents with polymorphic lesions on the upper thigh and buttocks. The disease is long-lasting and may recur. It appears in cold weather and subsides in summer.
The patient ate the same food as a friend before falling ill, and the friend also had a reaction, so it must be a food-induced infection. Therefore, I believe it is acute infectious purpura fulminans!
If it is really acute infectious purpura fulminans, then there is a treatment for this disease.
It’s just that the two directors don’t seem to trust Wei Ping very much.
Because he had a disagreement with the other two.
That's why Wei Ping was asked to come.
"What if not? What should we do?" Guo Yongping said.
Wei Ping didn't take it seriously at this time.
"What do you think, Director Guo? Are you confident that he has the antiphospholipid syndrome or globulinemia vasculitis you mentioned?"
Those are two completely different diseases from the one Wei Ping mentioned.
There is also a big difference in treatment.
Guo Yongping stopped talking.
It's because I'm not sure.
This led to a disagreement with Duan Fei, otherwise he would have treated the patient in his own way long ago.
Yang Ke muttered outside, "What Doctor Wei did was really satisfying."
Shen Lian was a little puzzled.
"Doctor Wei has a bad relationship with others?"
"No, but someone wants to plot against him!" Yang Ke said.
"Who? Who is so bold?" Chen Lian asked in disbelief.
"You don't need to know, this is the hospital's business." Yang Ke said.
At this time, the woman said:
"I agree with Dr. Wei. I ask you to proceed with the treatment directly."
The longer it is delayed, the more disadvantageous it will be for the child.
So, she chose to believe Wei Ping.
Since the patient's family believed Wei Ping, Duan Fei didn't say anything else.
"Okay, let's treat it according to Xiao Wei's method. Xiao Wei, you prescribe the medicine!" Duan Fei said.
"Okay, Director, I'll prescribe medicine for the patient now!"
"How long will it take to see results?" the woman asked again.
"The therapeutic effect of ceftriaxone infusion will take effect after half an hour. The patient may get better after an hour, but this disease is difficult to treat. It may take a little longer before he can be discharged from the hospital." Wei Ping said without hiding anything.
"Okay, I'll follow Doctor Wei's instructions."
The woman said again.
"Okay, I'll leave this to you, Xiao Wei!" Duan Fei said.
This chapter is not over yet, please click on the next page to continue reading!
Continue read on readnovelmtl.com
