Chapter 288 The tortuous illness
The two went to the dermatology department.
At this time, everyone in the dermatology department was a little surprised to see the two people appear.
They didn't know why Wei Ping came.
It seems that Pang Zhong did not tell everyone that he was going to see him for a consultation.
But that doesn't matter.
Everyone showed goodwill towards their arrival.
Wei Ping also nodded in agreement with everyone.
"Doctor Wei, you're here, here!"
Pang Zhong stood in front of his department and waved to Wei Ping.
"Here we come!" Wei Ping and the other man walked towards the department.
When the two walked inside, there were two attending doctors there, both of them frowning.
There is also a young man who should be the patient.
Obviously, the two attending physicians were stumped by the patient's illness.
"Hello!" Wei Ping greeted everyone after he walked in.
The two attending doctors came over immediately.
"Hello, Doctor Wei!"
The patient was a young man who appeared to be in his early twenties.
He also looked at Wei Ping, a little excited.
But, I couldn't say anything.
But his attitude was very respectful.
Wei Ping discovered a red and swollen lump on the left side of his neck.
This may be the reason why Pang Zhong asked him to come.
This is why the man cannot speak, because such a large lump affects his throat and makes his throat painful.
"Director, could you tell me the details?"
"Six months ago, the patient experienced a sudden pain in the left side of his neck, which then became red, swollen, and itchy! It eventually developed into a sore throat. He searched Baidu and thought it was an inflammatory reaction, so he bought amoxicillin capsules and took them, but they didn't work. He developed a fever that night and ended up at our hospital."
"Well, then?"
Then another attending physician said, "I was the one who saw the patient that day. I diagnosed the fever as a bacterial infection. I suspected it was an insect bite. After drawing blood, the white blood cell count was significantly elevated, which meant it was a bacterial infection!
That night, I was given antibiotics and levofloxacin injection. But my condition didn't improve. Apart from a drop in temperature, I didn't see any improvement. My sore throat, odynophagia, and redness, swelling, and pain in my neck remained."
"Yes, they found me that evening. I suspected it was subacute thyroiditis! Before the results came out, I arranged for prednisone tablets! However, the problem was not resolved. After a few days, his condition did not improve. When he came for the second time, I asked the surgeon to consult with him."
Subacute thyroiditis, also known as viral thyroiditis, is related to viral infection. Patients often have a history of upper respiratory tract infection before developing the disease. The onset of the disease often fluctuates with the seasons and is somewhat epidemic.
When he said this, Pang Zhong sighed.
Obviously, the surgeon is of no use.
"The director called in a surgeon because he was worried it might be an abscess. The surgeon came and looked at it, and it didn't look like an abscess. And the previous thyroid ultrasound didn't show an abscess either. But we can do another thyroid ultrasound, using ultrasound guidance to puncture the neck where the swelling and pain are most severe. There's a mass there, but we don't know what it is."
This is a bit difficult.
Seeing this situation, Pang Zhong finally fell into self-doubt.
So what is the disease of this patient?
"Finally, we suspected it was cancer and performed a puncture. The results of the puncture test came out: a large number of neutrophils and a small number of lymphocytes were seen in the extracted tissue, but no cancer cells were found." Pang Zhong added.
This disease has really gone through many twists and turns.
Yang Ke was almost dizzy.
What disease is that?
"Finally, after consultation with several colleagues, it was confirmed to be cellulitis!"
Cellulitis is a purulent infection caused by bacteria, and the inflammation spreads in all directions.
Another attending physician said, "But this is a strange inflammation, because antibiotics and prednisone are ineffective. Prednisone is the most commonly used oral hormone drug. There is almost no inflammation that it cannot suppress. Many patients with autoimmune diseases have severe inflammation, and prednisone can suppress the inflammation!"
"Right, so we used the highest level antibiotic, vancomycin!"
"Did it finally get under control?" Wei Ping asked.
"Yes, it was finally under control. Vancomycin is a very powerful drug, especially against Gram-positive cocci."
Currently, vancomycin is the most effective antibiotic. However, it is only effective against Gram-positive bacteria, making it a natural enemy of them. Vancomycin is not effective against all pathogens.
You can imagine how depressed these people were at that time.
The result must be good.
The patient was cured.
But now the patient appears here again.
"Finally, he recovered. But three months later, the patient came back with the same problem."
Pang Zhong said slowly.
The patients around me were also very embarrassed.
He must have consulted many people for this disease.
However, it cannot be cured.
That's why I came back to the First Hospital.
"The problem was even more serious that time. This time, they didn't find our dermatology department, but the surgery department. We went there too."
"Yes, the surgeon ruled it out as cellulitis! Because cellulitis won't recur. Now the patient's skin on the left side of his neck is indeed red and swollen, with a high temperature and obvious tenderness. It's an inflammation!"
A final color ultrasound of the neck revealed no abnormalities in the thyroid gland, but enlarged lymph nodes on the left side of the neck were also detected. A mixed echogenic mass was also discovered on the left side of the neck, similar to the initial finding.
The B-ultrasound still can't reveal anything. So let's use a CT scan, maybe it can show it more clearly.
Sure enough, they did a CT scan.
"So, I did another CT scan to get a clearer picture. Finally, I did a neck CT scan, and the results came back. It showed a mass on the left side of my neck, just inside the sternocleidomastoid muscle, involving the adjacent soft tissue and the left lobe of the thyroid gland. There were also multiple enlarged lymph nodes around the left carotid artery."
It can be seen that the three of them still have frowns on their faces, and it seems that the disease has made them bald.
"It was finally determined to be cervical lymph node tuberculosis. No matter what, let's treat it as cervical lymph node tuberculosis first. This is the advice given by the chief surgeon." Pang Zhong said.
Cervical tuberculosis, known in Traditional Chinese Medicine as "scrofula," is common in children and young adults. It typically develops when the body's resistance to disease is weakened. Tuberculosis bacteria often enter the body through the tonsils and dental caries, with a few cases arising secondary to pulmonary or bronchial tuberculosis.
The principle of treatment for this disease is systemic anti-tuberculosis treatment. If necessary, surgical removal of tuberculosis lesions is also required.
Then it will definitely not be cured in the end.
Otherwise, Wei Ping wouldn’t have been found here.
This disease is really tortuous and changeable.
Wei Ping took a deep breath.
It seems that ultrasound and CT scans are sometimes unable to truly determine the condition of the disease.
So what is this person's illness?
Wei Ping wanted to hear what they would say next. Their experience would be of great help to his diagnosis.
Continue read on readnovelmtl.com
