Self-discipline is important!
Some people work and rest on time, exercise actively, eat scientifically, adjust their body to the best state like a vacation, and many sub-health symptoms disappear automatically.
Some people, in addition to eating and sleeping, just frantically play with their mobile phones, gaining weight and losing a lot of health index.
Mr. Li made such a mistake and lost 30,000 yuan.
He has been diagnosed with type 2 diabetes for 4-5 years. Since the symptoms are not severe, there is no obvious manifestation of three more and one less, and he is very carb-controlled on desserts. Neither pay attention.
So his blood sugar has been fluctuating high, which is the trigger for a storm.
Then I got angry during the quarantine, and a big pimple popped up under my nose, bigger than this one:
Mr. Li felt a little itchy, and when he was playing with his mobile phone, his hands were a bit cheap, so he couldn’t help touching and squeezing.
Well, bad thing!
Squeezes out the Staphylococcus aureus bacteria in the pimple and squeezes it into the blood vessels.
This bunch of bacteria got into the blood, opened his mouth and licked it, and suddenly he was happy: Woo, come on guys, this guy’s blood is sweet! We are going to live together for five generations! la la la!
Yes, many bacteria love sweets, Staphylococcus aureus can break down glucose, maltose and sucrose, and they don’t have a family planning policy, take your chance Can reproduce like crazy.
They are beautiful, Mr. Li is miserable!
Nose redness and swelling for 4 days, cough for 3 days, high fever for 2 days, body temperature 39℃.
Come to the hospital, have a CT scan, and have pneumonia:
CT revealedmultiple nodules in both lungs, ranging in size, mostly located in the periphery of the lungs, and some with clear borders.
This is a common CT manifestation of secondary Staphylococcus aureus pneumonia. After these purulent bacteria multiply wildly, they will run around in the blood, causing pneumonia and purulence. Arthritis, osteomyelitis, liver and kidney damage, etc.
The so-called Poverty is immune to being alone, and Da is crazy to give birth to a baby!
Don’t underestimate these lung nodules, they are much more powerful than early lung cancer nodules!
Agglomeration of purulent bacteria forms a bacterial plug, which blocks the arterioles of the lung like a thrombus, causing pulmonary infarction and multiple lung abscesses. It can also destroy the pleura and cause Pleural effusion and empyema (incidence about 30-50%), progress is very fast!
That’s what happened to Mr. Lee, who had multiple outbreaks of abscesses in his lungs and was transferred to the intensive care unit the next day.
Only one day later, the CT re-examination progressed significantly, and the lesions increased:
The original nodule exploded like a mushroom cloud, resulting in massive lung consolidation and pleural effusion.
His family received a Notice of Critical Illness.
Why is this pneumonia progressing so quickly? Can it grow so much in just 1 day?
Because Staphylococcus aureus, which is not about family planning, reproduces too fast!
The suitable growth temperature of Staphylococcus aureus is 37°C, which is just equivalent to the temperature of the human body, and they do not have high nutritional requirements. Effective regulation of immune cells, their reproduction rate is astonishing.
In vitro culture found that in just 24 hours, these 1-micron-sized bacteria can form 1-3 mm colonies on the medium.
The lung tissue surrounded by pus is prone to necrosis and liquefaction, and small voids can be formed after the necrosis is discharged.
At the same time, thick pus mixed with necrotic and liquefied lung tissue, like thick soapy liquid, sometimes blocks small bronchi, causing valve-like stenosis, making it difficult for air to enter Out, as the breathing movement is like blowing up a balloon, many lung air sacs are formed in the lungs (mostly within 1 week, the incidence rate is about 10-30%):
This is another patient with multiple air pockets, small cavities
Doctors cultured Staphylococcus aureus from the blood and sputum of both patients.
It was a near miss!
Mr. Li underwent tracheotomy after being transferred to the intensive care unit, connected to a ventilator to assist breathing, and used sensitive antibiotics according to the results of the drug susceptibility test. Comprehensive treatment measures such as protecting the stomach, protecting the liver and improving myocardial metabolism have gradually improved the condition.
Spent 10 days in the intensive care unit, out of danger and transferred back to the general ward, costing tens of thousands.
Mr. Li learned a lesson after being discharged from the hospital, controlled his diet honestly, monitored his blood sugar regularly, and returned for a CT scan one month later. The inflammation was basically absorbed.
Young and middle-aged people are in good health, and the recovery speed after removing the cause is amazing!
Seeing this, some people may ask, if there is no diabetes, this pneumonia will not occur?
Staphylococcus widely exists in the air, soil, surface of articles, nasal cavity, human and animal excrement, and Staphylococcus aureus is the main cause of human disease.
About 30-50% of normal people have S. aureus colonization in the nasal cavity and skin, and can run from the skin and nasal cavity to the mouth, intestines, skin folds, armpits, perineum, etc. , but not sick.
Staphylococcus aureus pneumonia is common in infants, the elderly, skin pustules, severe burns, trauma, post-surgery, diabetes, malignant tumors and other groups.
There is another condition that can cause severe pneumonia: the flu!
Influenza virus destroys the mucosal barrier of the upper respiratory tract, and it can also be combined with Staphylococcus aureus pneumonia, and the superposition of the two is more destructive.
Influenza virus and Staphylococcus aureus are synergistic, it can be said that they can get what they need:
1. Influenza virus can secrete some proteases and cytokines, which are beneficial to the reproduction of pathogens such as Staphylococcus aureus;
2. The bacterial protease of Staphylococcus aureus can promote the cleavage of influenza virus surface protein hemagglutinin, promote virus activation and replication, and enhance its infectivity and pathogenicity.
So many people can understand that for some very strong young people, a small cold can cause severe pneumonia and even life-threatening.
Case source: Director Bian Cuixia of Jining
This strong man is in such a sad situation. He is 34 years old, tall and handsome, but he was hospitalized for 3 days with cough and fever after a cold. After that, pneumonia developed rapidly and he was also admitted to the hospital. In the intensive care unit, it took half a month to get out of danger, and several bullae were permanently left in the lungs.
Colds are not terrible, but some complications are terrible! Especially those with underlying medical conditions that are poorly controlled, such as diabetes.
Finally, a few knowledge points:
Many patients need to stay in bed for rest during hospitalization. The accompanying staff should eat more snacks, help the patient clean the head, face, hands and feet, as well as the armpits, nasal cavity, oral cavity, etc. every day, so as to reduce bacterial colonization and reduce the number of subsequent risk of infection.
Part of the reason for the so-called three-point treatment and seven-point care is to reduce the chance of nosocomial infection and reduce complications.
Many diabetics and alcoholics don’t care about cavity hygiene, there are many opportunistic pathogens hidden under the caries, and sometimes they can be inhaled with saliva during sleep or drunkenness The bronchi and lungs can also cause inhalation infections and lung abscesses. This example is not uncommon.
I am Dr. Imaging Kehao, thank you for reading, welcome to follow!