The 46-year-old patient in Cam Khe commune, Phu Tho thought he had just an ordinary fever. But behind high fevers, persistent headaches and coughs is a dangerous infectious disease that silently attacks the liver and lungs.
The patient was admitted to the Department of General Internal Medicine and Tropical Diseases - Cam Khe Medical Center in the area with a continuous fever, chills, pain all over the body and coughing at one time. Notably, a small ulcer in an oval shape, less than 1cm in diameter in the scrotum - no secretion, no pain - is an important clue to help doctors diagnose streptococcus early.
This is an acute infectious disease caused by scratches carrying Orientia tsutsugamushi pathogens transmitted to humans through bites. Clinical manifestations are easily confused with other infectious diseases such as dengue fever, welding, etc., so if not detected early, the disease can cause multiple organ damage, especially the liver and lungs.
Clinical results showed that patients with high liver enzymes, increased white blood cells and CRP, and decreased platelets - typical signs of liver damage. ultrasound shows an enlarged liver, chest CT scan detects Pneumonia and overflow of the pleural secretions on both sides - a rare serious complication that can be life-threatening if not intervened promptly.
The patient was diagnosed with streptococcal fever with hepatitis - pneumonia complications, and was quickly treated with specialized antibiotics combined with liver and respiratory support drugs. After 5 days of active treatment, the patient's health improved significantly, liver enzymes gradually returned to normal levels, lung failure decreased and the critical stage was over.
Doctor CKI Nguyen Duc Thuong, Cam Khe Regional Medical Center, recommends: Snoring usually appears in the summer - autumn, especially in rural areas, where there is a lot of weeds and bushes. When people feel a prolonged high fever, fatigue, especially a strange ulcer on the skin - even if not painful - they need to go to a medical facility for timely diagnosis, avoid liver and lung complications, and even die if subjective".
