On the evening of August 5, news from the Center for Disease Control of Thanh Hoa province said that a suspected case of diphtheria had an address in Doan Dot neighborhood, Muong Lat town, Muong Lat district, with results from the Center's examination. Disease control with images of diphtheria bacteria and culture results (+).
Previously, female patient Ph.LM, born in 2007, located in San Cha village, Dao San commune, Phong Tho district, Lai Chau province; permanently residing in Doan Ket sub-area, Muong Lat town, Muong Lat district, Thanh Hoa province suspected of being infected with diphtheria.
According to the patient's family, for the past 14 days, the patient has not left the locality. 3 days before going to the doctor, the patient had a sore throat, and taking medicine at home did not help.
At about 2:00 p.m. on August 4, the patient came to Dr. Ha Thi Phuc's obstetrics clinic with symptoms of sore throat, difficulty swallowing, red and congested throat mucosa, tonsils on both sides were swollen and red, with many white pseudomembranes attached. on the surface of the tonsils and pharynx, was diagnosed with suspected diphtheria and was recommended to be transferred to the District General Hospital for monitoring and treatment.
Here, the patient was diagnosed with acute exacerbation of chronic tonsillitis with pseudomembranous membrane, diphtheria had not been ruled out and was transferred to the Department of Tropical Diseases, Thanh Hoa Provincial General Hospital on the same day for isolation and treatment.
The patient's examination results showed the following symptoms: Sore throat, no fever, no cough, no difficulty breathing; The uvula and back of the throat have many pseudomembranes that are ivory white, shiny, tough, and tightly adherent; results of staining and imaging of diphtheria bacteria; culture results (+). The patient was diagnosed with diphtheria/8 months gestation.
During the day, the surveillance team discovered 4 more cases of close contact with patients with symptoms of sore throat and 15 cases of close contact (F1) with patients.
Dr. Hoang Binh Yen - Director of Thanh Hoa Provincial Center for Disease Control said that after recording a suspected case, the Center coordinated with Muong Lat District Health Center to monitor and investigate the epidemic. epidemiology; conduct investigation, supervision and make a list of F1 cases; Instructions for treating the environment with Chloramin B with a concentration of 0.1% active chlorine in the patient's home area and in cases of contact with the patient. Take samples of suspected F1 cases to send for staining to the Provincial Center for Disease Control and the Central Institute of Hygiene and Epidemiology for diagnostic testing.
Muong Lat District Health Center has directed Muong Lat Town Health Station to transport suspected cases to the District General Hospital for isolation and treatment. For F1 cases, quarantine at home and monitor health status within 14 days from last contact with the confirmed case.
