Fever and vomiting are common symptoms in our daily life and are also symptoms that many people tend to ignore. Whenever these symptoms occur, many people associate it with colds, gastroenteritis, , "bad stomach" and so on, thinking that it is irrelevant.
Little do you know that behind some "colds" with fever and vomiting as the symptom, there may be some thrilling and critical moments, and some people may even die because of this.
This is a 29-year-old courier. Until the moment he died, his family couldn't believe it, and his experience was even more scary.
"When doctors from the emergency department, cardiology department and ICU arrived one after another, the patient's wife realized that her husband was very ill."
The patient was 29 years old and a courier. She was busy with work. In addition, her wife gave birth to a boy with her second child. She was under a lot of pressure in life and didn't dare to rest for a day.
Half a month ago, the patient had a cold and fever, and his body temperature was 38.5℃. Due to work needs, he had to do nucleic acid every day. After excluding the possibility of new crown , he relaxed his vigilance and thought it was no big deal.
After going home from get off work, I took antipyretics and antibiotic , and my symptoms were relieved, but my body felt more and more tired.
on the third day of the onset of the disease, the patient developed symptoms such as nausea and vomiting. Because it was the season change at that time, the temperature difference between morning and evening was large, and I often ran outside, so I thought I was catching a cold.
Just like that, the patient still insisted on delivering express delivery.
Don’t persuade others to be good without the suffering of others. Maybe we can't empathize with it, so we can't criticize him for his carelessness, but it was this repeated neglect that eventually led to irreparable consequences.
On the morning of the fifth day, the patient felt obvious abdominal pain when he woke up, and suddenly lost consciousness and foamed at the mouth when he was about to brush his teeth.
This process is very short, only a dozen seconds later, and the patient began to have diarrhea.
The wife was frightened and took the patient to the town hospital. The examination showed that the patient's blood image, , leukocytes, and other indicators were significantly increased, especially the myocardial injury marker , which was as high as 39 (normal value should be <0.05).>
After seeing the examination report, the doctor felt that the condition was serious and suggested that the patient go to the superior hospital for treatment. Because the patient's symptoms basically disappeared at that time, the patient insisted on not being transferred to the hospital for treatment, because "I have a lot of pressure in my life and can't delay too long."
The doctor was helpless and said that it would be okay not to transfer to the higher-level hospital. He stayed for hospitalization and observation, but was still rejected.
The patient at this time seemed to be nothing wrong, but the god of death was approaching. If he knew the final outcome, he might regret his decision at this moment.
But in this world, the most useless thing is regret.
After leaving the hospital, the patient continued to rush around the streets and alleys. That night, it was almost time to get off work, but the patient lost consciousness again. By the time he was sent to the hospital, the patient's condition had reached a critical level, his blood pressure was very low, and the markers of myocardial injury continued to rise.
I happened to be on duty that night. At that time, I considered three possibilities, namely cardiogenic shock, myocarditis and severe myocarditis, so I received the patient from intensive care unit without saying a word.
Subsequent emergency coronary angiography ruled out arterial stenosis , and the patient was diagnosed with severe myocarditis, which is the very dangerous explosive myocarditis .
Cardiology department has begun to intervene. Although symptomatic treatments such as pressure boosting and non-invasive respiratory assistance support are carried out in a timely manner, it still cannot curb the worsening of the disease.
At 3 a.m. the next day, the patient began to breathe rapidly, his consciousness was indifferent, and his blood pressure was also decreasing. The ECG monitoring alarm was alarmed, and ventricular premature beats occurred frequently. The god of death was coming step by step.
Because the patient is too young and his condition is very critical and progresses rapidly, the doctors involved in the rescue and decided to enable ECMO (extracorporeal membrane oxygenation) support treatment.
At 7 o'clock that morning, ECMO was installed, and the patient's vital signs such as cardiovascular and blood pressure tended to stabilize. But this does not mean that the patient is safe. Sure enough, after a few hours of ECMO, the patient's heart contraction ability was weakening. By 18 pm that day, the patient's heart went on a completely strike, which means that the patient at this time completely relied on ECMO to support vital signs.
What is even more unexpected is that in the next ten hours, the patient's heart fell into the cycle of arrest -pulsation-stop..., and the number of arrests is roughly estimated to be as high as 40 .
Every pulsation and sudden stop of the heart makes the family members waiting outside the ward worry. Whether it is the family or the doctor, everyone hopes that a miracle will happen, but the miracle will not happen after all.
The patient eventually passed away, with concern for his wife and children, regret and reluctance.
Looking at his wife who was crying and fainting, and the children who were ignorant and didn't know what death meant, the doctors and nurses present were all feeling heartbroken.
But heartache cannot change anything. In the face of diseases, humans are often so small. If the patient hadn't been so careless, perhaps all this today would not have happened, but the most useless thing in the world is the "if".
Why is cold related to explosive myocarditis?
Extreme myocarditis, as an acute severe myocarditis with acute onset, rapid progress and poor prognosis, is mainly caused by Coxsackie virus, EV-71 virus, and influenza A and B viruses.
When the relevant virus invades the human body, the body will have corresponding symptoms, such as when it invades the respiratory system, it is a cold. When the virus enters the heart, once it attacks the cardiomyocytes, it will cause myocarditis .
Explosive myocarditis may cause acute heart failure or cardiogenic shock within a few hours or days. If not treated in time, the early mortality rate is as high as more than 75%.
These symptoms cannot be ignored!
Most patients with explosive myocarditis will have similar cold symptoms 1-3 weeks before the onset, such as fever, fatigue, nausea and vomiting, and muscle aches, which will then evolve into palpitations, edema, dyspnea, fainting, chest tightness, or sudden death.
Because many mild patients may have no relevant symptoms in the early stage, or the symptoms are relatively mild, they are easily misdiagnosed or misdiagnosed, and even think that it is a cold, which eventually delays treatment.
Therefore, if you have symptoms of fever, runny nose, etc., upper respiratory tract infection, and it is also accompanied by chest tightness, shortness of breath, difficulty breathing, etc., you should seek medical treatment in time.
