一个发展中国家的多重并发感染(丙型肝炎、戊型肝炎、伤寒和口疮)病例报告及其治疗挑战

M. Khan, Rabia Nawaz, Khadija Akhter, A. Ahad, Samyyia Abrar, Uqba Mehmood, Muhammad, Shahid, S. Sabri, Sana Sajjad, Marhaba Khurshid, Saad, Ahmed
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引用次数: 0

摘要

及时诊断多重感染,避免潜在的治疗并发症是很重要的。我们报告一个病例在这里与多重感染,承认ICU的私人医疗机构,为呼吸支持。入院时,他患有反应性戊型肝炎和丙型肝炎,疑似鹅口疮,急慢性伤寒伴头痛,发烧1个月,最近3天恶心,7天尿黄,呼吸困难。他接受了四天的治疗,之后在病情不稳定的情况下未经主管医生同意离开了医院。建议进行几项必要的诊断测试,但护理人员没有提供。不幸的是,在他出院一天后,电话随访带来了他不幸去世的消息。财务状况不佳、缺乏公共资金、护理人员缺乏意识以及对国家卫生保健系统缺乏信任,给卫生保健提供者带来了严重挑战,并导致发展中国家经常发生许多此类悲惨事件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case report of multiple concomitant infections (HCV, HEV, Typhoid and Oral thrush) and their treatment challenges in a developing country
It is important to diagnose multiple infections timely, to avoid potential treatment complications. We report a case here with multiple infections, admitted to the ICU of a private healthcare facility, for ventilatory support. On admission, he had reactive hepatitis E and hepatitis C, was suspected of oral thrush, acute and chronic typhoid associated with headache, fever for one month, nausea for the last three days, yellow colored urine for seven days, and difficulty breathing. He was treated for four days, and afterward, removed from hospital care without the consent of the doctor in-charge while his condition was not stable. Several essential diagnostic tests were recommended but were not provided for by the caretakers. Unfortunately, the telephonic follow up brought the news of his sad demise a day after his discharge from the hospital. Poor financial conditions, lack of public funding, lack of awareness amongst caretakers, as well as the absence of trust in the national healthcare system, pose serious challenges for healthcare providers and lead to many such sad instances quite routinely in developing countries.
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