爸爸上月初从国内来看望我,上周日到外面逛了半天可能天气太热,也有可能被我的小
娃从幼儿园带回来的感冒病毒传染(小朋友上周有流鼻涕和咳嗽)。周一开始我爸爸就
不舒服,周二我们发现他发烧到102多一点(不到103),然后给退烧药,但药效一过体
温又上来了(到102),这样反复了几天。每次药效过了(大约管用8小时)就开始发烧
会头痛头晕也会发冷,严重的时候冷得发抖,给了tylenol或morton后,药效来了就开
始冒汗,体温恢复正常。发烧的前两天说有肌肉酸痛,之后几天没有。其余没有别的症
状,没有喉咙疼流鼻涕咳嗽喷嚏,也没有其他部位的疼痛等。昨天上午带去clinic看病
,医生检查了耳鼻喉也听了心肺测了血压,可能也摸了下淋巴腹腔,没发现有什么问题
,后来做了如下尿检血检:
u/a auto w/micro (说是检查有没有尿道炎)
CBC, DIFF (血细胞检查,说是查是细菌还是病毒感染)
Comprehensive Metabolic Panel (血生化,能查糖尿肝脏功能等)
结果是没有尿道炎,各项血细胞指数都正常,但从血生化和尿检查出糖尿以及可能有肝
炎。去年国内体检的时候糖尿水平已经接近临界值,现在可能因为不是完全空腹(早上
8点吃过粥,中午12点测的)也可能真的开始糖尿病了。肝炎国内也测过是谷丙酸铵转
肽酶超标但据说是不会传染那种,也可能是现在变差了。但我昨天特地问了医生如果是
糖尿病会不会导致这次发烧,她说不会。她今早回复的邮件说可能是病毒感染,而不是
细菌感染,所以没给开药。
现在已经烧第6天了,我很担心。他在国内从来没有这么烧过。每次都是有点发烧,要
不去医院打个针,要不吃点退烧药出一身汗一两天以内就好了。可能两三年才去趟医院
看病的样子。这次看着他这么辛苦快一星期了,自己什么也做不了,也不知道要不要用
其他的药,好难过。想问一下这里的朋友,看看还有没有其他原因导致烧了这么久都不
退,如果有其他可能,或者有什么药可以让烧退了的,我会再带他去看病开药的。医生
的邮件贴在最后。先谢谢大家了!
His white blood cell count was normal; this means a viral infection is more
likely than a bacteria. I hope he is feeling better and that his fever has
gone down. There is no sign of infection in your urine.
It does appear that you have diabetes. Your random blood sugar was over 200,
and your sodium was a little low. Your kidney function is normal, which is
good. I would recommend having this further evaluated, preferably here to
avoid any complication, or immediately upon your return to China.
Your liver function tests are elevated. I am not sure if this is due to this
illness or a more chronic issue. I am wondering if he has been tested for
Hepatitis B? This should be rechecked with additional testing done, either
here or in China. I would be more than happy to see him back in clinic for
this.