If one day, you wake up in the morning and find yourself unable to move, it is more terrible than the collapse of the sky.
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Recently, at the age of 26, Xiao Yu experienced this terrible moment. Within a month, he went to see doctors everywhere, but couldn't find the cause. Finally, the doctor finally found the key to the problem, which was actually related to the two wisdom teeth he had pulled out before
Unable to get up after waking up
26 year old guy has been lying for a month
Xiaoyu, who lives in Xiaoshan, is 26 years old and runs a shopping mall. He is usually busy but has a sense of achievement. The calm was broken on a day in early October.
That afternoon, Xiao Yu felt pain in his waist. He thought that he was too tired to work and walk too much, so he lay down early. Unexpectedly, he couldn't get up after lying down! The next morning, his waist began to ache violently, and he could not get up at all, let alone walk. Xiaoyu's mother was so frightened that she hurried to accompany him to the nearby hospital. The results of the orthopedic MRI examination showed that Xiao Yu had a mild lumbar disc herniation, and the doctor prescribed painkillers and ointment for him.
The painkillers did not play a real role. Xiao Yu's condition became more and more serious. He could not get out of bed at all. He also had repeated fevers. His body temperature rose to 39 ℃ at any time, and he could not eat food. A good young man has been lying in bed for a month and lost a lot of weight!
In this month, accompanied by her mother, Xiao Yu went through many hospitals and departments, but never found the cause. Finally, the local hospital diagnosed him as sacroiliac joint damage caused by ankylosing spondylitis, and introduced him to the Rheumatology and Immunology Department of Hangzhou First People's Hospital.
In the first hospital of the city, Huang Jiao, the deputy chief physician of the Rheumatology and Immunology Department, received Xiao Yu. Xiao Yu could hardly walk upright in front of him, and his sacroiliac joint was in severe pain. He barely moved one or two steps with his mother's help.
Peel the cocoon layer by layer and finally find the truth
Looking at Xiao Yu who was almost collapsed, Huang Jiao also felt strange. Patients with ankylosing spondylitis usually have sacroiliac arthritis, and the main symptom is lumbosacral pain. Although Xiao Yu's low back pain is consistent with part of the symptoms of ankylosing spondylitis, Huang Jiao's attention was drawn to his repeatedly rising temperature. In general, ankylosing spondylitis is not accompanied by fever, then, where is the root cause?
A series of examinations later confirmed that what Xiao Yu suffered from was suppurative sacroiliac arthritis. Suppurative arthritis is a rare condition of sacroiliac arthritis, which can be caused by various reasons, such as fatigue, trauma, blood flow or local infection.
Could it be caused by blood flow infection? A series of inspections later confirmed Huang Jiao's conjecture. Chest CT showed that Xiao Yu had lung infection. Further examination found that he had streptococcal infection in his lungs. The answer was revealed that Xiao Yu's purulent sacroiliac arthritis was caused by infection, and the infection was serious and spread all over the body. After that, the doctor gave Xiao Yu antibacterial treatment. Xiao Yu's condition soon improved, his temperature dropped, and his low back pain gradually alleviated.
In less than a week, he basically recovered, got out of bed and walked normally, and soon recovered from hospital.
The aggressive disease was caused by tooth extraction
Xiao Yu himself was surprised that he was in good health at ordinary times and had no trauma recently. Where did the infection come from? Huang Jiao found the reason after repeatedly asking Xiao Yu about his medical history. It turned out that two weeks before the onset of the disease, Xiao Yu pulled out two wisdom teeth. According to Xiao Yu's recollection, he often stayed up late at that time. On the day when he pulled out his teeth, he had been bleeding and sore for several days.
Huang Jiao judged that Xiaoyu's unexplained systemic infection was basically related to the tooth extraction. How can pulling out wisdom teeth lead to systemic infection? Dr. Huang explained that the infection was mainly caused by the common bacteria in the mouth, such as streptococci that entered the blood through the wounds left after tooth extraction and spread to the whole body, causing infection.
After tooth extraction, the symptoms of local infection, including swelling, pain and bleeding, are generally easy to appear. More than one bleeding indicates that there may be local infection or inadequate hemostasis. Infection after wisdom tooth extraction is related to the patient's poor resistance and wound infection after tooth extraction. If there is systemic spread, it will lead to continuous fever.
For this reason, doctors remind that special care should be taken when extracting teeth, especially wisdom teeth with high difficulty. Some special times and people are not suitable for tooth extraction. For example, women should avoid tooth extraction during menstruation, while people with serious cardiovascular diseases and hypertension above 180/100mmHg should also be particularly careful about tooth extraction. In addition, some patients with blood diseases should consult a doctor before proceeding. For normal people, tooth extraction should also be postponed when their immunity is low, such as staying up all night, catching cold, etc. In addition, people with dental diseases should pay special attention to their local bacteria.
It should be pointed out that tooth extraction should go to a professional hospital for standardized tooth extraction. For difficult tooth extraction, the morning should be selected as far as possible, leaving enough time for observation and treatment. In case of an accident, it can be handled in time.
Orange persimmon interaction reporter Yu Xixi
Correspondent Li Xu
key word: Sacroiliac arthritis
Ankylosing spondylitis
Systemic infection
