ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事

ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事

Der Spiegel
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E.coli
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Doctors say such a thing they had ever experienced. Authorities remain silent spokesman. Patients complain of panic and uncertainty. The Ehec outbreak has put many clinics in northern Germany in a state of emergency.

 For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. The Regional Hospital on Saturday Pinneberg, Hamburg commuter belt in consultation infection: More than 40 patients come, as every day, most will test positive for EHEC. For two weeks worked by the workforce, up from some 7 23 clock. Two complete stations now serve as an isolation area. "We have never experienced anything like it," says the assignment manager. And the Director. And the care manager. And the doctor at the emergency room for more than 20 years.

DISPLAY A professor of internal medicine, renal specialist at another clinic hesitates when he is asked when he was the last time something like Ehec. The comparison he would not even dare, you should write about it rather not. But that would be the polio epidemic. More than 50 years, since he was still in high school.
Was still no cause for panic, he said. But for concern. Each flu meet more people that would say so. But the flu meet old, already weakened, however, catch this disease young people, pattern: woman, young, intelligent, and as I call it? Health conscious.
1428 people in Germany have the world since early May with one of the worst outbreaks Ehec infected with the bacteria, most of them in northern Germany. 573 patients have developed the dangerous hemolytic-uremic syndrome (HUS) - 70 percent of whom are women. In some hospitals there were already shortages. It is still a mystery where the people infected with dangerous pathogens.
In the hallway outside the office hours in the hospital Pinneberger all seats are occupied, some are. Inside, doctors take blood from arrange the specimen one, calm down, explaining that reference. Can I work? What about my family? Can I have a sunbed?
Outside, some patients complain about the media, will once again made a lot of panic, every year you think of something new. It's funny, SARS, swine flu, bird flu, and now, clearly, in the silly season. And nowhere is that one of Ehec also could simply just get diarrhea, and that's it.
"Worse than the swine flu"
As the friends react to the diagnosis? A young blond woman laughs briefly. But it no longer come to visit, and they would not even invited. "We are all outlawed, including children, I think it's cruel." You could even people there do not even blame them. "We just have our peace," growled her husband, but what was with her child, she wonders, do they take it on the arm, press again?
Another young woman sitting next five places, she was already quite mad, she says quietly. For two nights she had not slept. At home, she had a baby, she had Ehec what it should do it now? In one hospital it was said, immediately disconnect and isolation. Nothing to do: In the other: weaning, in the third. "Nobody knew what had happened to the mother's milk. This is much worse than swine flu," she says.
Her it was not noticed that she was infected with Ehec no blood in stools, no diarrhea, it was not that bad. They've struck a bit of felt, but the disease was first noticed in a routine blood checks. "That surely means that very many people can have who do not know. Scary, huh?"
Subclinical course that means in technical terms - and is a known phenomenon from a medical point of view. But that is no comfort for the patient precisely.
"Do you have any other idea that could arise where your condition?"
"Dear Madam, dear Sir," it says on the questionnaires from the health authorities who had to fill the young woman, "you is a disease occurred, which was (probably) caused by bacteria called Ehec. This is a special type of E. coli bacteria. over the transmission routes and sources of infection for these bacteria is Ehec been very little known. "
Then come questions like: "Have you eaten in the week before the start of your diarrhea raw tomatoes, if so, how often Purchased call market / farmer's market, please, including district, state names, if any?." Same for the mozzarella, asparagus, goat and sheep cheese, cucumber salad, raw carrots, green salad, ground beef and strawberries. Item 12: "Do you have any other idea that could arise where your condition?" Many speculate all day if they are on isolation. Watching television for distraction is pointless, says a young couple who have just released. Because the television run so well Ehec. Just trying to figure out whether they can work, even though they have to do with food. Packaged candy, retail.
"So far, very little is known": Much more, no one can tell, no patient, no doctor, no speaker authorities, no newspaper. The crisis management by the authorities has already come under criticism. "The Ehec cases are well supplied, the system works. But the Robert Koch Institute in its information policy is very economical. The document indeed very good cases, but you get to not know what they are about to find the source of infection ", says Ulrich Frei, medical director of the Charité. A spokeswoman for the Robert Koch Institute, sighs, yes, unfortunately they could let in anyone, even at the head of the ARD have hesitated.
Disease can cause personality changes
A strange disease is it, in at least everyone agrees. Maybe it's the weirdest that the pathogen belongs to the most trivial of all species, of which every man has a few billion in the gut: E. coli bacteria. For more than a hundred years umforscht, "The most famous bacterium" is a book about them.
But only certain strains trigger a disease that can in severe course of diarrhea lead to renal failure, personality changes, and to death within a few days.
Of aggressive patients report neurologists, from confused, of sad, even from a patient with locked-in syndrome, a woman with retained consciousness, but paralyzed almost completely, and another who speak can not anymore and the only salivary runs from the mouth.
The most severe cases with HU's syndrome are at the Hamburg University Hospital Eppendorf, in the ICU on the first floor. A young man comes down the hall. Behind him, a meter-long painting hangs from the ocean. A picture, as they often depend on where it is no longer felt like family to Ocean. Somewhere behind his girlfriend, 26 years is old.

indicator calculated on Friday the 13th May have started it. Since they still skyping. Of abdominal pain, she said, but since you'll join first from gastrointestinal stories. Then, blood in stool, was dismissed by taxi at night in the university clinic. Ehec then would still have been an issue. Then, the correct diagnosis by general practitioners, training, dialysis, plasma exchange, antibody treatment.
"Two or three times the point was reached where I thought the exitus is there now," he says. When his girlfriend was there, where one only comes with mask, gown and gloves, so disoriented and have found the wrong words. Since she had withdrawn into a world of anxiety, he says, and then it got worse. Now she is back in the old head, fortunately.
She was healthy, always healthy, no pre-existing conditions. Of course they ate tomatoes and cucumbers, but if that was the cause should, then half of Hamburg are not here?