Case 1045 in Hai Duong analyzed 14 times, suspected of virus mutation



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Case 1045 was evaluated as extremely complex, tested up to 14 times because they all gave suspicious results, so they had to do genetic sequencing to analyze.

Exchange with VietNamNetPham Duy Tuyen, director of the Hai Duong Province Center for Disease Control, said case 1045 Nguyen Huu T., 75, is a rather special case and has a very complicated epidemiology. So far, the authorities have not determined the origin of the infection with this case.

Mr. Tuyen said that in 2 days from August 30 to August 31, two samples were taken from patient 1045 but 14 tests were performed.

Specifically, on August 30, Hai Duong Provincial General Hospital took the first sample, the suspect test for the first time, the same sample was tested in another system that also did not give typical results.

The provincial hospital then sent the old sample and added a new sample of the patient’s oropharyngeal fluid to the Hai Duong Province Disease Control Center for retesting. However, the 3 tests here have yet to confirm the results.

1045 patients in Hai Duong screened 14 times with suspected virus mutation

Inside the SARS-CoV-2 virus culture room at the National Institute of Hygiene and Epidemiology. Photo: T. Ha

Patient samples continued to be sent to the National Institute of Hygiene and Epidemiology for 3 times and 7 tests at the Central Hospital for Tropical Diseases.

However, all 14 tests showed suspicious results. After consulting the Ministry of Health and agreeing between the parties, on the afternoon of September 2, the Ministry of Health announced Mr. T. as the 45th Covid-19 case in Vietnam.

“This is a difficult case, the result of genetic sequencing is not specific, so the Institute of Hygiene and Epidemiology continues to test and cultivate new techniques. This case confirmed the infection by the SARS-CoV-2 virus, but the strain had a certain mutation in the composition or structure of the genetic sequence, so it is necessary to continue determining if there is a similar structure to the strains that existed in Vietnam. more copies, ”Mr. Tuyen reported.

Mr. Tuyen also claimed that Case 1045 was not related to the cluster of cases at The World Fresh Cow restaurant in Ho Chi Minh City. Hai Duong.

According to Mr. Tuyen, Mr. T.’s family lived in the city. Hai Duong, but he has more houses in Gia Loc district. Since August 5, when the 751 disease case came, after he returned to his hometown in Hai Duong, Mr. T. he moved to his hometown entirely because he thought the city was at high risk of Covid-19 infection.

During the process of living in the countryside, the whole family of Mr. T. did not go anywhere, did not contact the neighbors, and sometimes his daughters came to provide food.

On August 19, Mr. T. showed signs of fever, headache, fatigue, and poor appetite. At first, his daughter bought antibiotics and brought her father’s fever back so he could drink. After drinking, the patient had a reduction in fever, less fatigue, but then fever again.

On the morning of August 27, his daughter took Mr. T. to Hoa Binh General Hospital in Ho Chi Minh City. Hai Duong visited. The doctor here gave a prescription to take home to drink, then the family invited 1 more doctor to the infusion house.

During this time, someone said that Mr. T. showed signs of suffering from “Laotian beans”, so he tipped at the home of a city resident. Hai Duong.

On August 30, when he saw that Mr. T. was getting worse, had a headache and was very tired, his family sent him to the Provincial General Emergency Hospital. With results of suspected tests and images of lung damage, on September 1, the patient was transferred to the National Hospital for Tropical Diseases for treatment of severe respiratory failure, requiring mechanical ventilation.

Patient 1045 has a variety of underlying medical conditions, such as an enlarged prostate and hernia of the cervical spine. Currently, the patient’s lungs are severely damaged, preventing superinfection with bacteria other than SARS-CoV-2.

“The family took Mr. T. to a medical examination in many medical facilities because they thought they were very careful, they couldn’t infect, they didn’t believe they had Covid-19,” said Mr. Tuyen.

In the early afternoon of September 4, Mr. Tuyen said that the test results of 24 cases of close contact with patient 1045 were negative for SARS-CoV-2, Hai Duong Province is still tracking .

Hoa Binh General Hospital temporarily stopped receiving patients for examination and treatment from September 1 and treated the entire hospital environment.

Thuy Hanh

The new Covid-19 patient in Hai Duong was very ill and received mechanical ventilation immediately after admission.

The new Covid-19 patient in Hai Duong was very ill and received mechanical ventilation immediately after admission.

This is a case with a very severe prognosis because the elderly patient (72 years old) has a pathological history such as an enlarged prostate, cervical spine hernia.

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