ირინკა დიდი მადლობა 😘
Sent from my iPhone
> On May 2, 2018, at 21:31, Irinka Tskhomelidze wrote:
>
> Dear Karla,
>
> Hope this e-mail finds you well;
> I'm writing this letter because we really need your help. You're the person I think who can support us;
> you remember Eka Adamia from Ministry of Health her close relative (Son of her husband) born 14/05/1994 was diagnosed with Cerebral edema, ICD-10-CM Diagnosis Code G93.6, Acute respiratory failure, J96.0 couple of days ago ; Of course he is already diagnosed and on intensive care but we would appreciate your (and other experts opinion maybe Neurophysiist) of course if you can discuss it with your colleagues we will really appreciate your help because, this is all so new to her and she and her family feels that a second opinion could help and make sense of everything;
> Disease started with Diarrhea and followed by repeated vomiting and headache without temperature after several days 29.04.2018 vomiting became more regular and headache was followed with temperature 40 degrees and psychomotor acceleration; patient was hospitalized and is on intensive care with the diagnosis of meningoencephalitis; 3 weeks earlier patient had vomiting and pain in the epigastrium area also had a dry cough gastrophibroscopy was performed there was no organ lesion, also lung auscultation was performed and there were no signs of pneumonia;
> Day later 30.04.2018 11:00 patient required nasotracheal intubation on A-V/C regimen;
> Bacteriological analysis of bone marrow was performed and no bacterial culture was sown, as for serology Procalcitonin was negative as well as simple herpes virus analysis were negative; Attached please find other diagnostics performed mainly the names are in Latin;
> Doctors started treatment with “Pospenem” “Likacin Moxitec; Patient was examined by phthisiologist and because of protein-celluar dissociation isoniazid (INH) and rifampin (RIF) were prescribed; additionally Manitec, Furosemid, protective vitamins for stomach;
>
> Currently patient is on the remote respiration and sedation is performed overall condition is severe;
> Sorry for disturbing you and Thank you in advance I’m adding Eka and Please let us know if you have any additional questions;
>
>
> --
> Best regards,
>
> Irina Tskhomelidze,
> CDC South Caucasus Office
> 9 M. Asatiani str. 0177 Tbilisi,Georgia
> Tel: (995 598 708 807)
>
>