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Subject That's how Germany healed an Ebola patient without ZMapp (more professional approach)
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Original Message I thought you might find it interesting, inluding the description of symptoms

[link to www.spiegel.de]

I try to translate ( will be far from perfect though, sorry about that )


"Perilous infection: That's how the ebola patient in Hamburg recovered"

Extreme loss of fluids, followed by sepsis and severe lung problems: Doctors of the ebola patient in Hamburg now report for the first time how they managed to save the him.

Hamburg - The first ebola patient in Germany recovered without the use of experimental drugs like ZMapp, the university hospital Hamburg-Eppendorf (UKE) reports. However, the team of doctors and experts on infectious diseases write for "New England Journal of Medicine" that the 36 year old WHO employee suffered from severe complications.
Besides heavy dehydration the patient developed bacterial sepsis, he stopped breathing and he also suffered from impaired consciousness and hallucinations.

The man from Senegal was treated for five weeks at the special isolation ward of the hospital, he was discharged from hospital early October, recovered. Employees of the UKE, the Bernhard-Nocht-Institute (BNI) for tropical diseases and the German center for infectious diseases (DZI) now published their insights from his therapy.

He worked as epidemiologist in an ebola treatment center in Sierra Leone. That's were he got infected, very likely by an collegue. Ten days later he got sick, another ten days later he came to Hamburg.

"The patient's fluid balance was extremely disturbed, his digestive system affected", Benno Kreuels, doctor of UKE and author, states. Fluids and electrolytes could only be given via infusion: During the first day, 10 liter or more were required. Because of immensive diarrhea the patient lost from 4 to 8 1/2 liter fluids per day."

Severe complications

The typical ebola symptoms like diarrhea and vomiting already weared off after a few days, the viral load of the patient decreased. But due to a sepsis the condition of the patient worsened at the 13. day. The bacteria were resistant against different antibiotics.
The patient suffered from impaired conciousness and limited lung function. "Only the intensive care saved our patient", doctor for tropical diseases Stefan Schmiedel says.
The patient was given artificial respiration among other things.

The doctors assume, sepsis contributes to the many deaths in West Africa. Because of the ebola infection the intestinal mucosa is extremely inflamed, increasing the risk for sepsis.

Hamburg's patient was released 40 days after onset of symptoms - for at least 20 days no ebola virus could be detected in blood, saliva, sweat, stool, urine, tear fluid or conjunctiva of the patient. The medics learned a lot about the virus and the course of disease, says Marylyn Addo, head of the section for tropical diseases at the UKE.

UKE doctor soon helping in affected areas

The expenses for the treatment could sum up to about 2 million Euro, according to SPIEGEL information. The hospital management first estimated the costs for the treatment to about 300.000 Euro, but there have been unexpected expenses. The WHO promised to pay for the treatment expenses.

Doctor for tropical diseases Schmiedel soon will help out in West Africa. Wednesday he is going to travel for the organisation "Doctors without Borders" to Sierra Leone and will stay for three weeks, he stated thursday - to help out in a hospital, which is located at the center of the outbreak.
Treatment possibilities there are extremely limited due to lack of personnel. He doesn't worry to get infected by the dangerous ebola virus. "I don't have any fear, because I know how to protect myself from it".


Sorry for the bad translation, hope you can understand it.
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