Halestrap Peter, Scheenstra Sue
Family Medicine Department, Africa Inland Church, Kijabe Hospital.
Afr J Prim Health Care Fam Med. 2018 Oct 25;10(1):e1-e3. doi: 10.4102/phcfm.v10i1.1811.
Over a five-month period, clinicians in Tana River County Kenya observed an increasing number of patients presenting to health facilities with a common collection of symptoms including fevers, joint pains and gum hypertrophy. After initial investigative and management strategies failed to reveal a diagnosis, patients were empirically commenced on ascorbic acid for presumed scurvy. This strategy resulted in the rapid resolution of symptoms in 65 patients within two weeks.
在五个月的时间里,肯尼亚塔纳河县的临床医生观察到,前往医疗机构就诊的患者数量不断增加,这些患者有一系列常见症状,包括发烧、关节疼痛和牙龈肥大。在最初的调查和治疗策略未能明确诊断后,鉴于推测为坏血病,医生让患者经验性地开始服用抗坏血酸。这一策略使65名患者的症状在两周内迅速得到缓解。