Sunday , June 13 2021

Altikon / Winterthur: "I thought I had lung cancer – but it was a rabbit plague" – at the national level

There was a shadow of the lungs. "It does not look good," said doctors at the Winterthur Cantonal Hospital to Walter Bachmann of Altikon. There was a suspicion of lung cancer. The 60-year-old farmer and forest warden from the country for wine, pulled the ground under his feet. "I did not see any future from one moment to another, suddenly everything was down." Bachmann smoked for nearly 40 years. It therefore seemed to him quite credible that there could be lung cancer. That's four years ago. But the feelings of that time are still present. He still remembers how he felt at home just hours earlier that day. After the shower, he himself should be depleted on the bed. "I was completely done," says Bachmann. When he had a temperature of 40 degrees, he felt severe chest pain and could barely breathe, he called his family doctor. He advised him to go to hospital immediately, done by Bachmann.

Long time of uncertainty

From there began a long period of uncertainty for him and his wife. An investigation followed another. And even if you have not found cancer cells, suspicion of lung cancer could never be completely removed. "We never cried as much as this month," recalls Bachmann Beatrice's wife.

"We never cried as much as this month."Beatrice Bachmann

After these four weeks, finally, redemption, good news: It's not lung cancer, it's a pneumonia caused by a rabbit's plague, which can be cured. "We were totally free when we heard this and thanked God," said Beatrice Bachmann. To find such a rare disease, it takes time, he says, looking back. "We Can Be Happy, In Blood" Dr. House, "which encountered rabbit-infected bacteria."

Her husband was given high doses of antibiotics for several days; Only a short time later he was already much better. There was no lasting harm. Bahman fully recovered from his illness. In addition, he was able to get something positive from the difficult days: "Infection now immune me to rabies forever."

Hasenkot as a reason?

But how did Bachmann get infected? It is clear that even a few pathogens can cause disease, that the incubation period is usually only a few days and that many pathways for infection can in principle be assumed (see also box below). The Weinländer farmer assumes that he inhaled the bacteria through the best dust particles, which were stimulated by barley barley straw. These bales can be contaminated with rabbit or feces of mice.

"Why there is an above-average number of rabies cases in the districts of Winterthur and Anderfingen can not be said with certainty."Nadia Shurch, Laboratory Spies

Walter Bachmann later learned that a similar drama is happening on a farm just half a mile away. "A nine-year-old boy fell ill at the same time as I with a plague."

KSV has dealt with many cases

The fact that there are many hot spots in the districts of Anderfingen and Winterthur for many years with an increased risk of contracting the plague of the rabbit (see the map below) are also shown by figures published by Cantonal Winterthur Hospital compared to Landbote. "Since 2007, PSV infectious diseases have been treated with 29 cases," says Urs Karrer, head doctor of the Medical Polyclinic at the SSW and a specialist in tularaemia, as the scurvy plague is termed.

Plague plague infections in humans. Source: © swisstopo (JM100004) / paper, picture: mt / da

Most commonly, patients with rabies disease in SWF had flu-like symptoms, such as fever, sweating, and headache, "followed by severe swelling of the local lymph nodes." In some cases, the affected lymph nodes have to be surgically removed, says Carré. Patients were treated partly as outpatients, and partly as in hospital. However, serious rabies cases were also frequently reported in CSW (43 per cent of all cases). Patients suffer from high fever, fever, headache and pneumonia. For treatment with intravenous antibiotics, they stayed up to seven days in the hospital. Carer admits that sometimes it may take some time "until the diagnosis is made and proper treatment has not been initiated." Although the rabbit puzzle in Switzerland is practically never fatal to people, it's something but safe. "In 2012, we took care of a patient who had a very difficult history," Carre recalled. "This patient is likely to die of tularaemia without proper treatment."

Infection often occurs through ticks

For a long time, it is assumed that the transmission of humans occurs primarily through direct or indirect contact with diseased animals (rabbits, mice, etc.). In the past, mainly hunters or farmers were affected. However, a recent study suggests that ticks are the most important source of infection in Switzerland. Their bites are responsible for about 60 per cent of cases.

Researchers believe that an increase in rabies can be associated with global warming and altered recreational behavior. "But why there is an above-average number of rabies in the districts of Winterthur and Anderfengen, can not be said with certainty," explains Nadia Schurh, head of bacteriology at the Spiez Laboratory. "One hypothesis, for example, is that ticks find better conditions in these areas than elsewhere." (Landbote)

Created: 11/20/2018, 16:26 h

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