Got in Satan's halitosis with no escape, earnestly struggling for air. That is how it felt trying to dissect this medical mystery.
A Wedding, a Pandemic, and the Lessons in Between
After a beautiful wedding ceremony, Mr. X began to feel an unexplained eeriness. His temperature rose gradually until he was boiling hot, and his bowels began to spew their contents with the rapidity of a tornado. His whole world suddenly changed. Instead of enjoying his honeymoon, he was confined to the four corners of a hospital room with IV medications connected to his veins.
The Unfolding Mystery
From then on, things went from bad to worse. The very next day, Mr. X had reddened eyes, and on auscultation, a diastolic murmur was heard. His blood pressure was dropping by the second, necessitating a dobutamine infusion for days. It was clear this was not a simple case of enteric fever. There were more questions than answers.
A diagnosis of viral hemorrhagic fever was being contemplated, with the Marburg virus as a leading concern, as it had recently been confirmed in Ghana. It was a Herculean task to get his sample to an accredited facility for proper analysis. Although, in this case, it turned out not to be Marburg, the experience revealed significant gaps in our healthcare system.
A Deeper Dive and a New Perspective
Somehow, there was a solution to it all. An echocardiogram revealed that he had viral myopericarditis. A deeper dive into his history revealed that he had been diagnosed with Covid-19 two months prior, and he was now suffering from post-Covid complications.
More than ever, Covid-19 has shown the grueling impact of a pandemic and the essence of having a robust disease outbreak response. Undeniably, its roar and subsequent backfired triumph led to better advances in public health.
Moving Forward
Our disease outbreak response should be nothing but top-notch. With the advent of Digital Disease Detection (DDD), sequencing of viral genomes, and rapid diagnostic tests, we should be singing a different tale.
On July 23, 2022, Director-General Tedros Adhanom Ghebreyesus, PhD, declared the monkeypox outbreak a Public Health Emergency of International Concern (PHEIC). This was a step in the right direction, given that it took so long for SARS-CoV-2 to be declared a public health emergency.
Knowledge is power, so be aware and stay safe!