Vietnam hospital saves Dutchman with severe gout complications

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An international hospital in Ho Chi Minh City said Sunday it has saved a Dutch patient who had maggots in a tophus (acid deposit) on his forehead, a sign of advanced gout.

The Dutchman, identified as Otobankens, was admitted to the Vu Anh International General Hospital in Go Vap District with weak pulse, high fever and severe shivering.

He had a tophus 15 centimeters in diameter on his forehead, which was smelly with many maggots, and several others on his elbows and knees, doctors said.

Doctors said the tophus on the forehead had been infected. It was cleaned and treated with antibiotics.

Nguyen Thi Thu Ha, the doctor directly in charge of the case, said the man's condition has been stabilized after four days of treatment. His fever is gone and kidneys have resumed normal functioning, she said.

The man will undergo a surgery to remove his forehead tumor and have a skin transplant later.

Doctor Ha said the case was a very rare one with such serious complications.

The hospital has covered all the medical fees as no one has showed up as relatives of the man and he had no health insurance, she said.

"We are trying our best to save him and have contacted the Holland consulate so they can support him as soon as possible," Ha said.

More details about the patient and how he happened to come to Vietnam in such a condition were not available immediately.

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