What should I do if my child's fever doesn't go down after an intravenous infusion?

Patient's question:

A six-year-old three-month-old boy, coughing with phlegm, has had a fever since November 21, with a high temperature of 39.5 degrees. On the 22nd, he went to the hospital for diagnosis and was found to have a sore throat. He received intravenous penicillin and cefalexin. After the infusion on the 22nd, his temperature remained high, but by the 23rd, it had dropped to over 37 degrees. By the 24th, his temperature returned to normal, and his spirits and appetite were good. However, in the evening of the 24th, while walking with his mother to the market, he suddenly coughed and spat out white foamy phlegm. By 8:00 PM that evening, he began to fever again, around 39 degrees. It is unclear whether this is related to going out in the evening. Additionally, his mother is also coughing, and with many sick children in the hospital, it is uncertain whether there has been cross-infection. The latter, he was originally infected with a respiratory infection.

Doctor's answer:

It is recommended to actively seek hospitalization for treatment. A body temperature of 39 degrees Celsius or higher is considered high fever. If limbs feel cold during high fever, chills are likely to occur, and the fever may be difficult to subside. Excessive sweating indicates that the body temperature is starting to decrease, so it should be closely monitored. Considering that antipyretic drugs take time to take effect, if fever is detected, taking a bath after taking antipyretic medication can accelerate the fever-reducing effect. Common antipyretic drug ingredients (acetaminophen, ibuprofen) can be selected from one of them. If high fever persists and accompanied by convulsions or poor mental state, it is necessary to seek medical treatment at the hospital.

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