Patient's question:
I noticed that my baby had a fever at 5 PM on February 1st, with a temperature of 38 degrees. It later rose to 39 degrees. After consulting a doctor, they suspected roseola and recommended physical cooling. I applied fever reduction patches to my baby, but there was no improvement. The temperature fluctuated, sometimes reaching as high as 39 degrees...Doctor's answer:
Those who benefit from it and are used to prevent work, diagnosis, and treatment of drugs, regardless of any route they enter the body, the adverse reactions they cause to the skin and (or) mucous membranes are called drug eruptions. It is a common disease in dermatology emergency departments, accounting for 8.7% of our hospital's dermatology emergency cases.Guidance:
(1) Etiological treatment: It is essential to identify the cause as much as possible. Immediately discontinue the allergenic or hidden allergenic drug and avoid using it for life. Encourage the patient to drink more water or receive intravenous fluids to accelerate drug excretion from the body. For drug eruptions caused by heavy metals such as arsenic and gold, chelating agents like dimercaprol (BAL) should be administered to chelate with heavy metal ions and excrete them through urine. The dosage of BAL is as follows: intramuscular anesthesia at 3 mg/kg every 4 hours for the first 1–2 days, then switch to every 6 hours on the third day, and continue twice daily for the next 10 days.
(2) Symptomatic and supportive therapy: The principle of treating severe drug eruptions is prompt treatment and early admission to the hospital for treatment. During hospitalization for close observation, enhanced nursing care and supportive therapy should be provided to prevent or treat secondary infections and avoid cross-allergic reactions.
1. Shock treatment and oxygen supply: For patients with anaphylactic shock, immediate subcutaneous or intramuscular administration of 0.3–0.5 ml of 1:1000 epinephrine is necessary. Patients with breathing difficulties should receive oxygen. If laryngeal edema has obstructed the airway, tracheostomy may be considered.
The above advice is for the issue of "infantile fever and Taierxin drug eruption." It is hoped to be helpful to you. Wishing you good health!