Patient's question:
Child 1, who is 18 years old, has been experiencing monthly tonsillitis with high fever of 39-40°C since they started school. There has been no cough, runny nose, or frequent bowel movements during these episodes. What can be done? The symptoms often recur around midnight, manifesting as fever in the child's forehead, back, and neck. Trace element tests and health check-ups have been normal. The vaccination, which was originally scheduled for early February, has been postponed due to continuous illness.Previous Treatment and Outcomes:
- Late January: The child was admitted to Nanjing Children's Hospital for 5-7 days. After treatment with cefquinone and qinghaipu for inflammation, the fever subsided, and the child was discharged. CRP was 40. During this period, X-rays, CT scans, blood cultures, and ECG results were all normal.
- Early March: The child was admitted to Nanjing Mingji Hospital for 4 days. After treatment with azithromycin for inflammation, the fever subsided, and the child was discharged. Blood culture results were normal.
Allergies: The child is allergic to penicillin and cephalosporins.
Desired Assistance:
- To investigate the potential cause of the illness.
- To formulate a comprehensive treatment plan.
Looking forward to your reply!
Doctor's answer:
tonsillitis is the inflammation of the tonsils. in clinical diagnosis, it is divided into acute and chronic types, with the main symptoms being sore throat, fever, and discomfort in the throat. this condition can lead to local or systemic complications such as those affecting the ears, nose, heart, kidneys, and joints, so it should be taken seriously. the primary blood-borne pathogens of tonsillitis are based on hemolytic streptococcus, while other pathogens such as staphylococcus, pneumococcus, influenzae, and viruses can also cause it. erythromycin ethylsuccinate (ilung), a macrolide antibiotic, is more stable in stomach acid than erythromycin and is less likely to be destroyed by stomach acid, allowing it to fully exert its therapeutic effect.