Patient's question:
A three-year-old child had a fever on Monday, with a temperature of 40 degrees Celsius at night. On Tuesday, they went to the hospital for a blood test. The test showed positive for Mycoplasma pneumoniae infection (two plus signs), but the flu was not detected! The doctor prescribed Azithromycin, Lung Cleansing Syrup, and Oseltamivir. By Wednesday, the fever was gone, and coughing was also reduced. On Thursday, Oseltamivir was stopped. Today is Friday, and the child is lethargic, came down after eating, and then went back to sleep.Doctor's answer:
According to your description, it is considered to be Mycoplasma infection, which can cause cough and fever, but generally, high fever is rarely seen. Therefore, the current situation suggests a co-infection with influenza and Mycoplasma. My suggestion is that for the child's current condition, it is likely caused by influenza, and it is recommended to check the electrolytes and liver, kidney, and heart function carefully. Azithromycin should be used according to the course of treatment. Then, further treatment should be carried out based on the examination results.