Patient's question:
I am a general practitioner. The patients I have seen recently are all school-aged, and their symptoms are largely the same: fever, nausea without vomiting, swollen tonsils, and no obvious pulmonary signs. Antipyretics do not lower their temperature, and antibiotics are not effective. Laboratory tests: Blood test: High WBC, Chlamydia pneumoniae is either positive or negative. For those who are positive, azithromycin works, but others are quite difficult. We are from a district-level hospital and would like to ask your higher-level hospital if you have encountered such patients and how to handle them.Doctor's answer:
Currently, surgical removal of the tonsils remains the primary treatment method, but it is important to reasonably determine the indications. Moreover, surgery is not absolutely safe and may sometimes lead to postoperative complications such as dry throat, pain, and discomfort. Surgical intervention should only be considered when the inflammation has already developed into irreversible changes.Acute tonsillitis in children poses significant harm to patients. It is recommended that patients seek timely medical attention from specialists and follow the doctor's guidance for treatment. Daily activities can be appropriately resumed, but attention should be paid to preventing excessive heat in the body. We hope the child can recover as soon as possible!