Patient's question:
A two-year-old baby has had a persistent cough with phlegm for over 20 days. They have been taking antibiotics, including cephalosporin medications, and have also received intravenous fluids for two days. Now, there is a significant amount of phlegm in their throat. A chest X-ray revealed bronchitis, and a blood test showed normal white blood cell counts. Currently, I don’t know what to do. It’s winter, and I wonder if they caught a cold at night or if they frequently take off their shoes. I asked at the local city hospital if they could prescribe an electric blanket or a heating pad, and they did. However, after stopping the use of both the electric blanket and heating pad, the condition hasn’t improved and may even be getting worse. I want to know what the symptoms of Mycoplasma pneumoniae are. Can one get Mycoplasma pneumoniae without having a fever?Doctor's answer:
Considering there may be a certain relationship with lung infection, it is recommended to observe the color of the sputum. If it is white, it could be a common gastrointestinal infection. However, if the sputum is red, yellow, or green, it is advised to conduct sputum culture and drug sensitivity tests, as it may indicate a more severe bacterial or viral infection. Based on the culture results, the use of antibiotics can be determined. Appropriate use of expectorant medications, such as ambroxol, can be considered. Additionally, therapy can be used to aid in treatment.