Patient's question:
Director, a week ago in the morning, the child came down with ear pain and a low fever. They went to the hospital and were diagnosed with otitis media, received intravenous fluids, and had blood tests. The white blood cell count was 23, with 87% neutrophils, and C-reactive protein was normal. They were given cefatrizine and moxifloxacin sodium/sulbactam for four days, but still had some ear pain and low fever. They then returned to their hometown and saw a doctor, who conducted another blood test. The white blood cell count dropped to 13, but the C-reactive protein increased to 14.9, indicating still some inflammation in the ear. They were then given cefuroxime sodium and heat-toxin Ning for three more days. Over the past two days, the fever has subsided. Today was the last day of saline infusion, and in the afternoon, they felt weak. Upon checking, they had a high fever with a temperature of 37.8, and their lips were dry. They didn’t want dinner, and in the evening, they complained of a sore throat. They went to the hospital again for another blood test, and the white blood cell count rose to 16. How come after a week of intravenous fluids, the condition is still like this?Doctor's answer:
A four-year-old child with otitis media has high white blood cell counts in their blood test. Previously, they were given cefotiam and moxifloxacin for four days to reduce inflammation, which led to a decrease in symptoms and a significant drop in white blood cell counts. After returning to their hometown, they received cefuroxime and Red Hot Poison for three days. However, on the last day, they developed a fever, poor mental state, sore throat, and poor appetite. This indicates that the condition has returned with fluctuations. It is recommended to test for Mycoplasma pneumoniae antibodies and pay attention to Mycoplasma infection. If Mycoplasma infection is diagnosed, antibiotics such as azithromycin or erythromycin should be used to treat the inflammation.