Patient's question:
This is the medical record and test results from two visits. The child is three years old this year. On the evening of January 5th, around 7:30 PM, he said he had body pain. At 8:00 PM, his temperature was measured at 38.2°C, and he started drinking water for physical cooling. In the early hours of the morning, he had a fever again, with a temperature of 38.7°C. We quickly gave him fever-reducing granules and continued physical cooling, and his temperature slightly decreased.On January 6th, at 11:50 AM, his temperature was 39.1°C, and he drank fever-reducing granules again. It slightly lowered his temperature, but it wasn’t very effective. In the afternoon, around 4:30 PM, his temperature reached 39.3°C, and we went directly to a tertiary hospital’s pediatric department. The doctor prescribed him Delnor suspension for fever reduction. He took it at 7:30 PM, and about 30 minutes later, he broke out in sweat all over his head, and his temperature dropped. After the fever subsided, we went home directly.
Around 1:00 AM the next day, his fever returned to 39.5°C. On January 7th, early in the morning, we took him back to the hospital. The doctor checked his blood and prescribed Oseltamivir, a lung-cleaning Jiebei mixture, and an anti-inflammatory medication. At noon, the child took the medicine, but he still had a fever, so we gave him fever-reducing medicine again. In the afternoon, the child’s condition improved significantly, and he broke out in sweat. Following the instructions in a book, we did nearly an hour of acupuncture on him. Around 10:00 PM, he showed appetite for dinner, and his temperature didn’t rise again.
From the evening of January 6th at 7:00 PM, when he first took fever-reducing medicine, to January 7th, he took 4 milliliters of fever-reducing medicine every six hours, totaling five times. On January 8th, the child’s spirits were good, but he had already started sneezing and hiccuping. He felt very cold all over, as if he had been in an air-conditioned room for a long time in summer, with his skin feeling very cool to the touch.
Doctor, what could be the reason for this? His current temperature is 35.7°C. I was infected with a 39°C fever.
Doctor's answer:
I am very happy to serve you. Based on your description of the illness and the hospital test results, it is considered an acute respiratory infection with a relatively high level of contagion. Currently, the infection has not fully healed, and there are still symptoms such as hiccups and a runny nose. The body temperature is low, which may be related to the frequent and improper use of fever-reducing medication. It is recommended that the baby focus on oral intake of traditional Chinese medicine antiviral drugs, drink more water, pay attention to preventing colds, and eat more vegetables and fruits. If the symptoms improve, it is advisable to go to the hospital for a follow-up check-up.