My younger brother always has a fever and shivers all over whenever he gets one. What should I do?

Patient's question:

My brother always has a fever, and whenever he has a fever, he shivers all over. He has been thoroughly examined at home hospitals and also in Guangzhou hospitals. For a while, he got better, but now he has a fever again. He has been transferred to the Changsha Children's Hospital, but the doctors still can't find the cause and will have to start the detailed examination all over again. His temperature is usually around 39.5 degrees.

Doctor's answer:

We refer to a body temperature below 39.0°C as high fever because the recurrence of shivering with high fever can be seen in two situations: one is chills, which manifest as a feeling of coldness and trembling all over the body, and the other is generalized tonic-clonic seizures accompanied by loss of consciousness, known as high fever convulsions. Please first verify at the hospital whether it is chills or high fever convulsions. If it is chills, only active measures are needed to identify the cause of the fever and promptly treat the underlying condition. If it is high fever convulsions, it may be harmful to the brain and requires active anticonvulsant treatment, as well as treatment for the cause of the fever.

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