Patient's question:
A seven-month-old baby has had a fever for a whole day and night, with a high of 39.4°C. The fever reducer only slightly lowered the temperature, and it keeps coming back. Even after taking cefixime and oseltamivir for a whole day, the fever is still there? Please help me take a look at what's wrong with the report.Doctor's answer:
The reasons for children developing high fever are often considered to be bacterial or viral infections. Fever is a common symptom in pediatrics, categorized into infectious and non-infectious types. Children more commonly experience infectious fever. If a child's blood test shows normal white blood cell count but slightly elevated C-reactive protein (CRP), it suggests a viral or mycoplasma infection. If the child still has a fever two days later, oral azithromycin is recommended, along with rest and dietary adjustments. Avoid spicy and irritating foods. A decrease in C-reactive protein indicates a bacterial infection, and active anti-inflammatory treatment should be administered.