What is the reason for a child's fever with cold hands and feet but a feeling of not being hot on the head?

Patient's question:

Please ask what is the reason for the child's fever with cold hands and feet, and feeling unburnt on the head? She always has a fever around 12 o'clock at night. Usually, she is quite healthy! Treatment history and effectiveness: She came home this morning after receiving an intravenous drip and has a fever of 38.6. What help do you want: I want to know what is the reason.

Doctor's answer:

In this case, where a child has recurrent fever, it is first necessary to seek medical attention to rule out Kawasaki disease, as this condition is primarily characterized by recurrent fever and primarily affects the cardiovascular system.
For a child with fever, physical cooling methods should be used first, such as wiping the armpits, groin, and other areas with lukewarm water. When the temperature drops below 38.5°C, additional antipyretic medication can be administered. This approach is both safe and effective with minimal side effects. At the same time, it is important to encourage the child to drink plenty of fluids, get adequate rest, and closely monitor their symptoms. If the child also exhibits symptoms such as coughing, phlegm, runny nose, or nasal congestion, further anti-inflammatory and antiviral treatment may be necessary.
The above advice is for the question "Child with fever but cold hands and feet, feels feverish on the head." I hope it helps. Wishing you good health!

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