A 3-year-4-month-old child has been having intermittent fever since the New Year's Day of this year.

Patient's question:

The child has been experiencing intermittent fever since the New Year's Day of this year. On the 4th, they went to the hospital and were diagnosed with bronchitis, prescribed Aqiqunhunchong oral liquid for three days. On the 7th, the follow-up visit suggested that it was almost bronchopneumonia, and they were prescribed intravenous ceftriaxone and Andrographis paniculata for three days. The child seemed to be doing well at the time, so the doctor did not recommend a follow-up visit. After a day of rest, the child started fevering again at night and went to the hospital the next day. After an X-ray, they were given intravenous fluids, still with ceftriaxone and Andrographis paniculata for three days. After the follow-up visit, the doctor said there were no problems in the lungs, but the tonsils were still slightly red and swollen, so they were given another two days of intravenous fluids without a follow-up visit.
On the 16th, the child rested for a day and seemed normal, except for sweating at night and complaining of leg pain while sleeping. After taking calcium supplements, the pain subsided. However, on the 17th at 4:00 AM, the child started fevering again, still sweating, and could not clearly describe what was wrong, only asking to be rubbed on the stomach, legs, and arms.
Previous Treatment and Effects: The child was given intravenous fluids for five consecutive days.
Desired Help: Please advise experts on how to proceed in this situation.

Doctor's answer:

According to your description, your baby's symptoms should be a manifestation of bronchitis triggered by a deficiency in trace elements. The previous treatments may not have been thorough enough, or it could be that your baby's immunity is indeed very weak, leading to frequent infections that result in bronchitis. The most common pathogens causing bronchitis are Staphylococcus aureus, Streptococcus pneumoniae, or viral infections. This requires specific and careful examination to determine.
Besides, you mentioned that after your baby took calcium supplements, the pain stopped, which proves there is a deficiency in trace elements. Calcium deficiency is certain, but it's unclear whether there are other deficiencies in trace elements. This also needs to be determined after examination.

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