Patient's question:
Boy baby with a fever above 39°C for 6 days without breaking, had a slight fever 3 weeks ago, fever improved 2 weeks ago, slight cough, suddenly high fever at night a week ago, leading to otitis media, currently using antipyretics to maintain, temperature immediately returns to above 39°C after the effect of the medicine wears off, sometimes below 40°C, currently persistent high fever, hands and feet cold, diarrhea, feels energetic after using antipyretics, but cries and feels weak after the effect wears off.Previous treatment and effectiveness: 28-month-old boy baby with a fever above 39°C that does not break.
Day 1: Went to Shanghai Xinhua Hospital's expert outpatient clinic, prescribed Xiao'er Chai Gui Granules + Azithromycin (cough syrup) + otitis media medicine. No effect after taking it.
Day 3: Follow-up visit, doctor recommended intravenous infusion (cephalexin anti-inflammatory) for 3 days, but the low fever still did not break.
Yesterday (Day 5): Booked a special needs outpatient clinic, doctor prescribed intravenous infusion (azithromycin anti-inflammatory).
Today (Day 6): Low fever has not subsided, but high fever with cold hands and feet. Last night, diarrhea began to reappear.
During this period, physical cooling + Meilin + antipyretic suppositories have been used to maintain (Meilin not exceeding 4 times a day, antipyretic suppositories not exceeding 2 times a day, alternating use).
In the past, when using antipyretics, there was excessive sweating and cooling at night, but immediately returned to low fever above 39°C (occasionally below 40°C) after 6–8 hours. Last night, Meilin was used but did not break the fever, so antipyretic suppositories and today's Paracetamol were used.
However, this is not a long-term solution. I hope everyone can help. I'm desperate—can anyone tell me what to do? Thank you very much.
Desired assistance: Complete fever reduction without recurrence.
Doctor's answer:
According to your description, the baby's high fever that won't subside is caused by a viral infection or inflammation. The preliminary diagnosis is fever or tonsillitis. Suggestions: It is recommended that the baby pay attention to preventing colds, drink more water to digest body fluids, and it is best to change the medicine for treatment. Penicillin plus irinotecan infusion. Wish the baby a speedy recovery. The above is the advice for the question "28-month-old male baby with a fever of 39.6 degrees for more than 6 days!" It is hoped that it will be helpful to you. Wish you health!