Patient's question:
Enlarged tonsillar lymph nodes, white blood cells elevated at 12.87, lymphocyte ratio 74.84, lymphocyte ratio 17.44. Had high fever all night and also coughing. Received intravenous arginine aspirin for fever reduction today, but now there are signs of fever again. What should I do? Just took cephalosporin and Qingke Pingchuan Granules.Previous treatment and effectiveness: Enlarged tonsillar lymph nodes, white blood cells elevated at 12.87, lymphocyte ratio 74.84, lymphocyte ratio 17.44. Received monophosphorylguanosine and Red Heat Clearing. Had high fever all night and also coughing. Received intravenous arginine aspirin for fever reduction today, but now there are signs of fever again. Just took cephalosporin and Qingke Pingchuan Granules.
What kind of help is needed: How to switch to irinotecan or penicillin? Which is better?
Doctor's answer:
According to your description, the child has developed a respiratory infection. The disappearance of the effect of antipyretic medication and a subsequent drop in body temperature are common phenomena during the course of the illness. You may be concerned about the two lymphocyte ratios listed in the test results. Given the elevated white blood cell count of 12.87 and a lymphocyte ratio of 74.84, it is likely a viral infection rather than a bacterial one. Antibiotics (such as cefixime, penicillin, or azithromycin) and antiviral medications (such as ribavirin or lixue ning) can be alternately used for treatment, while temporary antipyretic medication can be used to reduce fever. Monitor the blood test results for reevaluation.