Patient's question:
Seizures triggered by high fever from chickenpox. After 3 days of chickenpox, a low-grade fever of 38.9°C still reappears. What medicine should be used? Does constantly taking fever-reducing drugs have an impact on the child? Now, many hospitals refuse to admit children with chickenpox. What should I do?Onset time: October 1–3, 2009. High fever without chickenpox, continuously taking medication for fever. On October 4, chickenpox appeared but was not very severe. Antiviral medication was used. Today, the child has a fever of 38.9°C again.
Laboratory test results:
History of treatment and effectiveness: Initially given antibiotics. After 3 days, it was discovered to be chickenpox, and the medication was stopped.
Doctor's answer:
Prevent secondary skin infections, maintain cleanliness to prevent itching. When blisters rupture or secondary infections occur, a 1% gentian violet solution can be applied locally. For non-ruptured blisters, calamine lotion can be used. In the early stages, use ara-A 10 mg/(kgday) or acyclovir 8 mg/(kgday) for 5–7 days, or add interferon to inhibit viral replication. Daily intramuscular injection of vitamin B12 500–1000 μg also has a certain therapeutic effect. Effective antitoxins can be used for secondary infections. Varicella should not be treated with hormones to avoid viral dissemination. The virus first adapts in the nasopharynx and then enters the bloodstream.