Patient's question:
Taian No. 88 Hospital, I've been here for over 10 days, but why am I still running a high fever sometimes? It doesn't seem to go down? What kind of assistance do I need: What kind of medicine should I give him?...Doctor's answer:
There are many reasons for a child's persistent high fever, and multiple factors need to be considered. Recommendations: If the child has had a prolonged fever, the first condition to rule out is tuberculosis. Please check for anti-tuberculosis antibodies and perform a tuberculin skin test. It is best to have a thorough sputum smear examination at the local tuberculosis comprehensive prevention and control unit. If the child has played in grassy areas, consider scabies as a possibility. Scabs can usually be found in dark areas such as the armpits and groin. The Weil-Felix test can be used for consultation. If the child also exhibits symptoms of nausea and vomiting, be cautious of typhoid and paratyphoid fever. However, in typhoid fever patients, the white blood cell count may actually decrease. If the child also shows symptoms such as conjunctival congestion, a sandpaper tongue, flushed pharynx, hard edema at the tips of fingers and toes (later), rashes, and swollen cervical lymph nodes, then Kawasaki disease should be considered. An echocardiogram can be performed for consultation. If it is indeed Kawasaki disease, treatment with immunoglobulin and aspirin is necessary. If the child also has symptoms of liver enlargement, consider infectious mononucleosis caused by EB virus infection. EB virus antibodies can be checked for consultation. Additionally, consider the possibility of mycoplasma and chlamydia infections. If blood culture has not been performed, it is recommended to do so to rule out sepsis. After ruling out the above conditions, it is advisable to recheck a blood count. If white blood cells remain significantly elevated, with abnormal increases in red blood cells and platelets, leukemia should be considered. If the child is losing weight rapidly, consider the possibility of other tumors.