What are the reasons for a 10-year-old child's persistent low fever?

Patient's question:

Temperature is around 36.5 degrees, about 37-37.3 degrees at night, deep sleep is normal, poor appetite, no significant change in weight. The illness has lasted for over a month, with fever and cough. Previous treatment and its effects: Detailed examination revealed low white blood cells (3.95). Given anti-inflammatory and cold remedies...

Doctor's answer:

You are describing a typical case of low-grade fever in children. The causes and treatments are numerous. The condition arises from factors such as children's movement, crying, excessive clothing, or high room temperature, which disrupt the body and enhance decomposition metabolism, leading to excessive heat production and transient low fever. This can result in physiological low fever. Among various chronic infections, tuberculosis is the most common cause of low-grade fever, followed by tonsillitis, urinary tract inflammation or chronic infections, viral infections caused by bacteria, parasitic infections, and rickettsial infections, all of which can lead to prolonged low-grade fever in children.
Recommendation: Personally, I do not recommend oral corticosteroid medications for treatment, considering the child is only 10 years old and their digestive system is not yet mature. I prefer physical therapy. You can remove the child's clothing and use a warm water (around 37°C) bath or gently rub the child's body with a towel. This can help dilate the blood vessels in the skin and release body heat. Additionally, as water evaporates from the body surface, it also absorbs body heat. I hope my explanation brings you some relief. Wishing your child good health.

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