Patient's question:
I am a general practitioner. Recently, the patients I have seen are all school-aged, and their symptoms are largely the same: fever, nausea without vomiting, swollen tonsils, and no obvious lung signs. Antipyretics do not lower their temperature, and antibiotics are not effective. Laboratory tests: Blood test: High WBC, Chlamydia pneumoniae is either positive or negative. For those who are positive, azithromycin works, but others are really difficult. We are from a district-level hospital and would like to ask your higher-level hospital if you have had such patients and how to handle them?Doctor's answer:
Currently, surgical removal of the tonsils remains the primary treatment method, but it is essential to reasonably determine the indications. Moreover, surgery is not absolutely safe and may sometimes lead to sequelae such as dry throat, pain, and discomfort. Surgical intervention should only be considered when the inflammation has already developed into irreversible changes.