Patient's question:
8-year-old boy, who got a rash of urticaria at the beginning of this year, then developed high fever. However, starting from the evening of the 20th, he began to cough and wheeze, and due to coughing, he couldn't eat and even couldn't take medicine. So, we took him to the hospital. Upon arrival at the hospital, the transport was difficult, and the blood test showed high white blood cells (12,500) and high neutrophils. The lung function test was 14%, so it was diagnosed as Mycoplasma pneumoniae infection and asthma. After an allergen test (venous blood test), it was found to be house dust mites. After receiving 5 days of cefixime and azithromycin, the white blood cells were still at 11,000. Could you please tell me if this diagnosis and medication are correct? My child has also had continuous fever, is it also Mycoplasma pneumoniae infection?Doctor's answer:
Analysis of the condition: Mycoplasma infection typically presents with severe symptoms but mild physical signs. However, your child occasionally has a light cough with no other symptoms, and combined with the negative Mycoplasma test result, Mycoplasma infection should be ruled out. After intravenous fluid treatment, your child developed rales, which is likely due to fluid deficiency. It is considered that the child's condition may be caused by high airway reactivity following a cold.Suggestions: Mycoplasma infection generally has a slow onset, with high fever and cough being common symptoms that often persist for a long time. Lung auscultation may show no significant abnormalities, but chest X-ray can aid in diagnosis. Some children may also exhibit symptoms such as anemia and rashes.