How to diagnose and treat high fever in children with tonsillitis

Patient's question:

Female baby, only 2 months old, just starting, saying it hurts to swallow things, found that coughing seems to be quite severe as well, and has had a slight fever all along. Please ask: How should pediatric tonsillitis with high fever be diagnosed and treated?

Doctor's answer:

Currently, in clinical practice, the treatment of pediatric tonsillitis primarily relies on antibiotic medications. Sensitive drugs can be selected based on bacterial culture, which yields good results. Local treatment methods can also be combined, such as tonsillar crypt irrigation and intratonsillar medication, which are both effective. For children with significant sore throat symptoms, pain-relieving medications can be used. If fever occurs, cooling methods should be chosen based on body temperature: physical cooling is recommended for temperatures below 38.5°C, while oral antipyretics can be administered for temperatures above 38.5°C. In addition to these drug treatments, if a child experiences recurrent tonsillitis, surgical treatment may also be recommended. During the treatment period, it is essential to ensure the child stays warm to prevent further worsening of symptoms due to cold exposure.

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