How should tonsillitis with high fever be treated in children?

Patient's question:

My child is a boy, 8 years old. At first, he said he had a sore throat, and then we noticed his voice was a bit hoarse when he spoke. Additionally, he has had a slight fever for a while. Please ask: How should we treat tonsillitis with high fever in children?

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 has shown good efficacy. Additionally, local treatments can be performed, including tonsillar crypt irrigation, intratonsillar drug injection, laser therapy, etc. If a child experiences severe sore throat, it is recommended to administer pain relievers based on the situation. If the child also has a fever, antipyretic medication can be considered. However, if the fever persists, it is essential to seek medical attention promptly. For cases with multiple acute severe episodes or existing complications, tonsillectomy is recommended two weeks after the acute inflammation subsides. After the condition improves, it is advisable to encourage appropriate physical activity for the child to enhance immunity and prevent recurrence.

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