How should a child with tonsillitis and high fever be treated?

Patient's question:

Boy, 9 years old, has started elementary school. At first, he felt a slight sore throat, noticed it, accompanied by mild coughing, and has had a low-grade fever all along. Question: How should a child with tonsillitis and high fever be treated?

Doctor's answer:

Currently, in clinical practice, the treatment of pediatric tonsillitis primarily relies on antibiotics. Sensitive medications can be selected based on bacterial culture, which has shown good efficacy. Local treatments can also be used, such as tonsillar crypt irrigation or intratonsillar medication. If the symptoms are primarily characterized by sore throat, pain-relieving medications can be considered. For those accompanied by low fever, physical cooling methods can be applied. If the temperature exceeds 38.5°C, it is important to seek medical attention promptly. These are all commonly used treatment methods. However, if the child's tonsillitis occurs repeatedly, it is recommended to consider surgical intervention at an early stage. During the treatment period, it is essential to ensure the child stays warm to prevent exacerbation of symptoms due to cold exposure.

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