Question

What could be causing a child’s persistent fever?

Answer

Based on the description, a child’s persistent fever may be related to viral infection. Here is the course of the illness and treatment measures:

  1. The child began to have a fever at 4 PM on the 15th after being picked up from kindergarten, with the highest temperature reaching 38.7 degrees Celsius.
  2. Immediate emergency department visit to a children’s hospital, followed by intravenous treatment with anti-inflammatory drugs.
  3. The fever persisted for two consecutive days, with temporary cooling (cooling down) after taking antipyretics but then rising again.
  4. On the third day morning, urine test showed no abnormalities, continuing with intravenous treatment and the use of azithromycin.
  5. On the third day, there was no fever during the day but a recurrence of fever to 39 degrees at night, accompanied by coughing and runny nose symptoms.
  6. On the fourth day, the fever reached 39.5 degrees Celsius after taking antipyretic medication. In light of the above situation, the following suggestions are made:
  • The child may have a viral infection. It is advised to drink plenty of water to maintain hydration.
  • Antipyretics can be used when the body temperature exceeds 38.5 degrees Celsius, with attention to medication safety.
  • Oral throat lozenges and azithromycin can help alleviate symptoms and treat the infection.
  • Maintain a light diet, ensure adequate rest, and strengthen physical resistance.
  • Closely monitor any changes in the condition, seek medical attention if necessary, and adjust the treatment plan according to medical advice. Please note that these suggestions are for reference only, and specific treatment plans should be determined by a doctor based on the child’s condition.