Question

Three days ago, the child began experiencing abdominal pain, headache, and sore throat. The fever suddenly rose to over 39 degrees during the day and dropped to around 37 degrees at night after taking fever-reducing medication. The symptoms have persisted for about 3 days, with no laboratory test results yet, and previous treatments have been ineffective. What medication should be used for a 6-year-old child with tonsillitis and persistent high fever?

Answer

The tonsils are immune organs, and fever is not caused by them but rather their defensive function when inflamed. Due to the severe symptoms and the ineffectiveness of oral medications, it is recommended to undergo immediate intravenous fluid therapy, followed by a penicillin skin test before administration, and treatment with Qingkailing or Chuanhuning. If the fever persists, consider using a small amount of dexamethasone. After the symptoms subside, continue taking oral medications. In terms of daily care, enhance nutrition intake, drink plenty of water, and engage in more physical activity to strengthen the immune system. If the fever persists, it may be necessary to consider tonsillectomy. If fever is uncommon, pay attention to staying warm to prevent recurrence.