Question
The child has been running a fever for over ten days without improvement. After undergoing antibacterial treatment, there was a brief drop in temperature, but it recurred later. Blood routine tests show normal white blood cell count. Subsequent diagnosis indicates a mycoplasma infection. Different doctors have different diagnoses. Currently, seeking Chinese medicine enema treatment, but the fever continues, especially at night. The child also has coughing and a hoarse voice. Inquiring about the cause of the child’s condition and possible treatment methods.
Answer
Based on the child’s diagnosis process, possible situations include infections by viruses, bacteria, or mycoplasma. Due to the prolonged fever, the child’s immune system may be weakened and may require treatment for pneumonia. It is recommended to perform a lung percussion examination to determine if there are any signs of pneumonia. What was the highest body temperature of the child in the past three days? Has there been an increase compared to previous temperatures? How is the child’s mental state? It is advisable to consider the possibility of simultaneous infection by viruses and bacteria, or a mixed infection of bacteria and mycoplasma. If there are abnormalities in lung percussion, treatment should be administered for pneumonia. The prolonged fever may be due to a weakened immune system, and sometimes treatment effects are not satisfactory for pediatric infectious diseases.