Question
My child, who is 3 years old, has a high fever and cough. After experiencing a frightening episode, the symptoms worsened with low-grade fever and severe cough. After using the Xianfeng Qingkailing intravenous fluid for 3 days without improvement, we switched to Ceftriaxone plus G Xianfeng plus Wendaoguxin intravenous fluid for 5 days, which helped alleviate the symptoms. However, blood tests showed elevated levels of myocardial enzymes, so we administered injections to treat the myocardial enzymes for an additional 4 days, but the problem was not resolved. The child sometimes says their ears hurt and their nose feels uncomfortable, as well as leg pain. After 5 days of Ceftriaxone treatment, adverse reactions recurred, and we are unsure if it is an allergic reaction or another issue. Parents are worried about whether the child has other diseases and seek advice on how to handle the situation.
Answer
Fever and cough in children can be caused by various reasons, including infections and shock. If symptoms persist for more than 48 hours or are accompanied by other symptoms such as vomiting or lack of energy, it is advisable to go to the hospital for a urine test to determine whether the infection is bacterial, viral, or mycoplasma, and choose appropriate medication based on the results. Additionally, a lung auscultation or chest X-ray should be performed to rule out pneumonia. If symptoms persist, consider the possibility of Epstein-Barr virus infection. If oral medications are ineffective, intravenous fluid therapy may be required. If the child has an allergic constitution, an allergen test should be conducted to identify the allergen and avoid contact.