Question
The child is 18 months old and has been suffering from tonsillitis with high fever every month since the age of 1. There are no symptoms of coughing or runny nose, and the stool is also less frequent. What are the solutions? The high fever usually occurs at night, causing the child’s forehead, cheeks, back, and neck to feel hot. We have undergone trace element tests and routine physical examinations, but the results were normal. We originally planned to get vaccinated in early February, but due to continuous illness, we have not received any vaccinations since early February.
Answer
Tonsillitis is inflammation of the tonsils, which is clinically divided into acute and chronic types, with main symptoms including throat pain, fever, and discomfort in the throat. This disease may cause regional or systemic complications such as ear, nose, heart, kidney, and joint problems, so it should be taken seriously. The pathogenic bacteria for tonsillitis are mainly hemolytic streptococcus, while other bacteria such as staphylococcus, pneumococcus, Haemophilus influenzae, and viruses may also cause it. Erythromycin ethylsuccinate (Lincocin) is a macrolide antibiotic that is more stable in gastric acid than erythromycin and is not easily destroyed by gastric acid, thus it can better exert its efficacy.