Question
A 9-month-old baby. It started with a low fever of 39.3 degrees at midnight, and after taking antipyretic medicine, heat suppositories, and heat patches, the fever subsided by the third day, but the baby still had a cough, runny nose, and nasal congestion. It’s now been 5 days. I’ve given the baby these medications, but there seems to be no effect; the runny nose has lessened, but the cough is severe, with heavy breathing sounds. The doctor’s stethoscope examination showed no problem with breathing. The chest X-ray revealed acute bronchitis. The outpatient doctor said the chest X-ray looked bad and recommended hospitalization. Could you please doctors help me analyze the chest X-ray? Is it pneumonia? Do I need hospitalization? Do I need to change the medication?
Answer
Based on your description of the condition and a detailed examination of the chest X-ray and blood routine test results uploaded by your child, it is considered that the chest X-ray shows acute bronchitis without signs of pneumonia. According to your description of the condition, along with the detailed examination results of your child’s blood routine test showing reduced white blood cells and neutrophil percentages, there are two possibilities. One is that it suggests that the child currently has a viral infection, and the other is that it may be related to excessive use of antibiotics by the child now. The main consideration at this point is to provide antiviral medication treatment for the child.