Question
On the 26th, the child’s body temperature reached 40.6 degrees Celsius, and the blood test showed an abnormally high white blood cell count. After medication and injections, there was no sign of fever reduction. After adding corticosteroid medications, the body temperature decreased, and oral medications were prescribed, including pediatric Chai Gui fever granules and Oseltamivir granules. The child had a cough, so Sichuan Beech and Loquat syrup and Pudelin anti-inflammatory oral liquid were used. The body temperature returned to normal on the 26th. On the morning of the 27th, Cefmetazole sodium and antipyretic drugs were injected, and in the afternoon, Ceftriaxone was injected. The question was asked whether only an injection in the morning was needed on the 28th and how many days of injection were required, as the child was sensitive to injections and had had several throat infections this year that required oral ceftriaxone, and suffered from severe bacterial infection at kindergarten.
Answer
The high white blood cell count indicates a severe infection, and it is recommended to undergo intravenous treatment for three days and then have a follow-up blood routine check after treatment to observe changes in inflammatory markers. If the inflammatory markers decrease, oral medication treatment can be switched to. Purulent tonsillitis is prone to recurrent fever and usually requires intravenous treatment for one week until the white blood cell count in the blood routine returns to normal, at which point intravenous treatment can be stopped. If intravenous treatment is not stopped, it may lead to the spread of infection. This is the suggestion for the question “What to do when a child has a fever of 40 degrees on the 26th,” hoping it will be helpful to you. Wishing you health!