Question

A 7-month-old baby has had a fever for more than a day, with the highest body temperature reaching 39.4 degrees. After taking antipyretic medication, the fever only slightly decreased, and the baby continues to have intermittent fevers. Antibiotics (cefalosporins) and antiviral medications (oseltamivir) have been used for a day, but the symptoms have not improved. Assistance from medical professionals is requested to interpret the test results and provide treatment recommendations.

Answer

Infant fevers are commonly caused by bacterial or viral infections. Fever is a common symptom in pediatrics, with infectious fevers being more common in children. The baby’s routine blood test shows normal white blood cells and slightly elevated C-reactive protein, which may indicate a viral or mycoplasma infection. If the baby still has a fever after two days, it is recommended to take azithromycin orally, and close attention should be paid to rest and diet, avoiding spicy and irritating foods. A decrease in C-reactive protein may be an indicator of bacterial infection, necessitating active antibiotic treatment.