Question

A 3-year-old and 4-month-old child has been experiencing intermittent fever since the New Year’s Day. On the evening of January 4, the child was diagnosed with bronchitis at a medical facility and was prescribed oral Azithromycin for three days. During the follow-up visit on January 7, the doctor indicated that the condition might develop into bronchopneumonia and prescribed intravenous Ceftriaxone and Chuanxinlian for three days. The child’s condition was still manageable at that time, and there was no need for a follow-up visit. After discontinuing the medication for one day, the child fevered again. The next day, upon medical consultation, it was discovered that there was a recurrence of infection, and medication for intravenous injection was prescribed, continuing with Ceftriaxone and Chuanxinlian for three more days. After the follow-up visit, the doctor listened to the lungs and found no abnormalities, but noted a slight inflammation of the tonsils and suggested another two days of injection. On January 16, the child rested and was in normal condition, only sweating during sleep at night and experiencing leg pain. The child no longer complained of pain after taking calcium supplements. At 4 a.m. on January 17, the child fevered again and sweated, unable to clearly express where they were uncomfortable, only requesting to have their stomach, legs, feet, and arms massaged. Is it necessary to seek medical attention again, and will another injection be administered?

Answer

Based on the description, the child’s symptoms may be due to bronchitis and a deficiency of trace elements. The previous treatments may not have been thorough enough, or the child’s resistance may be weak, leading to frequent infections. Common pathogens causing bronchitis include Staphylococcus aureus, Streptococcus pneumoniae, or viral infections. Specific tests are needed to determine the cause. The fact that the child no longer complains of pain after taking calcium supplements indicates a possible deficiency of trace elements. Deficiency in calcium is confirmed, but there may be other trace elements missing as well, which also requires further examination and confirmation.