Question
A one-year-old child has been suffering from tonsillitis and high fever every month, with temperatures ranging from 39 to 40 degrees Celsius, without any coughing or runny nose, and a decrease in bowel movements. The condition usually recurs at night, with the child showing significant heat in the forehead, back, and neck. The results of trace element tests and health checks were normal. The child was scheduled to receive vaccinations at the beginning of February but did not due to frequent illnesses. Past treatment and outcomes: In late January, the child was hospitalized at Nanjing Children’s Hospital for 5 to 7 days and was discharged after treatment with aztreonam and hydrocortisone, with a CRP level of 40. During this period, X-rays, CT scans, blood cultures, and ECGs were all normal. In early March, the child was hospitalized for 4 days at Nanjing Mingji Hospital and was discharged after treatment with azithromycin, with normal blood culture results. The child is allergic to penicillin and cephalosporin antibiotics. Seeking help: Determine the cause and propose a solution. Looking forward to your response!
Answer
Tonsillitis refers to inflammation of the tonsils, which is clinically divided into acute and chronic types. The main symptoms include sore throat, fever, and discomfort in the throat. This disease can lead to regional or systemic complications in areas such as the ear, nose, and heart, kidney, and joints, so it requires attention. The main pathogens causing tonsillitis are hemolytic streptococci; other pathogens such as staphylococci, pneumococci, Haemophilus influenzae, and viruses may also cause it.