Question

An 8-month-old baby’s fontanelle is slightly higher than usual after a fever, and their appetite has decreased, with lower activity levels than before. After taking succinylcholine and cefixime for treatment, the fever subsided, but the fontanelle remains slightly elevated. What could be the cause?

Answer

The bulging of a baby’s fontanelle after a fever indicates a possible increase in intracranial pressure. It is essential to take the child to the hospital for examination to determine if it is due to a bacterial or viral infection. If low-grade fever persists without relief, prolonged high intracranial pressure may affect the child’s intelligence. Active fever reduction and appropriate treatment methods based on the type of infection are necessary. For viral infections, antiviral drugs such as virazole and bupleurum injection can be considered; for bacterial infections, antibiotics can be used. If symptoms such as crying, restlessness, and vomiting occur, mannitol may be required to reduce intracranial pressure. Also, ensure the child drinks plenty of water and wish for a speedy recovery.