Question

A child developed a fever on the afternoon of the 22nd and showed symptoms of dazed eyes and silence by noon on the 23rd. Ten minutes later, the symptoms improved slightly, with a body temperature of 37.8 degrees. The child has been taking ribavirin and pediatric paracetamol hydrochloride granules for two days, and the blood test results show a white blood cell count of 3900. Two days ago, the child had cough with phlegm and took pediatric expectorant cough granules twice. Over the past three days, the child has been feeling unwell, waking up at 8 am to eat one steamed egg and drink millet congee. At 9:30 am, the child wanted to go back to sleep. After seeing a doctor this morning, the doctor prescribed oseltamivir phosphate granules and pediatric realgar-cool heart powder, but the child vomited after taking the medicine. Help needed, thank you!

Answer

Considering the possibility of bronchitis or pneumonia, it is recommended to have a doctor’s auscultation and X-ray examination for confirmation. In case of mild infection, anti-inflammatory medication can be used for treatment. If there is cough or phlegm, fresh bamboo decoction or pediatric Mahuanggan granules can be used. In severe cases, intravenous fluid therapy is recommended. Be vigilant for mycoplasma infection. If confirmed as a mycoplasma infection, it is recommended to use intravenous fluid red mold injection or oral azithromycin dry suspension.