Thanks to The Lilac Master @ Xiao Shuai for sharing the case
Child: Female, 2 years old and 7 months old. He was admitted to the hospital for "fever for 1 day, convulsions once".
History: Fever developed before 20 hours, may have a chill, peaked at 40.0 °C, decreased to normal temperature after oral administration of ibuprofen, and repeated fevers for 3 times. No cough, no vomiting, no diarrhea.
1 hour ago, the child suddenly convulsed, and his lips were cyanosis. No rigidity, shaking, no gaze, lasting about 1 to 2 minutes, self-relieving, response after remission as usual, body temperature measured at 38.4 °C, hospitalization, considering febrile convulsions admission.
Onset of illness, generally ok. There is no history of convulsions in the past, and there is no history of convulsions in the family.
Admission to the hospital: mental can, can answer, listen to instructions, no rash throughout the body, pharyngeal congestion, no herpes, tonsillar I enlargement, no abnormal discharge, thick breath sounds in both lungs, no rales heard, abdominal softness, no tenderness, no positive signs on neurological examination.
Auxiliary tests:
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Diagnosis: acute tonsillitis, febrile seizures.
After admission, cefuroxime was given anti-infection and rehydration therapy. On day 3, the child still has high fever, 3 to 4 times per day, and the fever interval is prolonged. Adjusted to cefotaxime anti-infection, respiratory pathogenic returns on the day:
Consider "Mycoplasma pneumoniae infection" with the addition of azithromycin orally.
Perfect chest x-ray:
Fever remains repeated on day 4.
What should the child consider? How is it treated?