What should I do if my 2-year-old child has a persistent fever above 38°C that won't go away?

Mar 26, 2023 Source: Cainiu Health
Dr. Ma Yan
Introduction
For a 2-year-old child with persistent fever above 38°C, treatment should be based on the underlying cause of the symptoms and requires targeted therapy. Possible causes include teething, bacterial infection, viral infection, bronchitis, or pediatric pneumonia. It is recommended to seek medical attention at a hospital and receive treatment under a doctor's guidance. During treatment, ensure the child stays warm, drinks plenty of fluids, and follows a light diet, all of which can aid recovery.

A 2-year-old child with persistent fever above 38°C requires treatment based on the underlying cause of the symptoms. Possible causes include teething, bacterial infection, viral infection, bronchitis, or pediatric pneumonia.

1. Teething

Teething may lead to prolonged low-grade fever, accompanied by increased drooling, swollen gums, and discomfort. It is recommended to drink more water and avoid spicy or irritating foods. Under a doctor's guidance, antipyretic medications such as ibuprofen suspension, acetaminophen granules, or acetaminophen suspension can be administered to reduce fever and relieve symptoms.

2. Bacterial Infection

Persistent fever may result from bacterial infection. Antibiotic therapy under medical supervision is recommended to inhibit or eliminate bacteria and alleviate symptoms. Commonly used medications include penicillin V potassium tablets, cefalexin capsules, and cefradine capsules to improve the condition.

3. Viral Infection

Continuous fever may occur due to viral infection. Antiviral medications should be taken under a doctor’s guidance. Commonly prescribed drugs include ganciclovir capsules, oseltamivir phosphate granules, and ribavirin granules, which help combat the virus and reduce symptoms.

4. Bronchitis

If bronchitis is present, recurrent bacterial infections in the bronchi may cause persistent fever. Follow medical advice to take medications such as amoxicillin capsules, amoxicillin-clavulanate potassium dispersible tablets, or azithromycin granules, which help reduce infection and relieve fever.

5. Pediatric Pneumonia

In cases of pediatric pneumonia, if lung infection is not effectively controlled, prolonged fever may occur. Under medical supervision, treatment may include antiviral or antibiotic agents such as vidarabine injection, ribavirin granules, or azithromycin injection to relieve symptoms.

It is recommended to seek medical attention for thorough evaluation and accurate diagnosis, and to receive appropriate treatment under a doctor’s guidance to prevent worsening of symptoms and increased treatment difficulty. During treatment, maintain warmth, drink plenty of fluids, and follow a light diet to support recovery.