Will a child with elevated C-reactive protein have recurrent fever for several days?

May 16, 2023 Source: Cainiu Health
Dr. Yang Shuwen
Introduction
Children with good physical condition and only a slight increase in C-reactive protein levels typically stop having fever within three days after timely treatment with medications such as amoxicillin capsules and cefixime capsules. However, children with poor physical condition, who show elevated C-reactive protein along with increased white blood cell and neutrophil counts, and extensive lung infection, may continue to have fever for approximately seven days.

Generally speaking, fever refers to an elevated body temperature. In children with high C-reactive protein (CRP) levels, the duration of recurrent fever depends on the child's physical condition and the degree of CRP elevation. Typically, fever may last from 3 to 7 days. The details are as follows:

If a child is in good physical condition and the CRP level is only slightly elevated, timely treatment with medications such as amoxicillin capsules or cefaclor granules can restore CRP levels to normal, resolving the fever within approximately 3 days. However, if the child has poor physical health, with elevated CRP levels accompanied by increased white blood cell and neutrophil counts, and lung CT shows extensive pulmonary infection indicating a more severe condition, the fever may persist for about 7 days. In such cases, patients may take azithromycin granules, erythromycin capsules, or similar medications as directed by a physician.

During episodes of fever, body temperature should be closely monitored. If body temperature reaches 38.5°C, oral administration of ibuprofen suspension or acetaminophen solution is recommended. These medications should be administered at intervals of 4 to 6 hours.


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