How to treat a baby with a high fever and elevated white blood cell count over 20,000?

Apr 16, 2025 Source: Cainiu Health
Disease description:

My son has had a high fever for two days with recurrence, received intravenous fluids for two days, and blood tests showed his white blood cell count is over 20,000. He is running a fever again now, 39°C. Doctor, how should a baby with a high fever and a white blood cell count over 20,000 be treated?

Doctor's answer (1)
Dr. Zhou Xiaofeng

Hello, when a child has a fever and the white blood cell count rises above 20,000, it indicates a bacterial infection, and antibiotics should be administered to the child. If there is a respiratory tract infection, symptoms such as coughing, phlegm production, sore throat, nasal congestion, or runny nose are often present. Cefradine granules or cef羟氨苄granules can be given orally for treatment. If the child is allergic to cephalosporin antibiotics, azithromycin or roxithromycin granules may be used instead. I hope the above information is helpful to you. Wishing you a pleasant life.