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Health

Did the child detect severe pneumonia without coughing?

2023-09-28   

Recently, a 9-year-old man with high fever persisted for 5 consecutive days. During the fever period, his appetite and mental state were poor, and he also experienced symptoms of chest tightness. Therefore, his parents took him to the pediatric department of Jiangsu Province Integrated Traditional Chinese and Western Medicine Hospital for treatment. And the examination results also surprised the family, as they confirmed severe pneumonia without coughing. Why is it pneumonia when there is no cough? The deputy chief physician of pediatrics, Feng Weiwei, carefully inquired about the medical history and learned that as the fever continued, the strong spirit and appetite became worse and worse, and in the past two days, chest pain gradually appeared, but there was no cough. After careful examination, it was found that the child had a slight shortness of breath and a mild triple concave sign (referring to depressions in the suprasternal fossa, supraclavicular fossa, and intercostal space during inhalation). The right lung was auscultated and dense moist rales were heard. Based on comprehensive analysis, severe pneumonia was considered. So urgent arrangements were made for blood sampling and chest CT examination. The blood test results showed high blood infection indicators and positive Mycoplasma antibodies. Chest CT showed right lobar pneumonia accompanied by atelectasis, and immediate hospitalization was required. I feel like the child's illness this time is different from before. I used to take some medicine at home and rest for a few days, but this time the fever persists and the situation is getting worse. But I never heard the child cough, how can I also get pneumonia? "The strong mother was puzzled. Feng Weiwei stated that since March this year, situations like Zhuang Zhuang Zhuang have been very common. The spread and infection of bacteria increase, and the immune system of the body decreases. It is easy for the condition to worsen rapidly in a short period of time, and the combination of multiple pathogens such as Mycoplasma pneumoniae, influenza virus, respiratory syncytial virus, and Streptococcus pneumoniae makes the patient's condition more complex. This is why the patient has pneumonia but does not cough, and ultimately can be determined through chest CT examination. "Experts remind: Recently, there have been fever Cough and other discomfort, seek medical attention in a timely manner. Experts remind that if you experience fever, cough, chest pain and other discomfort in the near future, it is important to seek medical attention in a timely manner to avoid missing the best treatment opportunity. If a child has a fever or is in the acute stage of infection, it is important to follow the advice of a professional physician and stay isolated at home for rest. When returning to school during the recovery period, due to the weakened immune system caused by infection, the child is still prone to re infection. It is recommended to wear a mask, maintain social distance, wash hands frequently, and ensure sufficient sleep when going out. At the same time, it can be combined with some traditional Chinese medicine treatments, such as oral Chinese medicine, acupoint application, massage, and ear seed implantation, to help with recovery Immunity Feng Weiwei emphasized. (New News Agency)

Edit:GuoGuo Responsible editor:FangZhiYou

Source:gmw.cn

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