The management of pyrexia, or febrile convulsions, includes etiologic and symptomatic treatment. Antibiotics (meloxicillin, etc.) should be chosen for bacterial infections, and antiviral treatment (ganciclovir, etc.) should be given for viral infections, as well as sedation (diazepam, etc.), antipyretic (ibuprofen, etc.), and prevention and treatment of cerebral edema (mannitol).
1.Etiologic treatment
(1) Bacterial infection: choose sensitive antibiotics, e.g., meloxicillin sodium, cefoperazone sulbactam, etc.
(2) Viral infection: choose antiviral drugs, e.g., valaciclovir, ganciclovir, etc.
2. Symptomatic treatment
(1) Sedation: when there is high fever and convulsion, intravenous sedatives, such as diazepam, midazolam, etc., can be chosen.
(2) Antipyretic treatment: When fever occurs, physical cooling can be given, such as using warm water to scrub the whole body. Use of non-steroidal anti-inflammatory drugs to reduce fever, representative drugs include acetaminophen, ibuprofen and so on.
(3) Prevention and treatment of cerebral edema: in patients with repeated convulsions or those with persistent convulsions, there is often secondary cerebral edema, and mannitol should be added to reduce cerebral edema.
At the same time, patients should pay attention to keep the respiratory tract open to avoid aspiration. It is recommended that patients seek medical treatment in a timely manner, under the guidance of a doctor’s interview, to avoid aggravation of the condition.