Tuberculosis patchy shadow and also high fever should be clarified whether tuberculosis is combined with pneumonia and other diseases before further treatment. According to chest CT and clinical manifestations as well as sputum culture results to determine whether there is pneumonia or not, treatment is based on anti-(tuberculosis) infection treatment, antipyretic and analgesic. 1. Tuberculosis not combined with pneumonia and other diseases: If the patient has a high fever that does not go down on its own after observation, physical cooling methods and antipyretic and analgesic medications (e.g., ibuprofen, acetaminophen tablets, etc.) should be used to lower the body temperature. At the same time, patients should be examined by drug sensitivity test to clarify whether the infected tuberculosis bacilli are drug-resistant or not, and adjust the medication program if necessary. 2. Tuberculosis combined with pneumonia and other diseases: patients with persistent high fever should be cooled down first, and the type of causative organism of pneumonia should be clarified according to sputum culture; if it is bacterial, sensitive antimicrobial drugs should be selected according to drug sensitivity, and antiviral drugs should be selected if it is viral infection. If it is a viral infection, choose antiviral drugs. If it is combined with other diseases, the cause should be clarified and treated symptomatically. Tuberculosis patchy shadow and also high fever, should go to the local hospital, clear diagnosis and then treatment. Drugs should be used under the guidance of a professional physician, and should not be used arbitrarily on their own.