Children with a fever of 39.4 ℃ but good spirits can be seen in the early childhood acute rash, acute tonsillitis, urinary tract infections and other diseases, usually require intervention, the specific treatment needs to be based on the cause of the decision, specific as follows:
1. Early childhood acute rash: can be seen in infants and young children, often caused by human herpesvirus infection, clinical symptoms can be seen, the course of the general condition of the spirit can be, usually in the fever 3 ~ 5 days fever out of the rash. During the course of the disease can be oral antiviral combination of four seasons treatment, for body temperature over 38.5 ℃, need to use ibuprofen and other drugs for antipyretic treatment.
2. Acute tonsillitis: a common respiratory disease, clinical high fever, some children in the course of the disease spirit is still good, can be accompanied by pharyngeal discomfort, this kind of children suspected of bacterial infections need to use antimicrobial drugs (such as amoxicillin) anti-infective treatment, at the same time need to be reasonable use of ibuprofen and other drugs for antipyretic treatment.
3. Urinary tract infection: the above manifestations can also occur, some babies can be accompanied by frequent urination and other symptoms, routine urine examination can assist in the diagnosis. For treatment, it is necessary to drink more water and use antibacterial drugs (such as cefaclor) for anti-infection treatment.
4. Other: such as Kawasaki disease, can also appear above phenomenon, some babies can appear coronary artery dilation, treatment need to use aspirin and gammaglobulin and other treatment.
All of the above drugs need to be used under the guidance of a physician, children with a fever of 39.4 ℃ is a high fever, usually requires active intervention, it is recommended to consult a specialist as soon as possible to avoid delay in the treatment.