How to treat mycoplasma infection and recurrent fever in children

Treatment of recurrent fever for mycoplasma infection in children mainly includes the following two aspects. For pathogen treatment: for mild mycoplasma pneumonia can be treated on an outpatient basis, mycoplasma infection has a certain self-limit, it is recommended that azithromycin is the first choice, oral azithromycin 10mg/kg, once a day, for 3 days. Repeat 4 days after discontinuation of the drug. Alternative options include other macrolides taken by mouth, such as clarithromycin or erythromycin. The recommended course of treatment in China is 10~14 days. For severe or refractory mycoplasma pneumonia, systemic glucocorticoids are also an important option, with methylprednisolone or prednisone preferred.Symptomatic treatment: For recurrent fever, physical cooling (warm water scrub bath, etc.), body temperature over 38.5 °C, appropriate application of antipyretic drugs such as ibuprofen. For cough, drugs such as nebulized or oral pediatric cough and asthma can be applied. Mycoplasma pneumoniae is an important pathogen of community-acquired pneumonia in children, which can occur throughout the year, especially in winter and spring. Mycoplasma infection causes bronchitis or pneumonia, which is manifested by fever, cough, dyspnea, and even high fever. Mycoplasma pneumonia can be a self-limiting course in clinical practice, and severe mycoplasma pneumonia and refractory mycoplasma pneumonia can also be seen in some children. Severe mycoplasma pneumonia can cause pleural effusion, atelectasis, necrotizing pneumonia, lung abscess, pulmonary embolism, etc., and can affect multiple organs such as nerves, heart, blood, liver, kidneys, and gastrointestinal tract. Therefore, it is important to standardize treatment.