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Baby Had Fever, Rashes, Mottled Skin. Why Runny Nose?
My son is 13 months old has had a fever on and off for 13 days as high as 104.5. With 2 different rashes and mottled skin. He has had no appetite and not drinking very much. But has still had wet diapers. He developed a runny nose and bad cough two days ago. He has spent 3 days in the hospital and has had one othe er visit since. He has had blood work twice two urin cultures and a spinal tap in the last 13 days. Any ideas?
Wed, 17 Oct 2012
Hello there,
High grade fever in this age requires an aggressive approach to locate the focus of infection. A fever running so long needs a work up for meningitis as you mentioned there is history of poor intake. Tyohoid, malaria and urinary tract infections are differentials that require blood tests which have been done for your child. The condition has certainly worsened as he now has developed cough. So till a diagnosis is made, supportive care assumes a very important role now. This involves bringing down the fever with paracetamol and tepid sponging as it may predispose your child to febrile convulsions. Maintain adequate hydration and urine output. If he is not taking orally, give iv fluids. Ensure his blood sugars are being down frequently.
Wishing your child a speedy recovery.
Take care.
High grade fever in this age requires an aggressive approach to locate the focus of infection. A fever running so long needs a work up for meningitis as you mentioned there is history of poor intake. Tyohoid, malaria and urinary tract infections are differentials that require blood tests which have been done for your child. The condition has certainly worsened as he now has developed cough. So till a diagnosis is made, supportive care assumes a very important role now. This involves bringing down the fever with paracetamol and tepid sponging as it may predispose your child to febrile convulsions. Maintain adequate hydration and urine output. If he is not taking orally, give iv fluids. Ensure his blood sugars are being down frequently.
Wishing your child a speedy recovery.
Take care.
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