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Child has diabetes. Fever, joint pain, neck pain due to flu. Done tests. Treatment?

I have a 13yr old son who is type 1 diabetic. He contracted Type A and Type B flu 3days aprart. He had fever 101 to 104 with both. Moderate to large ketones and Very high blood sugars. He is also in puberty . during this time he had very bad joint pain in both ankles for about 4 days that subsided then he had Extreme neck pain .This has continued for 4 weeks. We did PT. He was tested for mono, meningitis ,everything negative.he had a MRI and CAT scan which showed fluid in muscle and C3 and C4 were out of alingnment from the swelling. There has been NO trauma. The surgeon that looked at his MRI and Cat scan said it looks like he was in a bad accident. His left side of his neck was in spasims.His pain just kept increasing. We seen a orthopedic spine surgeon . They did a needle biopsey and did cultures.No bacteria has grown yet and its been 4days.The Drs want to put in a pic line for up to 12weeks because his SED rate was 58. Any thoughts on this treatment and what could have caused this? Have you ever heard of a infection going to a childs neck after the flu?
Asked On : Thu, 27 Dec 2012
Answers:  1 Views:  52
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Pediatrician 's  Response

Thank you for your query.

Though you have provided details but I would have appreciated if you had provided the following:
1. When did he contract flu?
2. From when is your son running high fever?
3. From when was the neck pain and/or swelling present?
4. What are the blood counts?
5. How has been the diabetic control prior to the present fever?

The doctors are doing the right thing as they need to give your son antibiotic and also control his blood sugar.

It is not unusual for infection to settle in the neck. Following flu you son must have developed infection which spreads through blood and can settle down any where in the body. As doctors suspect an accident which must have caused damage around C3 and C4 vertebra, the infection got a chance of settling there. However, without seeing the MRI and CAT scan reports it is difficult to give any comments.

I hope I have answered your query to your satisfaction.

Wishing your son an early recovery.


Answered: Fri, 28 Dec 2012
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