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Child has nasal congestion, cough, fever, rash, fussy, not eating, swelling in roof of mouth

I have s one year old boy who has had rsv twice and constantly having nasal congestion and cough . He has been on pulmicort twice a day for three months. He has also had two bouts of thrush. He has been off and on antibiotics since July. He just now is getting over a viral cold wherein he had a fever if 103 for three days and then developed a rash right after fever broke which i was told was roseola . He has been incredibly cranky fussy and crying a great deal. He is not eating but is drinking. There is presence of bilateral swelling and inflammation on the roof of his mouth. Just curious to what this may be as my dr did not know but put him on amoxicillin for five days. She is thinking soft palete abcess. Any input would be appreciated. Thanks
Asked On : Mon, 22 Oct 2012
Answers:  1 Views:  50
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Pediatrician 's  Response
hello there,
this would be much better if you take an ENT (ear nose and throat) specialist opinion in this case.
this can be a case of bacterial sinusitis or soft palate abscess as your doctor is suspecting.

but there is also a suspicion of some nasopharyngeal mass coming down from the roof of the mouth may be a fungal ball, that will need urgent assessment.

this also seems to be quiet a possibility as he has history of thrush twice and is on steroids and has takken multiplle courses of antibiotics.

you can continue the antibiotics prescribed along with any other drug prescribed but you should consult ENT surgeon urgently. your child might need an imaging for diagnosis.

hope you benefit from my answer. and wish your child a rapid recovery
Answered: Sat, 17 Nov 2012
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