• question-icon

    Suggest treatment for swollen lymph nodes and fever in a child

default
Posted on Mon, 17 Jul 2017 in Ear, Nose and Throat Problems
Question: Hi, My son is 17 and a swimmer. 2 weeks ago he started feeling like he was getting a cold. By Tuesday night he had a fever of over 103 and his tonsils were swelling. I took him to the ER because the temp when up quickly, They said his lymph nodes were very swollen and verified his high temp at 102.7. Said his ears looked fine and decided to check him for Mono, but that came back negative. They put him on Zithro and sent him home. He took the Zithro, the fever went down but his tonsils got more painful and developed a big white spot on the right side. He said his throat hurt a lot. I took him back to Dr on Friday after he had a fever Thursday night and the white spot got bigger on the right and spread to the left. She did a strep test and that came back negative. She put him on 400 mg Amoxicillin. 5 days later his tonsils were almost completely white and more swollen then before. Took him to urgent care yesterday. Dr took another Mono test came back Negative. She said he was on too low of a dose of antibiotics. She put him on 500 mg Amoxicillin. Today he's in more pain than ever his tonsils are more swollen and his fever is up again. I'm not sure what to do next. Suggestions would be appreciated
doctor
Answered by Dr. Michelle Gibson James 1 hour later
Brief Answer:
may need to switch amoxicillin, see ENT

Detailed Answer:
HI, thanks for using healthcare magic

I agree that the dose of the amoxicillin was too low, at 17 he would be at adult doses which would be 500mg.

There is a lot of resistance to amoxicillin (bacteria do not respond to it) which causes it not be effective for some persons, this is the reason that augmentin is sometimes used instead.
Augmentin is amoxicillin plus another agent to help overcome the antibiotic resistance.

High dose augmentin should be considered.

He may want to gargle/spray with an antiseptic/pain killer combination such as chloroseptic gargle/spray or covonia throat spray.

In addition, he may need to see an ENT specialist since symptoms are not improving but are actually worsening for him.
His doctor can refer him to ENT to be seen

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Strep test

doctor1 MD

My kids keep catching step throat. Are there any over the counter meds or vitamins I can give them to prevent strep?

doctor1 MD

I caught a cold from my grandson but it has been over a week now and it isn't going away. I am coughing up brown mucus and have a very sore throat...

doctor1 MD

I have a bit of a sore throat

doctor1 MD

Hi. My daughter is 8 years old and we recently found out that she has ulcers inside her vagina , along the vaginal walls, she also has swelling...

doctor1 MD

Did I have rheumatic fever? I never went back after my last massive dose of antibiotics (which cured all), but I had positive strep test, extremely...

doctor1 MD

HI, i'm 33, female, non smoker non drinker. i've been sick for around 6 wks now. Initially i thought i had a bad cold, but most likely was the flu...

doctor1 MD

I have 6 bumps across the back of my tongue. The roof of my mouth aches at times. The left side of throat (lypmp node is swollen). I get hoarse...

Get personalised answers from verified doctor in minutes across 80+ specialties

195 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Michelle Gibson James
  • Q - Can Hydroxyzine be taken for urinary tract and bladder infections?

  • Q - What causes black colored stool?

  • Q - What causes dizziness in an elderly person post suffering a concussion?

  • Q - What does severe atrophy in a MRI report indicate?

  • Q - What causes electric shock like sensation in the arms radiating to the...

  • Q - Suggest treatment for swollen lymph nodes and fever in a child

  • Q - What does resting heart beat of 52 indicate?

  • Q - What causes diarrhea and upper right abdominal pain?

  • Q - Is Oxycodone 10/325 different from Oxycodone 114?

  • Q - Can Antabuse cause dizziness?

backtotop2