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What causes cold, fever and elevated ESR levels in a child?

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Posted on Thu, 12 May 2016
Question: My 5 old son was apparently normal 7 days after which he had developed high grade fever (105°c),which was continues with evening rise, and transiently responding to antipyretics. No H/O cough or breathing difficulty. No H/O headache or vomiting. No H/O loose stools. No H/O abdominal pain.no ear pain or ear discharge. No dysuria or high coloured urine.no pallar /cyanosis/icterus/clubbing/LN/edema.skin,hair and nails are normal. No meningeal signs. He was admitted in hospital and his blood counts were normal and ESR was 55. Urine examination was normal. Rapid malarial test was negative. Peripheral smear also normal.widal result was negative. Blood culture remained sterile. cefpodoxime syrup was prescribed for 9 days. After This he was OK and started to go to school. But he was suffering from cold for the last week.now he have slight fever also.please help me sir.what's the reason for his high ESR value nowadays fever?we are in big tension. Is it a continuation of the previous fever? Is there anything to worry? Need any special examination?
doctor
Answered by Dr. Deepak Patel (36 minutes later)
Brief Answer:
Not related to previous illness

Detailed Answer:
Hi,
Welcome to HCM.
Can understand your concerns.

This episode of cold and fever is not related to previous illness.
High ESR could be due to many reasons like any infection, allergic rhinitis, increased sensitivity to allergens.
This episode appears to be simply common cold due to environmental temperature variation.
In my opinion, you should give paracetamol syrup and cough syrup for 2 days and he will be alright.
Since all investigations were normal, I think that you should not worry about this.

I hope this will help you.
Take care.
Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. Deepak Patel (1 hour later)
After the hospitalisation we were continuously monitoring his temperature and found to be 101.4 and consulted our paediatrician this Monday and he prescribed antibiotics course ( azitromicin oral suspension ) just to be in safe side as our younger son is having cheat congestion. After that he was alright and no fever. Today again he got a temperature of 100.1 this is the reason why I am a bit worried.
doctor
Answered by Dr. Deepak Patel (1 minute later)
Brief Answer:
You should give antibiotic

Detailed Answer:
Hi,

Children usually get infection very easily from each other and since he was already treated earlier means that his immunity is still low.
You should continue antibiotic course.
Temperature charting should be done three times a day so that you can know whether child is responding or not.
Take care.
Above answer was peer-reviewed by : Dr. Deepak
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Answered by
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Dr. Deepak Patel

Pediatrician

Practicing since :2000

Answered : 1304 Questions

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What causes cold, fever and elevated ESR levels in a child?

Brief Answer: Not related to previous illness Detailed Answer: Hi, Welcome to HCM. Can understand your concerns. This episode of cold and fever is not related to previous illness. High ESR could be due to many reasons like any infection, allergic rhinitis, increased sensitivity to allergens. This episode appears to be simply common cold due to environmental temperature variation. In my opinion, you should give paracetamol syrup and cough syrup for 2 days and he will be alright. Since all investigations were normal, I think that you should not worry about this. I hope this will help you. Take care.