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What Causes High Fever With Sore Gums And Red Spots?

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Posted on Mon, 17 Oct 2016
Question: Our 7 year old has had a fever since Wednesday, 4 days now, stays around 102. We've been giving him some ibuprofen and switched to motrin a few times. His gums are sore and we can see some red spots on them. He has no cough. Loss of appetite but drinking plenty so not dehydrated.
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Answered by Dr. Archana Verma (32 minutes later)
Brief Answer:
Need more information

Detailed Answer:
Hi
I have gone through your question and understand your concerns. Do not worry. High fever with sore gums and red spots can be due to several reasons such as vitamin deficiencies, bacterial infections, viral cause or inflammation ( Kawasaki disease).

Kindly upload the images of oral lesions for my review. Also, check for any rashes or eruptions on hands or feet, swelling of lymph nodes esp. side of neck. Mention if she has any such finding. Any significant past or family history.

This will help in more definitive management plan.

Regards
Dr. Archana Verma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Archana Verma (13 hours later)
I have attached photos of his upper and lower gums. The photos show they are swollen but the red spots are not as visible. There are no rashes on his hands, feet or neck.

Yes, his lymph nodes are swollen. There is no family history of any medical problems.

He still does not have a cough but is on the fifth day of a 102 fever. He still doesn't want to eat and says it's because his gums are sore, not because he feels sick.

doctor
Answered by Dr. Archana Verma (44 minutes later)
Brief Answer:
Needs lab evaluation for infectious mononucleosis or bacterial infection

Detailed Answer:
Hi
Thanks for the images. I would recommend you to visit a pediatrician for complete clinical evaluation of enlarged lymph nodes and hepatosplemomegaly. Tests including monospot for Infectious mononucleosis, CBC, CRP and blood culture will be useful. Start him on vitamin B complex and Vitamin C supplement along with paracetamol for fever at present.

Hopefully it will be of help. I would be happy to help you with further management according to clinical and laboratory results.

Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Archana Verma

Pediatrician

Practicing since :2006

Answered : 1129 Questions

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What Causes High Fever With Sore Gums And Red Spots?

Brief Answer: Need more information Detailed Answer: Hi I have gone through your question and understand your concerns. Do not worry. High fever with sore gums and red spots can be due to several reasons such as vitamin deficiencies, bacterial infections, viral cause or inflammation ( Kawasaki disease). Kindly upload the images of oral lesions for my review. Also, check for any rashes or eruptions on hands or feet, swelling of lymph nodes esp. side of neck. Mention if she has any such finding. Any significant past or family history. This will help in more definitive management plan. Regards Dr. Archana Verma