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What causes recurrent fever in a child?

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Posted on Wed, 25 Nov 2015
Question: my 3 year old daughter has recurring high fevers of 103°F and up. usually there is no other symptom and cultures are negative. yesterday her throat culture was positive for strep however this doesnt negate that her fevers are recurring. she has had severe leg pains daily at all times of day and night since birth. so far no answer to that besides "growing pains" which i highly doubt seeing as how the pains do not cease. today she has been very inactive and practically slept all day and into the night. she was sweating profusely without fever, i took her temp because the sweating usually indicates her fever has returned. it was 96.3°F oral. tonight when i woke her up for her amox she, again, was sweating to the point of soaking her bed and her temp was 96.7°F oral. i have since cleaned her up, dressed her warmly and placed her against me in the bed under a heavy blanket. she had slept all day under a heavy blanket. she does not usually present with night sweats or temp drops while using the same blanket or heavier. please, if you could give me some insight into what could possibly be he cause and how to bring her temp up. there has been no change after changing her dressing and adding my body heat. thank you.
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Answered by Dr. Sumanth Amperayani (25 minutes later)
Brief Answer:
Suggestions on recurrent fever

Detailed Answer:
Hi....I understand your concern. I have a few questions for you -

1. How frequently do the fevers recur?
2. How many days does each fever episode last?
3. In the days when she's with fever how is her activity when the fever touches base line?
4. Does she have any other symptom like cough, cold burning sensation while passing urine, chills and rigors apart from fever?
5. Do any of the other family members have fever when she's down with fever?

I agree with you that this episode is streptococcal pharyngitis. But please get back to me with answers to above questions, so that I can guide you better.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8342 Questions

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What causes recurrent fever in a child?

Brief Answer: Suggestions on recurrent fever Detailed Answer: Hi....I understand your concern. I have a few questions for you - 1. How frequently do the fevers recur? 2. How many days does each fever episode last? 3. In the days when she's with fever how is her activity when the fever touches base line? 4. Does she have any other symptom like cough, cold burning sensation while passing urine, chills and rigors apart from fever? 5. Do any of the other family members have fever when she's down with fever? I agree with you that this episode is streptococcal pharyngitis. But please get back to me with answers to above questions, so that I can guide you better. Regards - Dr. Sumanth