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What causes swollen glands on side of the throat?

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Posted on Thu, 17 Jul 2014
Question: hi my 14 year old daughter last week had swollen glands on one side of her throat and the next night had a fever. We went to the doctor. The next day, she was puffy around her eyes, especially on the side of the swollen glands. Strpt test neg. Doc put her on antibiotics. No change, and she is still swollen, puffy and low grade fever. I gave her a benadryl today to see if it would help, no luck. Don't see any bites, but am beginning to worry. Also, she has a little rash on her face, red bumps. Is sensitive to antibiotics but stopped taking them two days ago after being on them for 4 days. Rash is new. Has pain near upper jaw, all the way down to glands. Don't see any teeth problems but she wears braces. Complaining of being weak and not having energy, not being able to "breathe" right, though she sounds fine. This has been going on for about a week and getting steadily worse.
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Answered by Dr. Sumanth Amperayani (6 hours later)
Brief Answer:
Could be viral illness

Detailed Answer:
Hi...Thank you for consulting in Health Care magic.

By what you quote I suspect it to be a viral illness especially caused by EBV (Ebstein Barr Virus) which causes this classical illness of neck gland swelling, puffiness of face and fever. Cough can and cold might be associated. Pain in jaw is also explainable by this.

Being a viral illness antibiotics are not needed and some times may precipitate some rash and wont alleviate the symptoms.

Discuss about my views with the treating doctor. If the doctor agrees I recommend you get her tested for EBV VCA IgM antibody test. Further she may not be breathing fine due to nasal congestion. We can use saline nasal drops to relieve this discomfort.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8348 Questions

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What causes swollen glands on side of the throat?

Brief Answer: Could be viral illness Detailed Answer: Hi...Thank you for consulting in Health Care magic. By what you quote I suspect it to be a viral illness especially caused by EBV (Ebstein Barr Virus) which causes this classical illness of neck gland swelling, puffiness of face and fever. Cough can and cold might be associated. Pain in jaw is also explainable by this. Being a viral illness antibiotics are not needed and some times may precipitate some rash and wont alleviate the symptoms. Discuss about my views with the treating doctor. If the doctor agrees I recommend you get her tested for EBV VCA IgM antibody test. Further she may not be breathing fine due to nasal congestion. We can use saline nasal drops to relieve this discomfort. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,