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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child. On And Off Fever. Sed Rate 11. Histroy Of Fifths Disease. Serious?

My daughter is 9 years old and was diagnosed with fifths disease about a month ago. The rash is gone but she is left with a low grade fever that comes and goes. It ranges anywhere from 98.0 to 99.3. My concern is that this fever is hanging on way too long. The fever has been going on a little over a month. Her sed rate was 11 and the doctor thought that could just be from the viral fever. All other blood tests were normal. Should I be concerned or can this fever be something to be more concerned about?
Wed, 24 Apr 2013
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Pediatrician 's  Response
Hi,

Since this low grade fever is lingering i would advise you to monitor her temperature at regular intervals and preferably oral temperature.

Sometimes post fifth disease kids have joint inflammation and sometimes sudden reduction in RBC and hemoglobin which in turn could predispose to other infection and fever.If the fever persist above 99 then you should get her examined and thoroughly investigated to rule out other infection or arthritis.

Bye
Take Care


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Pediatrician Dr. Sanjay Sharma's  Response
Hi,
Thanks for placing your query through HCM.
I can appreciate your concerns.
Because of the normal variation in body temperature, there is no single value that is defined as fever.
However, the following are generally accepted values:
Rectal temperature above 100.4ºF (38ºC)
Oral temperature above 100ºF (37.8ºC)
Axillary (armpit) temperature above 99ºF (37.2ºC)
Ear (tympanic membrane) temperature above 100.4ºF (38ºC) in rectal mode or 99.5ºF (37.5ºC) in oral mode
Forehead (temporal artery) temperature above 100.4ºF (38ºC)
You have no reasons to worry & can see yourself how many temperature readings were really coming under the definition of fever.
Fifth disease is a very common & non serious viral illness childhood
Hope I have answered your query.
If you have any further questions I will be happy to help.
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Child. On And Off Fever. Sed Rate 11. Histroy Of Fifths Disease. Serious?

Hi, Since this low grade fever is lingering i would advise you to monitor her temperature at regular intervals and preferably oral temperature. Sometimes post fifth disease kids have joint inflammation and sometimes sudden reduction in RBC and hemoglobin which in turn could predispose to other infection and fever.If the fever persist above 99 then you should get her examined and thoroughly investigated to rule out other infection or arthritis. Bye Take Care