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Child has fever, joint pain. Negative tests for influenza and mono. What to do?

my 17 year old daughter has been running a fever for the last week between 101-103 she has severe joint and bone pain that started in her knee and ankles and now has traveled to her wrists hands and arms, she has seen regular Dr, been to ER 3x in 5 days negative test results for Influenza , Mono, blood levels appear to be normal and all have diagnosed viral syndrome her pain is so severe that she sleeps very little and nothing relieves pain have tried Ibuprofin, Tylenol , and pain meds given by doctors dont know what else to do
Asked On : Tue, 12 Mar 2013
Answers:  2 Views:  39
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Diseases and Conditions
General & Family Physician 's  Response
Hi and thanks for the query,
Fever and joint pain have many causes especially in children, and should be limited only to viral causes.
Bacterial causes could also be sought. A blood culture should be done. Many autoimmune and inflammatory diseases could cause joint pain and fever. Rheumatoid arthritis, Rheumatic fever, Juvenile onset Rheumatic arthritis, serum negative Rheumatoid Arhritis, sarcoidosis are all diagnostic possibilities that should be explored. Its too early to think you got nothing to do.
I suggest you take an appointment with a Rheumatologist for a proper evaluation. While waiting, analgesics and non steroidal anti inflammatory drugs might be appropriate temporary measures. But anti biotics should however be avoided at this stage before meeting your physician.
Thanks and best regards,
Luchuo, MD.
Answered: Wed, 13 Mar 2013
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Pediatrician Dr. Himanshi Kashyap's  Response
Viral fevers do lead to generalised body pain ,myalgia and malaise.If she is already taking painkillers with no improvement try giving her multivitamins and good well balanced diet with friuts and vegetables.Also keep her well hydrated ,sometimes electrolyte imbalance lead to myalgia so give oral rehydration solution like electral , gatorate etc.Such symptoms will become alright in a weeks time so be patient .If she doesnot improve in a week get her evaluated again.
Take Care
Answered: Wed, 13 Mar 2013
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