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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Intermittent Fever, Reduces Within An Hour Without Medicines, WBC Normal. Serious?

My daughter 5 years old had a high fever 103 F two weeks ago and then last week she again had mild fever , we went to doctor and they took white cells count and it was normal. However, she got mild fever 100.2 for an hour yesterday and today also we noticed the temparature went upto 100.4 (measured in the ear). We did not give any medicine but her temperature comes to normal after a while in an hour or so.....Can you please advise? Is it something serious ? Is it a symptom of lukemia? THANK YOU very much your time and help.
Sat, 27 Oct 2012
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Pediatrician, Critical Care ,  's  Response
Some of the infections can take bit longer to recover from and probably that explains the recurrence of fever.

Are there any other symptoms like cough/cold/urine problems etc?

I would advise to continue symptomatic treatment - Paracetamol for fever. Make sure she is eating & drinking well.

There are more symptoms associated with Leukemia and physical examination by a doctor can pick up signs which are suggestive of Leukemia. Blood tests do reveal very high white cell count with presence of immature cells in Leukemia, which is not present in the blood test your daughter had.

Since the fever has been recurring over last 2-3 weeks, it is advisable that she gets seen by a doctor.

I don't feel it is serious.

Thanks
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Child Has Intermittent Fever, Reduces Within An Hour Without Medicines, WBC Normal. Serious?

Some of the infections can take bit longer to recover from and probably that explains the recurrence of fever. Are there any other symptoms like cough/cold/urine problems etc? I would advise to continue symptomatic treatment - Paracetamol for fever. Make sure she is eating & drinking well. There are more symptoms associated with Leukemia and physical examination by a doctor can pick up signs which are suggestive of Leukemia. Blood tests do reveal very high white cell count with presence of immature cells in Leukemia, which is not present in the blood test your daughter had. Since the fever has been recurring over last 2-3 weeks, it is advisable that she gets seen by a doctor. I don t feel it is serious. Thanks