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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent High Fever In Child Diagnosed With Pneumonia?

18 months old boy diagnosed pneumonia and started Biaxin. First day of Biaxin, same night had high fever (104-105F). Second day, this morning still have fever (101.6F) and this morning stool has some clay colour. He still has a fever (99.6-100.6F) at lunch time. He is tired and loss appetite. We gave him Tylenol and advil whenever we detect him a fever and it went down to normal for a few hours. Thanks.
Mon, 16 Feb 2015
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Pediatrician, Pulmonology ,  's  Response
Hi...Unless the kid is having respiratory distress/ severe cough/ inability to feed and fast breathing - it is not pneumonia. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics (Like Clarithromycin - Biaxin)at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Regards - Dr. Sumanth
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What Causes Persistent High Fever In Child Diagnosed With Pneumonia?

Hi...Unless the kid is having respiratory distress/ severe cough/ inability to feed and fast breathing - it is not pneumonia. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn t require antibiotics (Like Clarithromycin - Biaxin)at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - Dr. Sumanth