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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Night Fevers In A Child?

Hello Dr., My daughter 4.5 years, was suffering with night fever. This happened about 4-5 times with in one month and normal fever for about 2-3 times in this time period. That time she was treated for a normal fever and she was okay for a time being. Now she is diagnosed with TC 15800 Cells/cmm & WIDAL (SLIDE METHOD) as POSITIVE. Is there anything to worry about???
Mon, 2 Mar 2015
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Pediatrician, Pulmonology 's  Response
Hi...coming to your queries first -

1. Widal by slide method is a useless test - do not trust it.
2. Widal need not be done unless there is fever continuously for more than 7 days.
3. This seems like a recurrent viral illness to me.

I will explain to you what a viral illness is - so that you will be more confident next time.

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 at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.
Regards - Dr. Sumanth
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What Causes Persistent Night Fevers In A Child?

Hi...coming to your queries first - 1. Widal by slide method is a useless test - do not trust it. 2. Widal need not be done unless there is fever continuously for more than 7 days. 3. This seems like a recurrent viral illness to me. I will explain to you what a viral illness is - so that you will be more confident next time. 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 at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - Dr. Sumanth