Hi,I am Dr. Shanthi.E (General & Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
my 2.5 year old son has had recurrent fevers the past six weeks with about two weeks of being well in between. he has had no other real symptoms besides the fever ranging from low grade to 104.7 (rectal). we took him to the doctor today and they said his blood count looked good as far as leukemia goes but that his white blood cell was up and indicated a bacterial infection. they used a catheter to rule out a UTI and sent us home with an augmentin prescription. we put him down for a nap this afternoon after motrin and tylenol had brought his fever down and he woke up sweaty with no fever. about two hours later he quickly felt bad, with chills and a rapidly rising fever. his hands and feet were ice cold at this point and he laid down for about an hour after we gave him some motrin. now he is back up and playing normally although he is running about a 102 fever. should we be concerned? especially with the cold hands and feet (they are back to normal now). he goes to daycare 5 days a week with other toddlers and has no medical history of anythong besides minor infections
1. Since he is under physician supervision, remain under his observation and following step wise approach should be followed:
. Before labelling a fever as bacterial/viral one must look for (as compulsory routine) pallor,jaundice, neck stiffness,abdomen for liver & spleen and auscultate the chest.
. If there is a running epidemic in the locality then that cause must be sought first.
. Fever with chills should make one suspect of Malaria and/or UTI, ask for blood smear of MP, Urine,Widal test,X-ray chest, Hb%, WBC.
. If fever does not reduce within 3-4 days of empirical treatment, investigate in details or consult a Paediatrician.
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What Causes Recurring Fever In A Toddler?
1. Since he is under physician supervision, remain under his observation and following step wise approach should be followed: . Before labelling a fever as bacterial/viral one must look for (as compulsory routine) pallor,jaundice, neck stiffness,abdomen for liver & spleen and auscultate the chest. . If there is a running epidemic in the locality then that cause must be sought first. . Fever with chills should make one suspect of Malaria and/or UTI, ask for blood smear of MP, Urine,Widal test,X-ray chest, Hb%, WBC. . If fever does not reduce within 3-4 days of empirical treatment, investigate in details or consult a Paediatrician.