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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Fever With Submandibular Swelling?

21months old infant having fever since a week.. Controlled by fever medicines but appears if medicine not given 6 hourly. No cough or cold. submandibular swelling since day second of fever. Heamogram normal. Typhoid negative. Pls suggest what it could be...Urine routine and blood culture is under testing... What else needed for diagnosis??
Wed, 28 Jun 2017
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General & Family Physician 's  Response
Hi,
Thanks for the query. I understand your concern.
Fever medicine would bring down fever.. but compleate freedom from the problem need removal of basic cause. ( like suitable antibiotic added to fever medicine in case of infection )
Fever with submandibular swelling could be a lymph swelling due to infection of the area drained by the node like, ( irrupting & infected tooth, submandibular lymph gland, ear, nose, throat, eye or scalp)/ inflammation of lymph node itself .. accompanied by swelling of lymph nodes at other sites .
You have started with many investigations.. but in my view a detailed physical examination by a pediatrician would be important in order to make primary impression of the cause & then advise specific investigations to confirm the diagnosis followed by cause specific treatment.
Please consult her pedaitrician for guidance .
Thanks
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What Causes Recurring Fever With Submandibular Swelling?

Hi, Thanks for the query. I understand your concern. Fever medicine would bring down fever.. but compleate freedom from the problem need removal of basic cause. ( like suitable antibiotic added to fever medicine in case of infection ) Fever with submandibular swelling could be a lymph swelling due to infection of the area drained by the node like, ( irrupting & infected tooth, submandibular lymph gland, ear, nose, throat, eye or scalp)/ inflammation of lymph node itself .. accompanied by swelling of lymph nodes at other sites . You have started with many investigations.. but in my view a detailed physical examination by a pediatrician would be important in order to make primary impression of the cause & then advise specific investigations to confirm the diagnosis followed by cause specific treatment. Please consult her pedaitrician for guidance . Thanks