Doctors Lounge - Pediatrics Answers
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Forum Name: Pediatric Topics
|sdmcmonkeymcbean - Sun Sep 30, 2007 5:57 pm||
3.5 year old boy
Had several ear infections when 9 months to 18 months. Did NOT get tubes. This is his only history.
Since turning 3 (Feb), he has had recurring fevers with headaches. His fever normally runs between 101-102 without medication. We normally cycle him through ibaprofin (sp?) and tylenol (both children's form). This almost always brings down his fever for a spell. Once the fever is down, he normally acts as if he is not sick, only rarely complaining of the headache.
Over the past 7 weeks he has been affected by this 3 times. He was sick for about five days; better for three weeks; sick again for six days; better for six days; and is now sick again.
He went for a CT scan two weeks ago. It came back clear. His pediatrician believes that it is allergies. He put him on Nasonex and another allergy pill (it escapes me) two weeks ago.
I cannot find anywhere online where it says that fevers are common with allergies. Do you have any other ideas as to what could be going on here? I'm going to take him back to see his doctor tomorrow and would like to have some ideas to bounce off of him.
|Dr. Chan Lowe - Sun Sep 30, 2007 7:02 pm||
You are correct that generally allergies are not associated with fevers. The most common reason for children your son's age is that the child gets recurring viral infections.
Children his age get an average of 12-15 colds per year, mostly clustered in the winter time. This means that often just as they are getting over one cold they get another one.
If these fevers continue it may be worth doing some screening labs such as a CBC and CRP. If there is concern for a possible immune problem (although this history doesn't make me particularly suspicious of one) there are some initial simple screening labs that can be done for this also.
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