Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Constant Fever And Rashes On Torso And Limbs?
Question: Hi,
Our 16 year old daughter has had a fever for three weeks. It has fluctuated from as high as 103 down to 100. She has taken a round of amoxicillin and now has a red rash/hives on her torso and now on feet, arms, hands. A blood test was taken recently to check for mumps ect. Strep was tested for and ruled out.
Any insight? Thanks, XXXXXXX
Our 16 year old daughter has had a fever for three weeks. It has fluctuated from as high as 103 down to 100. She has taken a round of amoxicillin and now has a red rash/hives on her torso and now on feet, arms, hands. A blood test was taken recently to check for mumps ect. Strep was tested for and ruled out.
Any insight? Thanks, XXXXXXX
Brief Answer:
Need some more information
Detailed Answer:
Hi....kindly answer the questions below - I need more information before I guide you professionally.
1. How is her activity when there's no fever (in between 2 fever spikes)?
2. How is her appetite?
3. Does she have any other symptoms other than that you have quoted?
4. Is her abdomen distended - did the treating doctors mention anything about enlarged liver and spleen?
5. Has she been tested for EBV or Mononucleosis?
6. Is there any glandular or lymph node swelling on the neck?
7. Can you upload her blood tests?
8. Is there severe pallor or severe limb pains or bone pains?
9. Can you upload a photo of her rash, especially the one that's there on hands and feet?
Regards - Dr. Sumanth
Need some more information
Detailed Answer:
Hi....kindly answer the questions below - I need more information before I guide you professionally.
1. How is her activity when there's no fever (in between 2 fever spikes)?
2. How is her appetite?
3. Does she have any other symptoms other than that you have quoted?
4. Is her abdomen distended - did the treating doctors mention anything about enlarged liver and spleen?
5. Has she been tested for EBV or Mononucleosis?
6. Is there any glandular or lymph node swelling on the neck?
7. Can you upload her blood tests?
8. Is there severe pallor or severe limb pains or bone pains?
9. Can you upload a photo of her rash, especially the one that's there on hands and feet?
Regards - Dr. Sumanth
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
1. How is her activity when there's no fever (in between 2 fever spikes)? She has been quite lethargic and non-active.
2. How is her appetite? as normal.
3. Does she have any other symptoms other than that you have quoted? Constant fever, and chest congestion. Her glands by her neck have been consistently very swollen and hard.
4. Is her abdomen distended - did the treating doctors mention anything about enlarged liver and spleen? Abdomen is not distended.
5. Has she been tested for EBV or Mononucleosis? A swab for strep throat came back negative. I am not sure if strep is mono?
6. Is there any glandular or lymph node swelling on the neck? Yes very much so.
7. Can you upload her blood tests? Sorry, no result yet.
8. Is there severe pallor or severe limb pains or bone pains? No
9. Can you upload a photo of her rash, especially the one that's there on hands and feet? Will do so.
2. How is her appetite? as normal.
3. Does she have any other symptoms other than that you have quoted? Constant fever, and chest congestion. Her glands by her neck have been consistently very swollen and hard.
4. Is her abdomen distended - did the treating doctors mention anything about enlarged liver and spleen? Abdomen is not distended.
5. Has she been tested for EBV or Mononucleosis? A swab for strep throat came back negative. I am not sure if strep is mono?
6. Is there any glandular or lymph node swelling on the neck? Yes very much so.
7. Can you upload her blood tests? Sorry, no result yet.
8. Is there severe pallor or severe limb pains or bone pains? No
9. Can you upload a photo of her rash, especially the one that's there on hands and feet? Will do so.
Brief Answer:
Could be an EBV infection or prolonged viral illness
Detailed Answer:
Hi...I have gone through the history you have provided. These are the possibilities I put forth -
1. EBV infection - Ebstein Barr Virus infection and almost all the symptoms fill in, including prolonged fever and glandular enlargement in the neck.
2. Prolonged viral illness - Highly likely with all symptoms fitting in again.
3. Hand foot mouth disease - I would in a better position to diagnose this after I see the images. Can you upload a photo of her rash, especially the one that's there on hands and feet?
4. Lymphoreticular neoplasm - But without bone pains and appetite being normal - highly unlikely. But we need to do a bone marrow aspiration and subject the marrow to histopathological examination or a lymph node biopsy need to be performed.
Kindly get back to be with photo of her rash, especially the one that's there on hands and feet and face too - as mild peri-orbital puffiness is a pointer towards towards EBV infection.
I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696
Could be an EBV infection or prolonged viral illness
Detailed Answer:
Hi...I have gone through the history you have provided. These are the possibilities I put forth -
1. EBV infection - Ebstein Barr Virus infection and almost all the symptoms fill in, including prolonged fever and glandular enlargement in the neck.
2. Prolonged viral illness - Highly likely with all symptoms fitting in again.
3. Hand foot mouth disease - I would in a better position to diagnose this after I see the images. Can you upload a photo of her rash, especially the one that's there on hands and feet?
4. Lymphoreticular neoplasm - But without bone pains and appetite being normal - highly unlikely. But we need to do a bone marrow aspiration and subject the marrow to histopathological examination or a lymph node biopsy need to be performed.
Kindly get back to be with photo of her rash, especially the one that's there on hands and feet and face too - as mild peri-orbital puffiness is a pointer towards towards EBV infection.
I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.
www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. XXXXXXX Amperayani,
How do we test for EBV? through a blood test?
I have pictures but cannot find where to upload on this site if you could kindly assist.
Regards, XXXXXXX
How do we test for EBV? through a blood test?
I have pictures but cannot find where to upload on this site if you could kindly assist.
Regards, XXXXXXX
Brief Answer:
EBV VCA IgM/ mail or upload directly
Detailed Answer:
Hi...
1. For testing EBV - we need to do EBV VCA IgM and it is a blood test. Its available in any good medical center or laboratory.
2. Regarding the photos - You can attach them on the right side of this page or mail them to YYYY@YYYY to my attention.
Regards - Dr. Sumanth
EBV VCA IgM/ mail or upload directly
Detailed Answer:
Hi...
1. For testing EBV - we need to do EBV VCA IgM and it is a blood test. Its available in any good medical center or laboratory.
2. Regarding the photos - You can attach them on the right side of this page or mail them to YYYY@YYYY to my attention.
Regards - Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
