
What Causes High Grade Fever In A 6 Month Old Infant?

Question: My 6month-old is sick & very uncomfortable. He seen a mouth ears and nose specialist that prescribe him to cephalexin and ive gave him Motrin, but nothing work
does he have high grade fever, how long has he taken the antibiotics
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


For a day and yes hes fevor of 103 and 104.1... He hasnt burpt and his congesstion is really bad but ive
Brief Answer:
Fever, cephalexin, 6 month old
Detailed Answer:
Hello and Welcome
I appreciate your concern
If the child is active in between the spells of high grade fever and is not irritable, with toxic look and lack of energy then its likely that its a viral infection. In majority of cases, its the cause. However, if cephalexin is prescribed then it means that your doctor did isolate a focus of infection, most likely a lower respiratory tract infection. You should continue the cephalexin and give Paracetamol or tylenol at 15mg/kg/dose every 6-hours for high grade fever.
So, in short, continue cephalexin for next 24 hours. If the fever spikes in the same pattern despite treatment, the following investigations must be considered in consult with your doctor.
CBC, ESR/CRP, Chest X ray and blood cultures. Intensive monitoring can be done in terms of oxygen saturation, respiratory rate, perfusion/cyanosis.
Based on these investigations, broad spectrum antibiotics can be administered parenteral preparations.
You may discuss these options with your GP / pediatrician.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Fever, cephalexin, 6 month old
Detailed Answer:
Hello and Welcome
I appreciate your concern
If the child is active in between the spells of high grade fever and is not irritable, with toxic look and lack of energy then its likely that its a viral infection. In majority of cases, its the cause. However, if cephalexin is prescribed then it means that your doctor did isolate a focus of infection, most likely a lower respiratory tract infection. You should continue the cephalexin and give Paracetamol or tylenol at 15mg/kg/dose every 6-hours for high grade fever.
So, in short, continue cephalexin for next 24 hours. If the fever spikes in the same pattern despite treatment, the following investigations must be considered in consult with your doctor.
CBC, ESR/CRP, Chest X ray and blood cultures. Intensive monitoring can be done in terms of oxygen saturation, respiratory rate, perfusion/cyanosis.
Based on these investigations, broad spectrum antibiotics can be administered parenteral preparations.
You may discuss these options with your GP / pediatrician.
Wishing you best of health
Thanks
Let me know if you have any query
Please consult your doctor before deciding on any further course of action.
For future follow up / correspondence you may ask me directly at the link given below
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107
Dr. M.S. Khalil
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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