
What Causes Persistent Fever In A Child?

But still fever spikes did not control occurring high fever for every 5 hours. Fever coming down after giving mefthagesic ds.
We are getting tensed about what is happening. Please advise what needs to be done.
Likely to be viral.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone carefully through the details and understand your concern. Most often such symptoms are due to viral infections and antibiotics are ineffective in such cases. Irrespective of use of antibiotics, it usually spontaneously resolves in 5-7 days. Till then the spikes may continue.
I will request you to upload the reports of the tests done. It will help me to understand the situation.
If your child has fever with temperature more than 100°F, you need to give paracetamol or acetaminophen (P-250, Crocin or Tylenol) to bring down. If paracetamol is not effective in bringing down the temperature, you need to use Meftal-P (mefenamic acid) which is more effective. (prescription medicine).
I would await your response.
Regards


Could you please tell me whether we should do malaria test also get done? Because he is getting shivered when the temperature is high (103/104).
Bacterial infection
Detailed Answer:
Thanks for writing back.
I have checked the attached reports. There seems to be evidence of a bacterial infection and your doctor has done the right thing by prescribing antibiotics. Chills and rigors are commonly seen due to urinary tract infection so you can get a routine microscopy done along with the blood test for malaria that you seek.
Regards


Please be patient.
Detailed Answer:
Thanks for writing back.
Fever spikes do not respond to antibiotics. They respond to paracetamol or mefenamic acid. Antibiotics bring down the underlying infection and sometimes it may take some time before the fever stops coming back. Unless your child has a sick and toxic look and is lethargic, I do not think that antibiotics need to be changed. It is only if the fever lasts for more than 7 days that you would need to get the situation reviewed by your doctor.
Regards


Glad to be of service
Detailed Answer:
Feel free to write back directly to me if you ever have a health related query in the future. I would be there to assist you.
Regards

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