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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Facial Swelling In A Child?

Hi doctor, My 2.5 years old daughter had sweeling on eyes which then becomes more prominent on face also. Then 3 days later she had high fever. My doctor suggetsed Urine test to check protein in Urine which came normal. Then he asked for blood test. In Blood test everything is normal except TLC which should be till 10,000 but my daughetrs TLC is 30,000. Then my doctor asked for Ultrasound Lower abdomina nd Back which again came normal and chest X-Ray which is also normal. Just her Liver and spleen had a bit of sweeling. What could be the acuse of the same
Thu, 18 Feb 2016
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Pediatrician, Pulmonology 's  Response
Hi...by what you quote I feel that our kid might be having a infectious mononucleosus or Epstein Barr Virus (EBV) infection. Mild facial puffiness and enlargement or liver and spleen suggest the same thing.

Will tell you how a viral illness behaves so that you will be more comfortable.

Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

Regards - Dr. Sumanth

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What Causes Facial Swelling In A Child?

Hi...by what you quote I feel that our kid might be having a infectious mononucleosus or Epstein Barr Virus (EBV) infection. Mild facial puffiness and enlargement or liver and spleen suggest the same thing. Will tell you how a viral illness behaves so that you will be more comfortable. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn t require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - Dr. Sumanth