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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever, Wet Cough With Chest And Back Rattling Sounds?

My daughter is 7 months old. She has had a fever of 102-104.1(kept down with motrin and ibu) for the last 3 days with a wet cough. When breather she has a rattle in her chest and back, almost like gravel rubbing together.No significant nasal discharge. She has been very lethargic and barely nursing (but enough to stay hydrated). Could it be a respitory infection that will require antibiotics?
Wed, 28 Nov 2018
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Pediatrician 's  Response
Hi,

You give a good description of an infant with a respiratory infection. Most likely she has pneumonia or bronchiolitis. Pneumonia is caused by either bacteria (treated with an antibiotic) or viruses; bronchiolitis is caused by viruses.

Signs of respiratory distress include:
-rapid breathing
-pulling with neck muscles to expand chest and allow more air to enter lungs
-blue coloration around lips, fingers, toes

Because of her young age, fever, lethargy, and poor feeding with danger of dehydration, your daughter needs to be seen by her primary care physician or the ER as soon as possible.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Arnold Zedd,
Pediatrician
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What Causes Fever, Wet Cough With Chest And Back Rattling Sounds?

Hi, You give a good description of an infant with a respiratory infection. Most likely she has pneumonia or bronchiolitis. Pneumonia is caused by either bacteria (treated with an antibiotic) or viruses; bronchiolitis is caused by viruses. Signs of respiratory distress include: -rapid breathing -pulling with neck muscles to expand chest and allow more air to enter lungs -blue coloration around lips, fingers, toes Because of her young age, fever, lethargy, and poor feeding with danger of dehydration, your daughter needs to be seen by her primary care physician or the ER as soon as possible. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd, Pediatrician