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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Grade Fever With Less Energy In 2 Year Old?

My 2 yr old son been having low grade fevers everyday for a few weeks but past week he is not eating, sleeping all day long, crying like he is in pain and overall acting very different, less energy, then normal. No other symptoms. No cough, runny nose, diarrhea/constipation, urine looks normal, not tugging on ears, not digging fingers into his mouth or drooling (like he does when he is getting a tooth), no new teeth starting. Took him Dr today and no ear infection. Just overall lethargic plus fevers. What could this be? What should I do? Dr seemed less then concerned and I fought to get blood work, urinalysis/culture, cxr and throat culture today. I m concerned. Not just as a mom, but as a nurse. Please help!!
Fri, 31 Jul 2015
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Pediatrician 's  Response
your child seems to be having a chronic infection. A fever persisting for more than 14 days needs a proper investigation to rule out tuberculosis especially TB meningitis,also rule out any malignancies. It is preferable to admit the child if he is lethargic and not eating. Lumber puncture must be a part of the investigation.
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What Causes Low Grade Fever With Less Energy In 2 Year Old?

your child seems to be having a chronic infection. A fever persisting for more than 14 days needs a proper investigation to rule out tuberculosis especially TB meningitis,also rule out any malignancies. It is preferable to admit the child if he is lethargic and not eating. Lumber puncture must be a part of the investigation.