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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Fever With Swelling Behind The Ear In A 9 Year Old?

my 9 year old daughter is taking typhoid medicine . before this in January she took antibiotic for cough and cold . there was no fever. In feb 13 she had fever for one day . after a week she again had fever which reched 104. after blood test her tlc was 27000,Dr.start giving her antiboitic for 3 days .ther was no fever ater this course but again she had fevr. the other docoter noticeted a smaalpuse cell near tonsils area. ENT has revoed that and given her augpem for 7 days. during the course of mecidn ther was no fever .ya widal was negetive. chest xray was clear. again she ataryted having fever from 24 of March and a lifnod behing ear is swollen.on 29 March she her typhoid came positive. we started typhoid medicine.but from 9 apri we obsered one more gland incresed near her neck. we stoped typhoid medecin on 13 april .Now her monto text seems positive and waiting for FNC reprt of glan.PLEase advise
Thu, 28 Dec 2017
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General & Family Physician 's  Response
hi.
as per the description this mostly looks like signs and symptoms of the differential diagnosis of lymphadenitis which are tb lymphadenitis, NTM lymphadenitis, kaposis sarcoma or even lymphoma.

to rule out to lymphadenitis it is necessary for a Mantoux test, a PCR smear of the lymph node biopsy and even a FNAC .

which shud come to a conclusion of what disease process is going on .
constitutional symptoms would be anorexia weight loss and fever .

low immunity is a very common cause. and also specific treatment would be given accordingly after the diagnostic tests.
hope this helps.
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What Causes Persistent Fever With Swelling Behind The Ear In A 9 Year Old?

hi. as per the description this mostly looks like signs and symptoms of the differential diagnosis of lymphadenitis which are tb lymphadenitis, NTM lymphadenitis, kaposis sarcoma or even lymphoma. to rule out to lymphadenitis it is necessary for a Mantoux test, a PCR smear of the lymph node biopsy and even a FNAC . which shud come to a conclusion of what disease process is going on . constitutional symptoms would be anorexia weight loss and fever . low immunity is a very common cause. and also specific treatment would be given accordingly after the diagnostic tests. hope this helps.