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What Could Cause Fever,throat Infection In A 9 Years Old Child?
My daughter is 9 years old and a fairly healthy child. But for the last month or so she has had fever thrice coupled with loose stomach and once a throat infection. She recovers quickly. I have attributed this to changed weather , heat, swimming, school food. However today when I showed her to a doctor , he diagnosed her with swollen cervical glands and said it wud need treatment for 6 months or so and can lead to retardation in growth and tuberculosis . Pls advise.
Fri, 5 Sep 2014
Hi
welcome to HealthCareMagic
First part of history given by you is suggestive of recurrent infections ,twice of gastrointestinal tract and once upper respratory infections , most likely viral.
Now the issue is of cervical lymph nodes and 6 months treatment .If I were your treating pediatrician I would like to examin and evaluate for the cause of enlarged cervical lymph nodes .Have you noticed earlier these enlarged lymph nodes
or it is a new finding ? Size of lymph nodes?.Are they painful ? Is there fever this time ?Is there any family history suggestive of tuberculosis ? Depending upon history and examination and invetigations we shall be able to lead to a conclusion what is cause of enlarged lymph nodes.If there is short history it can be simple viral or bacterial infection ,in later case will resolve with a course of antibiotics.Question of tuberculosis and 6 months treatment only arises if they are found to be tubercular.Has she been evaluated for that ? If found positive she can be cured with a 6 month course of antitubercular drugs .In my opinion she needs proper evaluation for cause of enlarged lymph nodes and to decide accordingly.You have not mentioned any investigation done.Previous episodes of fever do not seem to be related to lymph nodes enlargement.
Do revert back with these inputs so as to reach upon any conclusion.
Hope I answered your query
thanks
welcome to HealthCareMagic
First part of history given by you is suggestive of recurrent infections ,twice of gastrointestinal tract and once upper respratory infections , most likely viral.
Now the issue is of cervical lymph nodes and 6 months treatment .If I were your treating pediatrician I would like to examin and evaluate for the cause of enlarged cervical lymph nodes .Have you noticed earlier these enlarged lymph nodes
or it is a new finding ? Size of lymph nodes?.Are they painful ? Is there fever this time ?Is there any family history suggestive of tuberculosis ? Depending upon history and examination and invetigations we shall be able to lead to a conclusion what is cause of enlarged lymph nodes.If there is short history it can be simple viral or bacterial infection ,in later case will resolve with a course of antibiotics.Question of tuberculosis and 6 months treatment only arises if they are found to be tubercular.Has she been evaluated for that ? If found positive she can be cured with a 6 month course of antitubercular drugs .In my opinion she needs proper evaluation for cause of enlarged lymph nodes and to decide accordingly.You have not mentioned any investigation done.Previous episodes of fever do not seem to be related to lymph nodes enlargement.
Do revert back with these inputs so as to reach upon any conclusion.
Hope I answered your query
thanks
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