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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Extreme Thirst And Fever In A Child Suggest?

Hello, my 10 year old son woke in the night extremely thirsty and again at 5:30 am. He had a fever of 101.8, body aches, severe headache, body aches, chills and what he described as pain in his shoulders, but could translate to neck pain. He kept saying how thirsty he was. No stomach issues. He hadn t eaten anything different the night before or been dehydrated. He did have about 5 mosquito bites about 6pm last night. And another large bite on Friday night assumed it was a mosquito. Also Friday night his friend had a tick attached to his leg in our grassy yard no trees. Called the dr. and she said alternate Tylenol and ibuprofen every 3 hours and see how he s doing. Yes fever went down to 99.6, but he is drinking so much and still incredibly thirsty, sleeping rather than watching tv (which is so unlike him). I am concerned that Tylenol and ibuprofen are masking the fever and that there may be a possible insect issue here - lyme? Do I need to take him to the hospital to get checked? overall his symptoms have only improved slightly with use of pain and fever reducers. Thank you!
Mon, 14 Feb 2022
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Internal Medicine Specialist 's  Response
Hi,

I have been reading through your inquiry and I do agree that the intense thirst and high fever is alarming here to me. The Lyme disease risk here is rather great with the description and I do think that his profile can certainly be explained by early Lyme disease. I do think that going to the ER to get lab work drawn, IV fluids and antibiotic coverage for Lyme (even prophylactically) is a really really good idea. His symptoms of a high fever and excessive thirst can certainly be explained by Lyme or another arthropod disorder, so I really would advise you to have him seen ASAP.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. David J. Girardi, Internal Medicine Specialist
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What Do Extreme Thirst And Fever In A Child Suggest?

Hi, I have been reading through your inquiry and I do agree that the intense thirst and high fever is alarming here to me. The Lyme disease risk here is rather great with the description and I do think that his profile can certainly be explained by early Lyme disease. I do think that going to the ER to get lab work drawn, IV fluids and antibiotic coverage for Lyme (even prophylactically) is a really really good idea. His symptoms of a high fever and excessive thirst can certainly be explained by Lyme or another arthropod disorder, so I really would advise you to have him seen ASAP. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. David J. Girardi, Internal Medicine Specialist