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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does High Fever,chills And History Of Heart Murmur Indicate?

12 year old child experiences high fever and chills. He also says that his heart feels like its pounding. Two weeks before these symptoms, the child fell off his bike and skinned his knee. This child also has a history of a heart murmur. What disease should be considered?
Tue, 4 Nov 2014
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Pediatrician,  's  Response
Viral infections are the commonest cause of fever in children. Palpitations are common during fever and increase in heart rate occurs with increase in temperature. The falling off a bike and associated injury 2 weeks back is probably unrelated. The murmurs are probably unrelated too but it is hard to comment without knowing the nature of murmur. I would suggest follow up with a cardiologist.
The diseases to consider are viral and bacterial infections including typhoid. The probability of malaria depends on your geographical location.
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What Does High Fever,chills And History Of Heart Murmur Indicate?

Viral infections are the commonest cause of fever in children. Palpitations are common during fever and increase in heart rate occurs with increase in temperature. The falling off a bike and associated injury 2 weeks back is probably unrelated. The murmurs are probably unrelated too but it is hard to comment without knowing the nature of murmur. I would suggest follow up with a cardiologist. The diseases to consider are viral and bacterial infections including typhoid. The probability of malaria depends on your geographical location.