What Could Cause Persistent Fever While On Amoxicillin For Strep Throat?

Posted on Thu, 5 Jul 2018

Thu, 5 Jul 2018 Answered on

Wed, 9 Feb 2022 Last reviewed on

Question : 8 year old child has been diagnosed with strep throat on Sat the 30th given amoxicillin has been ill since Monday the 25th...running 104 fevers and now is still feverish and sleeps all the time is this strep or something else

Answered by Dr. Dr. Prasad J (1 hour later)

Brief Answer:
Need evaluation

Detailed Answer:

Hi,

As per your description, the child has been running fever since about 2 weeks. Fever is persistent despite 4 days of Amoxicillin. You also describe that she has nasal bleeding and that she is dull and sleeping (drowsy) most times.

Though it is not uncommon to have long duration infection, the fact that her strep infection hasn't responded adequately and presence of drowsiness + nasal bleeds are concerning. I will insist she reports back to the doctor. I would like to order a complete blood count, urine analysis along with culture studies. Perhaps a change of antibiotic is entailed. Hospitalization for supportive treatment as well as fluid administration might benefit her.

Please report back to her pediatrician for further evaluation.

Let me know if you need clarifications.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar