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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Extreme Sleepiness With High Fever?

my child has had fever for the past 3 days with temp as high as 40.4...after giving ibuprofen it does go down to 37 and go up back to 39+.What worries me is he has been mostly sleeping the past 24 hours...only waking up for about 5-10 minutes and then sleeping again.He is 3 years old.He just take sips of water in between and ate very little.
Mon, 8 Aug 2016
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Pediatrician, Pulmonology ,  's  Response
Hi...the possibilities include -

1. Viral Illness
2. Acute CNS infection or meningitis.

I will tell you how a viral illness behaves - Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

But, excessive sleepiness cannot be ignored. I suggest you take him to the nearest emergency room.

Regards - Dr. Sumanth
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What Causes Extreme Sleepiness With High Fever?

Hi...the possibilities include - 1. Viral Illness 2. Acute CNS infection or meningitis. I will tell you how a viral illness behaves - Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn t require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. But, excessive sleepiness cannot be ignored. I suggest you take him to the nearest emergency room. Regards - Dr. Sumanth