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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever, Dizziness, Back Ache And Lump Under Jaw Bone?

My 8 year old son is running a fever of 102, is complaining of being dizzy off and on, states his lower back hurts and he has a hard lump right under his jaw bone in the middle of his jaw. I have had a child a long time ago with meningitis and talked him through the symptoms of that and he doesn t have as stiff neck and isn t throwing up. He started complaining of being dizzy last Wed. after a strenuous hike. He also has a chin injury about a month ago which required dermabond to close a wound. His jaw was not checked for injury at the ER. I m not sure what to think at this point. I thought he had a jaw injury when he had his chin closed but....
Wed, 19 Nov 2014
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Pediatrician,  's  Response
I am assuming you mean the lump is to the side and not in the middle of his neck under the jaw. This is the location of submandibular lymph nodes which can be enlarged during viral infections and also with strep. A fever of 102 and aches would go along with either. Strep can be present in the absence of a sore throat and when I see a child with fever and submandibular node enlargement, I always do a strep test just to be on the safe side. I suggest you have his doctor examine him and consider a strep screen regardless of whether he has a sore throat or not. If the screen is negative and culture sent and negative then he can rest and allow this illness to resolve on it’s own.
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What Causes Fever, Dizziness, Back Ache And Lump Under Jaw Bone?

I am assuming you mean the lump is to the side and not in the middle of his neck under the jaw. This is the location of submandibular lymph nodes which can be enlarged during viral infections and also with strep. A fever of 102 and aches would go along with either. Strep can be present in the absence of a sore throat and when I see a child with fever and submandibular node enlargement, I always do a strep test just to be on the safe side. I suggest you have his doctor examine him and consider a strep screen regardless of whether he has a sore throat or not. If the screen is negative and culture sent and negative then he can rest and allow this illness to resolve on it’s own.