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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Fever In A Child?

my grandson is 13 started feeling bad on friday .checked fever on Saturday. has flue like systems and has been running fever for 5 days . took to doctor checked white blood count .(normal ) checked for flue twice (normal ) different days . checked for mono (neg). fever goes away with Tylenol and comes back every 3 to 4 hours . What else could be wrong ?
posted on Sun, 16 Nov 2014
Twitter Mon, 22 Dec 2014 Answered on
Twitter Mon, 22 Dec 2014 Last reviewed on
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Pediatrician, Pulmonology ,  's  Response
Hi....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.
Paracetamol can be given in the dose of 15mg/kg/dose (Maximum ceiling dose 500mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.
Regards - Dr. Sumanth
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What Causes Prolonged Fever In A Child?

Hi....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. Paracetamol can be given in the dose of 15mg/kg/dose (Maximum ceiling dose 500mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - Dr. Sumanth