Family Health Expert Forum
high fever
About This Forum:

Questions in the Family / Internal Medicine forum are answered by medical professionals and experts. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

high fever

Our 16 yr old daughter has a prolonged fever.  The fever has lasted about 9 days of this writing. Our doctor has run various test including cbc (4.1); strep - negative; mono - negative; no stiff neck or difficulty breathing. Amoxicilin was prescribed on 1st visit, while awaiting strep test results, no longer taking. Child continues to take tyelnol for comfort but fever of 102 returns after a few hours. She normally has a normal low temperature of around 97.  Our question is how long can we expect the fever to continue?  What's our next course of action, if any?
Related Discussions
233190_tn?1278553401
There are many, many tests that one can consider in evaluating fever.  The following is a list from UptoDate:

"We recommend the following laboratory tests for all children with FUO (fever of unknown origin):
* Complete blood count (CBC) and careful examination of the peripheral smear
* Urinalysis and urine culture
* Serum electrolytes, blood urea nitrogen (BUN), creatinine, and hepatic enzymes
* HIV serology
* Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP)
* Serum antinuclear antibody in those over the age of five years
* Aerobic and anaerobic blood cultures
* Chest radiograph
* Tuberculin skin testing"

Imaging is normally done after the results of these tests and is based on clinical suspicion.  Imaging the abdomen with a CT scan, ultrasound or MRI can be considered.  

These options can be discussed with her personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
http://www.straightfromthedoc.com

Bibliography:
Lorin et al. "Approach to the child with fever of unknown origin", UptoDate, 2005.
0 Comments
Blank
Avatar_n_tn
An additional thought might be to try an alternative antibacterial therapy ... Something from the 'mycin class might be more appropriate.  I'd consider BiaxinXL as a good start.  A lot of children are not responding to AMOXIL therapy because of resistance.
Continue discussion Blank
This Forum's Experts
5614495_tn?1371832804
Christina Palmer, M.D.Blank
University of California San Francisco
,
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
16 hrs ago by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank