They were happy to run all the tests I asked for and prescribe the medication I wanted her on (Ilaris [canakinumab]). Fevers are commonly present during these episodes and may occur with or without other signs, such as cold symptoms and cough. Headache or sore throat can occur. Do you have insight on how this is done?
They can have a febrile seizure, which is a seizure that's triggered a fever." If they have a temperature of 100.4 or higher, and that's a rectal temperature 100.4 or higher, they must be seen right away. So while they may have a fever, it's not from teething. Do not ever give Aspirin to a child under the age of 18. Dr. Sabella currently sees patients at Cleveland Clinic’s main campus. Various treatment options exist to better control symptoms and help children lead happier, healthier lives.
You can remove any extra clothing and give them extra fluids because, yes, that will help them stay hydrated.
Camille_Sabella,_MD_: A careful history and physical examination is the key to determining whether this is a normal phenomenon or if there is something more serious causing these infections.
No. In select cases, our infectious diseases team is able to offer home intravenous antibiotic therapy that is arranged prior to hospital discharge and managed in our outpatient area. Again, Tylenol and Motrin are good for fevers. She earned a Bachelor of Science in business administration from Portland State University. We're seeing a lot of really nasty viruses and fevers of 103, close to 104 in the office, but these are all from viruses lately. Camille_Sabella,_MD_: Fevers in children are very common, and in most cases are caused by viral infections. Also, the neck swelling does not always occur with every episode. josomom: You say that only 15 percent of children diagnosed with periodic fever syndromes will have symptoms into adulthood. When is it something you really need to be very concerned about, and when is it something that you can say, "Okay, this is something I can manage"? It’s possible for baby’s to run an ongoing fever with a urinary tract infection. Fevers with infections don't cause brain damage. I would be happy to see your daughter. No.
However, if your baby has a fever of 101 degrees Fahrenheit or higher, your doctor might recommend using a fever reducer, like acetaminophen. Additionally, a pediatric infectious diseases specialist is available for outpatient consultation. Who do I turn to when I have a question?
"But what if I don't give them anything for their fever? My toddler is a spunky normally healthy child.
You are now entering The Healthy Kids Zone, with Dr. Cindy Gellner, on The Scope. You can have a child with a severe virus. Andrew_Zeft,_MD: There can be a variety of symptoms which are due to systemic inflammation. If the primary care physician is concerned about the possibility of a periodic fever syndrome, he or she may have you keep a diary of fever episodes and any other associated signs and symptoms. Children with periodic fever syndromes will have other signs and symptoms, such as sores in the mouth, rashes, joint pains and abdominal pain, that can serve as clues as to the specific diagnosis.
Don’t ever discontinue antibiotic use early – even if your baby is feeling better.