Q. My 10-month-old baby has a high fever with bronchitis. Should I be concerned?

Answered by
Dr. Zubayeralam
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Nov 10, 2020

Hello doctor,

My 10-month-old baby girl has been having a fever of 103-104 for the past four days. I took her to the ER, and they tested her for flu, strep, and RSV. All of which were negative. Chest x-ray showed bronchitis in both lungs, along with inflammation, and they were unsure about the cause of her high fever. They had also done some bloodwork. Her WBC was 8.1 k/uL, neutrophils 26%, and lymphocytes 69%. What is your opinion about this? Should I be concerned? Is there something else going on that is more serious than just bronchitis?

She is currently on Motrin, Tylenol, Amoxicillin, and steroid.

#

Hi,

Welcome to icliniq.com.

I can understand your concern. According to your statement, your 10 months old baby girl has been suffering from high fever. Her CXR (chest x-ray) shown acute bronchitis (inflammation of bronchus), and CBC (complete blood count) report has shown slightly high lymphocytes, and neutrophils are slightly below normal.

The clinical features of bronchitis are fever, cough, runny nose, etc. The fever may rise to 101 to 102° F and may persist for three to five days, even after antibiotics. Even bronchitis can turn into pneumonia with worse symptoms and develop high fever like 103-104° F. Please beware of that.

Her raised lymphocytes indicate the inflammation of the bronchus. If your child has a cough, runny nose, or breathing difficulties, you can give antihistamine or ketotifen, Levosalbutamol, etc. If you think Amoxicillin is not effective enough or her bronchitis may turn into pneumonia, then you can change her current antibiotics and give Cefixime instead of Amoxicillin.

I hope this helps.


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