HomeAnswersPediatricsfeverWhat could be the reason for intermittent fever, cough and blocked nose in a 5-year-old boy?

A 5-year-old boy has intermittent fever, cough, and blocked nose. What could be the reason?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At November 20, 2019
Reviewed AtJanuary 29, 2024

Patient's Query

Hello doctor,

A 5-year-old boy has intermittent fever, muscle pain, cough, and blocked nose for the past four days. The temperature is shooting up during nights and is normal during the day time.

The blood test results are:

1. CPK 23056 U/L.

2. SGOT 513 U/L.

3. Leptospira IgM and dengue IgM tests in progress.

Please advise.

Hello,

Welcome to icliniq.com.

The reports and history are suggestive of some viral etiology probably, however, it is advisable to do a blood culture also to rule out bacterial etiology. In the meantime, I would advise starting Ceftriaxone to be on the safer side along with proper iv (intravenous) fluid management. Other symptomatic management like nebulization and antipyretic medications to be given as per the symptoms.

To trace blood culture, dengue and leptospira results and act accordingly. If symptoms worsen or do not resolve in the next five to seven days, detailed investigations in favor of Duchenne muscular dystrophy should be carried out.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Faisal Abdul Karim Malim
Dr. Faisal Abdul Karim Malim

Pediatrics

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