My son has fever and allergy symptoms.Please help.

Hello,

Welcome to icliniq.com.

I have gone through your son's history and the report (attachment removed to protect patient's identity), and would like to make my suggestions and comments about him as follows:

As per your description, the clinical picture very much matches that of a viral infection, borderline report of IgM parvovirus and itchy rash increase the possibility that it may be actually parvovirus infection.

So far I would reasonably agree with the treatment that your son has received. Treatment of most viral infections is treatment of symptoms only,  Paracetamol for fever, antihistamines for cough and cold and other conservative measures.

There is no specific treatment for many viral infections and most of the viral infections recover by themselves if the child's immunity is normal.

The pattern of fever that you have described is known as "biphasic fever" pattern. This is commonly seen in many viral infections, where initial high fever is followed by a period with no fever which is followed by a second period of fever. It is important to note that fever during the second period is lower than that in the first period and also the second period is short lasting when compared to the first period.

Considering this pattern, I would suggest you not to worry too much. But of course be cautious and monitor temperature of your son. As current fever (38.1) is lower than that in the first week (39), it could be a pattern of the viral infection.

However, if the fever rises to the same or high (39 or more than 39) or  if it lasts longer or if your son develops any new symptom, I would suggest you to get your son examined by his paediatrician again. In that case, his doctor would examine him again and may think of a complication or alternative diagnosis.

Currently, I would suggest him Paracetamol for control of fever along with adequate fluids to maintain hydration as well as adequate rest. I would like to mention here that rest and hydration are the most important aspects of treatment of any viral infection.