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Low grade fever at least once a month for 2-3 days
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slm2525 posted:
My youngest daughter is almost 2 but starting around 18mths she started getting a low grade fever ranging from 101.5 to 102.8 for 2 to 3 days at least once a month. She is currently in daye care but wasn't when this started. She has only had 1 ear infection and 1 positive step test. Every other time it's said to be a virus. My older daughter has NEVER gone thru something like this and she is 4.
The pedi said we shouldn't be concerned or bring her in for any test unless it's above 102 for more than 5 days. Is this normal?? I just feel like there is something that can be tested for. Should I push testing or let it go and take the pedi's advice?
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Roy Benaroch, MD responded:
The most common cause of this pattern of fever would be recurring, ordinary infections from day care. We see this very frequently in pediatrics.

I do think she needs a good thorough history and physical exam with some of these episodes, to see if there is a recurring pattern or other hints of a different diagnosis. For instance, if her fevers are occurring at a very regular interval, especially if accompanied by swollen tonsils/lymph nodes and mouth sores, she may have PFAPA . (that's just one example, I'm not lunging at that diagnosis.)

A careful, thorough history and physical is much more important and useful than any tests when you're trying to figure something like this out.

Best of luck!


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