advertisement
Updated 09 July 2015

What's your diagnosis? – Case 18: boy with persistent fever

A young boy has a persistent fever which does not react to pain medication. Have a look at the GP's notes and see if you can figure out what's wrong with him.

0

Mrs K takes her 3 year old son to the GP complaining that the boy has had a persistent fever since the previous day. She tried giving him pain and fever medication, but his fever remains high.

The following is a summary of the GP's notes:

History:

One day history of persistent fever: often above 39.5

Mother reports upper respiratory tract symptoms since about a week ago, but the runny nose, slight cough and teary eyes have now cleared.

Continuous crying: escalated last night. 

Was constipated about two weeks ago

No medical history

Growing well

Feeding well

Immunizations up to date

On Examination:

Child warm to touch. Not jaundiced, pale, dehydrated 

Small lymphnodes in the neck

Cardiac and respiratory exam: normal

Abdominal exam: normal

Neurological exam: normal

Ears: red tympanic membrane left ear, right ear difficult to visualise eardrum because of wet wax discharge.

Nose: yellow muscus noted

Throat: significant post nasal drip. Tonsils slightly enlarged.

Side Room:

Temperature: 38.7 degrees Celcius

Based on the above information, what is the most likely diagnosis?

What's your diagnosis? Join the guesswork on our Facebook page, or comment below.

NOTE: Health24's on-site GP Dr Owen Wiese will reveal new cases on Thursdays. We'll post the answer with the story on Mondays, or you can get it via the Daily Tip – sign up here.

Previously on What's Your Diagnosis?

What's your diagnosis? -  Case 1: vomiting and weight loss

What's your diagnosis? -  Case 2: eye pain

What's your diagnosis? -  Case 3: strange behaviour and a bullet in the back

What's your diagnosis? -  Case 4: seeing odd things

What's your diagnosis? - Case 5: mysterious lungs

What's your diagnosis? - Case 6: runner with seizures

What's your diagnosis? - Case 7: swollen knee

What's your diagnosis? - Case 8: bloody semen

What's your diagnosis? - Case 9: confusing neurological signs

What's your diagnosis? - Case 10: diabetic teenager with unusual signs and symptoms

What's your diagnosis? - Case 11: bruising with no apparent reason

What's your diagnosis? - Case 12: severe tummy pain

What's your diagnosis? - Case 13: severe sore throat

What's your diagnosis? - Case 14: abdominal pain and swelling

What's your diagnosis? - Case 15: the world is spinning

What's your diagnosis? - Case 16: numbness in forearm

What's your diagnosis? - Case 17: burning urine

 
NEXT ON HEALTH24X
advertisement

Read Health24’s Comments Policy

Comment on this story
0 comments
Comments have been closed for this article.

Live healthier

Choose wisely... »

Healthy diet may extend kidney patients' lives Healthy diet protects teens against later weight gain

Finding the right diet for you

With so many fad diets out there, it’s difficult to separate fact from fiction. Dietitian Mpho Tshukudu gives advice on how to find and follow the right diet.

Decor danger! »

Sick building syndrome FAQ: Sick building syndrome What is sick building syndrome?

Your wallpaper might be making you sick

Fungus growing on wallpaper might contribute to 'sick building syndrome', causing symptoms similar to flu and allergies.