Childhood Diseases

Posted by: Tammy | 2010-05-31


Constant fever spikes

Hi Dr,

I''m not sure if you remember me, my daughter has constant fever spikes and I eventually took her to Dr Kriel at the Clinton where we found out she has an IGG3 immune difficiency.

well i''m still at my wits end

My daughter is 23 months old and she will be fine for about 6 days then her fever will spike over 40, we will get it down and then she will be fine for another 6 days

The docs have done x-rays, blood tests, you name it - but cant find the reason.

about 2 weeks ago her fever spiked to 40.8, rushed her to Union casualty they said tonsilitis, but i found that hard to believe cause she ate really well and dranks etc if it was tonsilitis surely she wouldn''t have eaten cause her throat would have been too sore?

Last weekend her fever went to 39.8

And on Saturday it went to 40.2 again, she shivers really badly when the fevers spike, but she isn''t crying or anything she just lies there and even talks and smiles.

Once the tempreture breaks - she goes to sleep and is perfectly fine again.

She gets these once a week basically - and i really have no clue on what to do anymore...

can you suggest what to do please?

Expert's Reply



Your daughter has a partial immune deficiency which does make her more susceptible to infections. However her constant high fevers must be due to a specific infection which needs to be diagnosed.Illnesses such as malaria, brucellosis [also known as malta fever], salmonella and toxoplasmosis need to be excluded.Your daughter really requires admission to an academic hospital so that she can be properly investigated. I suggest that you try to see Dr Tammy Urquart at the Pretoria Steve Biko Academic Hospital, Dept of Paediatrics. Failing her try to see Prof Robin Green.Please let me know what is found once your daughter has been seen.

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user comments


Posted by: Tammy | 2010-05-31

oh wanted to add

The ENT saw her last week Monday said there was no indication on tonsilitis or anything like that so dont think that is the reason for the fevers

Reply to Tammy

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