Childhood Diseases

Posted by: Daisy | 2009-11-12


Constantly Sick

Dear Dr,

Please can you give me your opinion? I have a 21month old girl who is just constantly ill. I don' t know what to do anymore. She only went to school in Sept 09, but was sick from the beginning. It all started with reflux, which, after a PH probe, is confirmed history. She constantly has ear infections, and got grommets end June 09 after hear eardrum burst. She struggles with a temp of 40C+ at least every 2 weeks. She' s been on more courses of antibiotics than I can remember. The symptoms are always the same. High fever that takes 4 - 5 days to break, ear ache / infection, cough, lots of mucus, blocked nose, sometimes I can figure out that she has a sore throat, but I' m not always sure, and she' s very very gassy. She is on a very healthy diet, as per as paed dietitian. We have done all kinds of bloods, allergy levels are slightly higher than it should be, but negative for food allergies. Paed reckons it must be something she breathes in causing a slight allergy? Despite all her antibiotics her immune system is impressively good. The last time her white blood count was a little low, but x-rays also confirmed an infection in some ' allergic'  third of the one lung - if this makes any sense? The last tests done was about 4 weeks back and the paed confirmed that it was not a bacterial infection. But I' ve had to rush her to ER several times afterwards with blood and puss draining from her ear, convulsions from the fever... I just don' t know where to turn anymore. I' ve been for 2nd and 3rd and 4th opinions, and keep being told that babies get sick, that' s just nature. But I just can' t help to think that she is just too sick too often. This is honestly the same thing going on every 10 - 14 days. Do you have any advice or opinion anything, please? I' m desperate.


Expert's Reply



There are at least two important possible causes which need to be excluded here. In particular an inherited condition known as 'primary ciliary dyskinesia', also sometimes called Kartagener's syndrome, where there is a problem with the little 'hairs' which remove mucous from the lungs, developing sinuses and ears [read more on Google].Also a condition known as cystic fibrosis.It would be best to take your little daughter to be seen by a paediatric pulmonologist. There are experts in all the main centres in SA. Please take all the results of tests and XRays along with you so that these do not have to be repeated.Please write to me again after you have seen the pulmonologist and the results.

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