Childhood Diseases

Question
Posted by: Tasja | 2012-10-30

Q.

Girl nearly 5 not well!

Hi Docter,i wrote to you a few weeks ago.My LG is nearly 5,she has got swollen limfnodes at the back of her neck since the 22 op Sept.She had low grade fever twice in that time,and bit of a sore throat.I took your advise and took her to our Pead Last week Monday,he lives 85 kms from here,we are not near a city!He was concerned about the right side of her neck its a hard biggist,like a R5 cion swelling.He send us for blood tests to rule our linfon something and leukemia.The next day they phoned us,the tests were negative,and he gave is antibiotics for 10 days.This last Sunday she started with low grade fever again and a sore throat.Today if she eats something her throat is very sore,even for Chocolate( i gave her a tiny piece)Its not so sore when she walks around.Her limfnodes on the rigthandside is still swollen the same way.Now the Pead said if its ears or throat the limfnodes in the front of her neck under jaw will be swollen,but at the back of her neck,it must be her head or back where the problem is,like ia cut or a bruise.Anyway i really dont know what to do,and it worrys me greatly.This cant be normal.Otherwise she is fine,she plays and chats like always.She is still on antibiotics,how can she be sick again?

Expert's Reply

A.

Paediatrician

It is always difficult to be sure about the diagnosis of an illness without being able to see your daughter.The two serious causes of enlarged lymph glands have fortunately been excluded by the tests she had, in particular lymphoma and leukaemia. From your description of your daughter's symptomas and her enlarged lymph glands it is very likely that she has GLANDULAR FEVER.It is important that the correct tests be done to make the diagnosis of glandular fever. I know that it is a long way to travel but it is worth driving for an hour to see the doctor again so that your daughter can be properly diagnosed

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