Childhood Diseases

Posted by: Gillian | 2010/02/04



Hi Doc. Im a bit concerned for my son with the recent Measles outbreak in the Western Cape. He had his measles vaccination 2 months late, at 20 months and not 18 months. How badly will this affect him in being more succeptable in contracting Measles? Secondly he had a Febrile Seizure about 3 weeks ago, and I get very nervous when he runs a high temperature, like he did yesterday, so I took him to the doctor, who said he has tonsilitis. This was also the diagnosis when he had the seizure, and he`s on antibiotics now. He seemed to have a bit of a runny nose, no cough, but his temperature soared from 36.6 - 37.1 in half an hour. The doc gave him a suppository which brought his fever way down, and it was steady at 35.6 this morning. He is 23 months old, and in a daycare as well. Could the runny nose be the start of measles? How worried should I be? Thanks, Gillian

Expert's Reply



Your baby has been immunised against measles and he is now protected aginst getting measles.The time difference is not a problem so do not be concerned. He now has a runny nose which is probably due to a cold and tonsillitis and he does not have measles.Keep his temperature under control by using Panado or Calpol as needed or possibly the same suppository as your doctor gave him yesterday.

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Posted by: Gillian | 2010/02/08

Thank you both for your informative responses to my concern. He is doing much better - but you know even the slightest little sniff stirrs up concern of something major.

I have noted your advice and will keep it in mind, and in the medicine cabinet.

Much Appreciated

Reply to Gillian
Posted by: Purple | 2010/02/04

As he' s been vaccinated, even if he does still get measles it will be very mild, so don' t worry too much about that.

I could be wrong, but I think the spots come before the respiritory aspects of measles. Their eyes hurt in light too I think.

Some children get convulsions if their temperature rises very fast. It must have been very scary for you.
Try to get Ponstan and Empaped suppositories to keep at home for temperatures - such things usually strike int he early hours of the morning when you are least prepared for dealing with them (Murphy' s Law at work).
When he gets a temp, give a suppository and sponge him off with tepid water (not cold otherwise you will make the temp worse).

Children in daycare do gets lots of colds and other viruses because they are still mouthing their toys, and they all share toys (and also because their immune systems are not yet fantastic, so they tend to get absoloutely everything going around). I' ve heard that a cold every 6-8 weeks is not unusual for a toddler. Once they reach about 3 they get sick noticeably less.
Giving a supplement such as echinacea does seem to work (well I think it did with my son).

Reply to Purple

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