Kids with high temperatures

I will spare you the backstory but a recent visit to our family doctor resulted in a fantastic education.

Here is what we learnt:

  • Paracetamol and Ibuprofen reduce internal body temperature through different mechanisms
  • Giving them at the same time is okay and a more effective way to reduce internal temperature than giving them separately
  • Current recommendation is to avoid trying to reduce internal temperature, aim for comfort
  • High core temperature does not cause seizures or brain damage
  • Ibuprofen should be fine with a Factor VIII level around 40, but not 14
  • It’s common for kids to get secondary bacterial infections after a viral infection but hard to diagnose
  • Scarlet Fever is caused by an infection of group A Streptoccoccus and can kill a child in a few days if not treated, it was the leading cause of death in the early 20th Century
  • An effective treatment for a strep infection is the antibiotic Phenoxymethylpenicillin, first used in 1948
  • Phenoxymethylpenicillin is a narrow-spectrum antibiotic and therefore does not disrupt gut-flora as much (less active on gram negative bacteria)
  • Kids with unexplained knee pain should be taken seriously, it may be the only symptom of Meningitis

Want to know what is terrifying? A 5 year old with a temperature approaching 40 degrees for a week.

I’m grateful we have a good family doctor.

Update: She is feeling much better on day 3 of antibiotics

Written on 11 September 2017

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