Thank you so much for such an incredibly thorough response. Her temperature tends to spike up to about 101.3°F, though it usually settles down after we give her some syrup—we haven't felt the need to reach for the Advil yet since it hasn't been strictly necessary—and sometimes it just starts dropping all on its own. This pattern has been pretty much identical for five days now. We’re seeing these spikes roughly once during the day and once more overnight.
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Angela Wright said:The little one is just dealing with a virus (her CRP levels are textbook for viral infections). After taking antibiotics, her immune system took a bit of a hit, which is likely why she caught something the moment she was back in daycare. These symptoms can really drag on for up to 14 days. Keep up with the nebulizer treatments, and make sure you're doing proper nasal hygiene—lay her on her side and use a syringe to flush 2-3ml of saline into the upper nostril while she breathes it in through the lower one, then flip sides and repeat; that’s the most effective way to speed up recovery. Also, focus on boosting her immunity with probiotics, vitamins, and plenty of fresh air. If you can manage it, maybe keep her home from the group setting until she's fully recovered.
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Thank you so much for the response.
We’ve been cleaning out her nose with saline several times a day, though in the meantime, she just keeps blowing it all right back out. We’re also doing the nebulizer treatments with Sinomarin a few times daily.
The pediatrician mentioned something about elevated leukocytes during that first check-up, though she didn't really go into detail. Does that usually point toward a bacterial infection, or are they strictly looking at the CRP?
I have to admit, I'm getting a little anxious because it feels like we're stuck in this endless status quo; there isn't even a hint of movement toward better or worse. She gets a fever that's definitely worth breaking every 6 to 8 hours, and in the intervals, she's still running a low-grade temperature.
We'll definitely be keeping her home for a week or two once this clears up.
We were supposed to get her chickenpox vaccine, but we can't do that until she's fully recovered, so we'll end up extending her time at home regardless. I'm hoping the weather improves soon so the kids in daycare can actually spend more time outdoors.
I have a question regarding my child, who is nearly three years old. She woke up in the middle of the night around February 13th or 14th, crying out in pain because of an earache. We rushed her to the pediatrician on the 14th, and she was prescribed antibiotics because she had a severe infection in her right ear. This was actually her very first ear infection, and only the second time in her life she’s ever needed antibiotics. She ran a fever for those first couple of days, but things settled down fairly quickly. She finished her course of antibiotics by the following Tuesday, when we went back for a follow-up, and everything seemed perfectly fine at that point.
She went back to daycare on Wednesday and Thursday, but by Friday, we decided to keep her home because she had a low-grade fever (about 99°F) and a stuffed-up nose. On Saturday, we started noticing she was breathing a bit more heavily, and her temperature began to climb. By that evening, she was struggling significantly to breathe, so we took her to the on-call pediatrician. They diagnosed her with bronchitis, gave her a corticosteroid injection in the hip, and sent us home with Albuterol for nebulizer treatments.
The Albuterol worked wonders quite fast, and by Monday, her breathing had improved noticeably, though the doctor recommended we continue the nebulizer treatments through Thursday, which is exactly what we did. In the meantime, we were also using Sinomarin at the doctor's suggestion and were constantly clearing her nasal passages. Throughout this entire stretch, she maintained a fever that would spike up toward about 100.4°F, though it most frequently hovered around 99.6°F.
By Wednesday, the fever flared up again—hitting as high as 102.2°F—and it has persisted right up until today. We’ve been managing it by giving her acetaminophen about twice a day. Her nasal and throat swabs came back clear, and the doctor says her lungs sound clean (during the check-up on Thursday, her oxygen saturation was 98%), her ear doesn't hurt anymore, and her throat looks fine.
Her nose is still runny, and she has an occasional productive cough.
We had blood work done on Wednesday, and I’ll list the values that came back elevated or low below (with the reference ranges in parentheses):
CRP 49.8 (0.1 - 2.8)
Hemoglobin 106 (109 - 138)
leukocyte 18.1 (6 - 16)
neutrophil 10.99 (1.40 - 8)
lymphocytes 5.15 (1.4 - 5)
monocytes 1.62 (0.22 - 1.51)
Since the fever was still hanging on, our doctor suggested we repeat the blood work on Saturday (yesterday) to see if anything was trending upward. Here are the new elevated results:
CRP was 48.8—just a hair lower than last time—but the next two values have increased:
leukocyte 19.1
neutrophil 13.2
Everything else fell within the normal reference intervals.
Given that our doctor isn't available until Monday, I’m wondering if it’s normal for a fever to drag on this long due to bronchitis. This was her first bout with it, so I honestly don't know if this is typical or not. Is it possible she caught a secondary viral infection right on the heels of the bronchitis?
We’re feeling pretty anxious because usually, whenever she catches a virus, it follows a predictable pattern: a high fever for three or four days, a slight dip, and then it's over. But this time, this fever has just stretched out into nine consecutive days.
The fever isn't "stubborn" in the sense that it refuses to budge; we've administered acetaminophen ten times over the last nine days. She seems to be in good spirits otherwise—she's eating, playing, and sleeping normally. We don't immediately rush to give her syrup the moment she hits 100.4°F during the day; we try to let her body fight it off a little, so sometimes the fever climbs a bit higher before we intervene, and other times it settles down on its own.
In the meantime, we are keeping up with nasal hygiene and continuing the nebulizer treatments. I would be so grateful for any advice or perspective you might have.
She went back to daycare on Wednesday and Thursday, but by Friday, we decided to keep her home because she had a low-grade fever (about 99°F) and a stuffed-up nose. On Saturday, we started noticing she was breathing a bit more heavily, and her temperature began to climb. By that evening, she was struggling significantly to breathe, so we took her to the on-call pediatrician. They diagnosed her with bronchitis, gave her a corticosteroid injection in the hip, and sent us home with Albuterol for nebulizer treatments.
The Albuterol worked wonders quite fast, and by Monday, her breathing had improved noticeably, though the doctor recommended we continue the nebulizer treatments through Thursday, which is exactly what we did. In the meantime, we were also using Sinomarin at the doctor's suggestion and were constantly clearing her nasal passages. Throughout this entire stretch, she maintained a fever that would spike up toward about 100.4°F, though it most frequently hovered around 99.6°F.
By Wednesday, the fever flared up again—hitting as high as 102.2°F—and it has persisted right up until today. We’ve been managing it by giving her acetaminophen about twice a day. Her nasal and throat swabs came back clear, and the doctor says her lungs sound clean (during the check-up on Thursday, her oxygen saturation was 98%), her ear doesn't hurt anymore, and her throat looks fine.
Her nose is still runny, and she has an occasional productive cough.
We had blood work done on Wednesday, and I’ll list the values that came back elevated or low below (with the reference ranges in parentheses):
CRP 49.8 (0.1 - 2.8)
Hemoglobin 106 (109 - 138)
leukocyte 18.1 (6 - 16)
neutrophil 10.99 (1.40 - 8)
lymphocytes 5.15 (1.4 - 5)
monocytes 1.62 (0.22 - 1.51)
Since the fever was still hanging on, our doctor suggested we repeat the blood work on Saturday (yesterday) to see if anything was trending upward. Here are the new elevated results:
CRP was 48.8—just a hair lower than last time—but the next two values have increased:
leukocyte 19.1
neutrophil 13.2
Everything else fell within the normal reference intervals.
Given that our doctor isn't available until Monday, I’m wondering if it’s normal for a fever to drag on this long due to bronchitis. This was her first bout with it, so I honestly don't know if this is typical or not. Is it possible she caught a secondary viral infection right on the heels of the bronchitis?
We’re feeling pretty anxious because usually, whenever she catches a virus, it follows a predictable pattern: a high fever for three or four days, a slight dip, and then it's over. But this time, this fever has just stretched out into nine consecutive days.
The fever isn't "stubborn" in the sense that it refuses to budge; we've administered acetaminophen ten times over the last nine days. She seems to be in good spirits otherwise—she's eating, playing, and sleeping normally. We don't immediately rush to give her syrup the moment she hits 100.4°F during the day; we try to let her body fight it off a little, so sometimes the fever climbs a bit higher before we intervene, and other times it settles down on its own.
In the meantime, we are keeping up with nasal hygiene and continuing the nebulizer treatments. I would be so grateful for any advice or perspective you might have.