does this sound like ?

[Guest guest]

Hi, I'm Hollie, a RN mommy to 3 kids, one of whom I'm concerned may

have . He is 5 years old now and I have been recording fevers

for 2 years now. And he was having them for probably a year before

that(I just thought oh he's still young and kids catch a lot of

colds/viruses). Since I have been recording his fevers I've noticed

he gets them every 4-7 weeks. In 2008 he has had them pretty much

every 4 weeks. His temps don't get as high as most report though, he

gets from 101.5-103.2 and usually about 102. His only symptoms during

his fevers are headache and sore throat. He is usually fairly well

during the fevers, with motrin or tylenol you'd never know he was

sick except for a mild fatigue. His breath is bad during these

episodes and his lymph nodes in his neck get large. He has no

respiratory symptoms during these. None of his siblings ever get sick

from him, he's got a 7 yr old and 2 yr old sister. So, every 4-7

weeks, usually 4 we have fever, headache, sore throat. He's had many

strep cultures that have all been negative. In between fevers he's

healthy and fine. A couple of times when I've taken him in they said

he had pus on the tonsils once and a white spot on the tonsil another

time. I've never looked in his mouth for blisters. He has had a

couple breaks from the fever, the last one was 4 months bw fever and

that was a year ago.

Today we went to the ped and I took with me my documentation on his

fevers and also a couple journal articles about PFAP. The ped read

them and said it's very possible that he has PFAP but that he's not

too worried about it. He said he thought that the conservative

approach was best right now but would be happy to prescribe tagamet

or consider tonsillectomy if this continues on quite a bit longer. I

declined tagamet and opted to just continue documenting fevers. He

didn't want to run any blood work and since there doesn't seem to be

a diagnostic test for I was happy with that. He did get a cbc

in July with one of his fevers and the white count was 12,000.

Everything else was fine except he was borderline anemic.

He isn't a sick child and can get through the episodes fairly easily

as long as I give him the fever reducers. I hate that he has to deal

with not feeling well so much though. But I don't want to put him

through a barrage of testing when all in all he's pretty healthy and

happy. I would like to know if he has though so I can do

further research on how to help him and if this is an immune system

issue or not. It's been so frustrating these past 3 years telling the

doc that he gets fevers all the time and being shrugged off. I'm just

happy to find that there is something like that can have no

long term consequences. You start wondering what major illness your

child has when they run fevers so often.

Thanks for listening,

Hollie

Thanks for listening.