Hello & welcome to Just Answer! If you have any questions after reading my answer, be sure to let me know.
I am sorry to hear about your daughter's problems
Given her age, the persistent high fever, and the fact that she is having pain while touching her chin to her neck, there is a possibility of serious illness
like inflammation of the covering of the brain (viral meningitis),
or problems in her throat like an abscess (pus collection)
I would certainly encourage you to get her evaluated in the ER
since these conditions require early evaluation and treatment to prevent complications
she was evaluated by her pedi this morning...negative for both flu and strep...no throat abscess
I understand, but given the fact that the fever is persisting, and her neck pain/ stiffness has returned, it would be prudent to get her evaluated in the ER,
it may be nothing, just a viral infection, but the question is that do we want to take a risk of a late diagnosis of a potentially serious illness,
I understand this is a hassle, and the chances of a serious illness are small
BUT they are present, & I would to exclude this with another medical consultation
I hope that you understand...
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when children present with symptoms of viral or bacterial meningitis don't they typically 'act' sick? i.e. lethargic, loss of appetite etc?
bacterial meningitis is a much more 'sicker' version & hence quite unlikely,
However we have seen cases of mild viral 'meningismus' where the child may be fairly well preserved,
all this may be just bodyaches related to fever, BUT one cannot be certain without a physical examination
what type of examination would they do at TCH (aside froma spinal tap) to rule out meningitis that her pedi wouldnt have done this morning?
the main investigation would be spinal tap
but depending on the examination, if the doctors feel, they might keep the child under observation for a day or so to monitor any worsening of symptoms depending on severity
ok. thank you for your help.