Have Pediatric Questions? Ask a Pediatrician.
Hello. I'm Dr. Clark and I'm happy that you have asked me to assist you with your child and hope that you can benefit from my many years of helping parents like you.
Are you able to chat right now?
Perhaps you've stepped away from your computer but I do have some advice on what to do for him based on the information you've provided here.
I'll watch for your return to chat and will be notified.
Hi I'm back
Did his doctor check him for strep?
That is the only bacterial infection that is treated with an antibiotic.
Yes - apparently very pussy and inflamed. So much so that he even had blisters in his mouth
Also came out with a rash on his torso which they said may be from the temp, antibiotics or infection
In that case you should know that strep is not treated with sulfa (Bactrim) and not as sensitive to Keflex and Amoxil has it has been in the past so he may not be adequately treated with any of them. I generally only use Cefdenir or Cefixime since we see so much resistance now.
The worst sore throats can be viral so another option would be infectious mononucleosis (mono) and that is easy to test for. Also, we see lots of viral infections that cause ulcers, fever, rashes, etc and no antibiotic treats them.
I'm not a doctor and have to go by what I'm advised by mine. Are the ones you suggest known by any other name because I've not heard of them?
Those are the generic names for Omnicef and Suprax and they are available world wide.
Thanks - I'll ask my doctor. But I'm more concerned that he's not eating properly, sleeping and generally very miserable
That just goes along with throat infections, viral or strep, but I suspect he has a virus so I would ask his doctor first if he really had strep and perhaps change to one of the above mentioned antibiotics. Also, you might see if they will do a mono test - it just takes 15 minutes.
What does it involve?
Finger stick blood test.
If he has mono then he can be treated with prednisone which will help him feel better quickly.
So the lethargy, etc is nothing to worry about? There is no underlying gremlin lurking? that I should be concerned about?
What are the names of prednosone?
I doubt that anything more ominous is going on as his symptoms are compatible with a throat infection.
Prednisone is also called prednisolone and there are many brand names for these two steroids.
Thank you - I'll look into it right away. Will the amoxil help eventually?
I doubt it as at least 30% of strep bugs are resistant to penicillin.
I just don't use it anymore for that reason.
Please let me know if you have any further questions and if not I trust you will take the opportunity as you exit chat to rate my advice favorably. Thanks.
One more question - and I know I keep on with the fact that my son is not his normal self - could the infection be a virus? and would the symptoms be the same?