Daughters both have cold-like symptoms.
Patient develops sore throat.
Then develops odd behavior i.e staring
Sensitive to light.
More odd behavior i.e. walking, scratching.
Slow heart rate.
When the patient is suddenly confused with the story of a sore throat one suspects an infection resulting in brain inflammation or encephalitis which
usually has a good outcome as it is usually due to a virus and the body`s immune system deals with it. Doctors usually treat with broad-spectrum
antibiotics and anti-virals (aciclovir for the cold-sore virus herpes). Steroids reduce brain swelling.
The heart rate is altered by inflammation of the inner parts of the brain e.g. amygdala.
One other thought is Kawasaki disease which needs intravenous immunoglobulin therapy combined with aspirin.
Blood tests for virus antibodies take 2 weeks to show a rise in antibody levels. Most of the treatment is supportive i.e. IV fluids hygiene.
If in doubt Professor Mike South Professor of Paediatric Medicine in Melbourne is probably the Gregory House in your region.
You could make sure that your Doctors have discussed your daughter with Mike - a very approachable man.
p.s. these are some of the thoughts that may go through Mike`s mind:
Retropharyngeal abscess or cellulitis
Cervical lymphadenitis or deep neck infection
Group A beta-hemolytic streptococcal infection
Drug hypersensitivity reaction
Parvovirus B19 infection
Staphylococcal or streptococcal toxic shock syndrome
Systemic lupus erythematosus
Yersinia pseudotuberculosis sepsis
Juvenile Rheumatoid Arthritis
Rocky Mountain Spotted Fever
Staphylococcal Scalded Skin Syndrome
Toxic Epidermal Necrolysis
edit on 23-7-2012 by dr treg because: (no reason given)