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18.01.2016
Toddler fever can cause frenzy among parents but it is important to understand that a fever is a body’s normal response to bacterial or viral invasions. Therefore, temperature alone may not cause any problem but associated symptoms such as diarrhea or vomiting can cause a lot of discomfort to the child. As similar symptoms are exhibited by bacterial and viral infections it is important to diagnose the same to decide the course of treatment.Toddler Teething FeverToddler fever and teething are also commonly associated with each other.
An elevated body temperature helps a toddler’s immune system fight such bacterial or viral infections.
While moderate fever can be treated at home, high fever requires immediate medical attention.Reasons for Toddler FeverToddler fever is a common problem given that toddler immunity is low against viral infections and bacterial infections. Doctors insist that teething does not cause fever but bacterial infections due to broken gums may be a possible cause for toddler fever. Both, toddler viral infection and toddler bacterial infection enter the body through mucous membranes such as nasal passages, mouth, rectum, genital area or skin.
This also exposes the tender gums to bacterial and viral infections leading to fever.Prevent Bacterial and Viral Infection in ToddlersPreventing bacterial and viral infections may not be always possible but observing some simple hygiene and lifestyle traits can help avoid causes that lead to toddler fever. It is called slapped-cheek syndrome because of the characteristic initial red marks on the face in children.Although it can resemble other childhood rashes, such as rubella or scarlet fever, slapped cheek syndrome usually begins with the distinctive, sudden appearance of bright red cheeks that look as if the child has been slapped.
Some common symptoms apart from fever due to such infections are: rash, runny nose, wheezing, difficulty in breathing, vomiting, decreased appetite, and diarrhea.


It is important to note that treatments meted out to bacterial and viral infections are different in nature. It is spread by respiratory droplets that enter the air when an infected person coughs or sneezes, or through blood. It poses little risk to healthy children and adults, but pregnant women without immunity to slapped cheek syndrome have an increased risk of miscarriage because it can cause anaemia in the unborn baby.What causes slapped cheek syndrome?Slapped cheek syndrome is caused by parvovirus B19 and is spread by respiratory secretions from an infected person.
The incubation period (the period between infection and signs or symptoms of illness) is usually four to 14 days, but can be as long as 21 days. The rash fades from the centre of red areas towards the edges, giving it a lacy appearance.
The rash can recur after exercise, warm baths, rubbing the skin or emotional upset.Less commonly, headache, sore throat and joint painNot all children with slapped cheek syndrome develop the rash. Conversely, parents of some children may become concerned if the rash lasts several weeks or fluctuates with environmental factors, such as exercise and warm baths. A blood test can confirm whether you have fifth disease, but this is not usually necessary. If a pregnant woman has been exposed to slapped cheek syndrome, she needs to go to her doctor straight away to get a blood test to determine whether she has had fifth disease in the past and is, therefore, immune, or if she is currently infected. If she contracts slapped cheek syndrome in the first 20 weeks of pregnancy, she will be given regular ultrasound scans to monitor foetal growth and development, and possible complications in the foetus, such as abnormal pooling of fluid round the heart, lungs or abdomen.


What are the treatments for slapped cheek syndrome?Generally, no treatment for slapped cheek syndrome is necessary for otherwise healthy children and adults who get it.
For those with joint pain, especially in adults, anti-inflammatory pain relievers such as ibuprofen can be helpful. Anyone who has sickle cell anaemia, chronic anaemia, or an impaired immune system can receive immunoglobulin by injection to help fight off the virus. Some of these patients may also need transfusions of red blood cells.How can I prevent slapped cheek syndrome?There is no vaccine against slapped cheek syndrome. It's easier for the virus to spread indoors, where people are likely to be in closer contact Make sure children are not crowded together, especially during nap time Teach children to cough or sneeze into a tissue (which should be thrown away immediately) or their elbow (which is less likely than their hands to spread the virus) and away from other people Children with slapped cheek syndrome generally do not need to be excluded from childcare, as they are unlikely to be contagious after the rash appears and a diagnosis is madePregnant women and slapped cheek syndromeIf a woman is certain she has had slapped cheek syndrome, there is no need to be concerned about exposure to the disease during pregnancy.
If she is uncertain, a blood test can determine whether the woman has had slapped cheek syndrome in the past and is therefore immune. For instance, if there is an outbreak of slapped cheek syndrome in the workplace, a pregnant woman should discuss with her doctor whether she should stay home from work until it subsides.
At home, she should wash her hands thoroughly after touching tissues used by infected children and dispose of tissues promptly.



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