Children’s High Fevers: Is It Really Dengue?

High Fevers in Children: Flu and Viral Infections More Common Than Dengue

With rising concerns among parents due to children experiencing high fevers reaching up to 104-105°F, many are rushing to assume it’s dengue. As a result, blood tests are being conducted on Day 1, or antibiotics are being administered prematurely. However, health experts urge caution—more than 90% of these fevers are due to common viral infections like the flu, Herpangina, or Hand, Foot, and Mouth Disease (HFMD).

Dr. Sivaranjani Santosh, a leading pediatrician, emphasizes the importance of closely examining a child’s throat when fever is accompanied by other symptoms. “If there are ulcers in the throat, it’s more likely to be Herpangina or HFMD,” she says. These viral infections are much more common now than dengue and can often be identified by sore throat, ulcers, and a high fever.

Parents are encouraged to maintain temperature control and keep children well-hydrated. First aid knowledge, especially on handling seizures, is crucial in managing these high fevers. Dr. Santosh advises parents not to panic and avoid unnecessary tests, especially on the first day. “Dengue fever does not typically present with severe cold, cough, or excessive watering of the eyes. If your child has high fever with these symptoms, it is more likely to be the flu,” she adds.

While dengue is a serious concern, Dr. Santosh reminds parents that testing should only be done if recommended by a doctor, and not immediately upon noticing a fever. “Parents must stay informed about the warning signs of dengue but shouldn’t assume every fever is dengue,” she explains. “Currently, flu, RSV infections, and Herpangina/HFMD are far more prevalent.”

For parents worried about their child’s health, the best approach is careful observation, timely hydration, appropriate temperature control, and consulting a healthcare professional as needed.

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