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Ne puteți ajuta, va rugam în soluționarea unor probleme a copilului nostru ( hipotermie post febrila)
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Immune Deficiency Disorders
Question #20590
1 day ago
21

Ne puteți ajuta, va rugam în soluționarea unor probleme a copilului nostru ( hipotermie post febrila) - #20590

Neata Bianca

Buna ziua! Ne puteți ajuta va rog în soluționarea unei probleme a fiicei mele? Numele meu este Neață Bianca și vă rog mult dacă ne puteți ajuta . Fetita mea are 2 ani și 8 luni. De aproximativ un an, am observat că după viroze sau episoade cu febră, noaptea, în timpul somnului, îi scade temperatura corporală. Până acum s-a întâmplat de 3 ori, episoadele au durat 2–3 nopți și apoi temperatura s-a reglat. De această dată însă, au trecut 8 nopți consecutive în care temperatura îi scade până la 35°C, și probabil ar scădea mai mult dacă nu am interveni cu sticle cu apă caldă lângă ea. Ziua este bine, are temperatură normală, este activă, se joacă, mănâncă, însă noaptea ne este teamă să o mai lăsăm să doarmă. Analizele uzuale au ieșit în limite normale, dar nu știm care este cauza și ce ar trebui făcut pentru ca temperatura să se regleze. Ne puteți ajuta, vă rog, cu o îndrumare unde sa mergem si ce sa facem . Am văzut pana acum 3 pediatrii dar nu știe nimeni ce ar putea avea, inițial au spus ca poate e o reacție de la antitermicele dar au trecut deja 8 zile de atunci si tot nu s-a reglat. Noi suntem din Campulung Arges , am fost și aici la spital cu temperatura 34.9 dar nu i-au facut decat analize uzuale si in rest au zis ca nu stie ce are. Am fost in alt oras unde tot asa nea spus ca nu au intalnit asa cazuri si ca poate ar trebuii sa ne vada un imunolog si un neurolog. Am fost si la Pitesti si ne-a spus sa incercam si la Endocrinologie. Azi am fost la Endocrinologie dar medicul spune ca nu pare a fi o problema pe parte asta și ca nu știe ce ar putea avea dar totuși sa facem analiza cirtizol, tsh si ft4 si Acth. Aste le putem face abia luni și ne e teama sa nu se agraveze ceva. Ne puteți ajuta va rog cu o îndrumare unde sa cautam problema sau unde sa mergem . Vă mulțumesc din suflet și îmi cer scuze pentru deranj.,

Age: 28
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
17 hours ago
5

Hello dear As per clinical it seems viral infection like varicella zoster or post herpetic infection. Iam suggesting some tests for confirmation Please share the result with general physician medicine for better clarity and for safety please donot take any medication without consulting the concerned physician Esr PCR Viral culture Hsv antigen test if recommended by concerned physician Regards

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2 replies
Neata Bianca
Client
5 hours ago

Vă scriu pentru a clarifica contextul episodului de hipotermie al fetitei. Nu există erupții cutanate sau semne vizibile pe piele în timpul acestor episoade. Hipotermia apare doar după ce infecțiile sau episoadele febrile s-au încheiat. Hipotermia nocturnă apare după revenirea clinică la normal, și durează Deja de 9 nopți. Prin urmare, nu există semne de infecție virală activă în momentul episoadelor de hipotermie. Credem că fenomenul este legat de reglarea temperaturii post-infecțioasă, nu de o infecție virală activă (HSV sau varicela zoster).

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
4 hours ago
5

Hello mam Thanks for confirmation I think in that case probably some neurological disorder is there. I suggest have tsh done for confirmation Regards

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