my son has had headaches for three days, a high temp sometimes reaching 39 degrees, tiredness and now has a rash on his arms and face, he has nitrates in his urine but the doctors are not concerned about that, he was diagnosed with viral meningitis, I am so worried about him. he is 5 years old
HI...high grade fever and presence nitrites in the urine is suggestive of urinary tract infection and not confirmatory. He will need a urine culture for it to be confirmed. But at the same time skin rash with fever is suggestive of viral illness too, it is like an exanthem. If he is active nothing to worry. But at this juncture If I were you pediatrician I would suggest you to get a complete blood count done along with urine culture and get back. Regards -