My son is 2 years Old, we noticed 3 lymph nodes swollen on the back of his neck, while he is having dry cough & flu like symptoms he is not having any fever but he feels less energetic but quite ok (playing, laughing and no severe symptomsl)Doctor suggested blood tests and the wbc showed 27000. We did chest X-Ray and checked the Tonsils and no clear infection however I feel he has bad breath that usually happens when he has tonsils infection.Doctor put us on anti-biotic but i am worried about having something serious. Kindly advice
Hi... As per your description this looks like a case of acute tonsillitis or upper airway infection associated with cervical lymphadenopathy which is recurrent in nature. Increased WBC count is suggestive of underlying infection. As the child is playful otherwise and x-ray chest is normal so lower respiratory tract seems normal. This kind of repeated consular infection or upper airway infection are common in pediatrics age group, and it also leads to halitosis or foul breaths. As the child is already receiving antibiotics you should complete the course and again follow up with your pediatrician for examination of the tonsils. In the long run you should take care that adequate hygiene is maintained, and handwashing is strictly followed along with avoidance of contaminated outside food to prevent recurrence.