What causes constant chest pain in child with high fever?
Patient: A long story that I will try to make short.  Six year old child with six days of high fever 103-104 in November.  a week later she started to complained of chest pain.  She complained a few times over two weeks. took to doctor and saw cardiologist.  xray normal, echo normal and holter monitor for 24 hours was normal.  end of December no more chest pain for about two weeks.  Chest pains returns and ped. says may be gastro try tums.  First week on Tums still frequent chest pains lasting from 10 sec. to a minute.  Then three weeks chest pain free.  saty on tums for another week and stop.  Week later chest pain returns but more intense and often (15 times per day).  Make an appt. with ped. gastro but have to wait 1.5 months (appt. tomorrow).  Chest pain is persitent during this time.  Then for the past 6 days she has once again a high fever (103-104) with fatigue.  Ironically the chest pains seems to subside but still there occasionally.  Ped. said possible respitarory infection as she heard slight whizzing.  Started antibiotic today.  Are these fevers and chest pain related? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, chest pain and fever are connected. In child common causes for fever and chest pain are pneumonia and bronchitis. So better to first get done chest x ray to rule out pneumonia. If chest x ray is normal then get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. She might need antibiotic, inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of reports. Don't worry, she will be alright. First rule of bronchitis and pneumonia. Hope I have solved your query. I will be happy to help you further. Wishing good health to your child. Thanks.