Q: Does my 7-year-old need a flu test if she only has a low-grade fever with an ear infection and tonsillitis?
- Myeongchan Kim
- 2 hours ago
- 2 min read
Medically reviewed by Sang Hyun Ahn, MD
Content edited by Myeongchan Kim, MD
This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.
Question:
Hello. My 7-year-old daughter visited the clinic on Thursday and was diagnosed with a middle ear infection and tonsillitis. She didn't have a fever on Thursday, but she was in a lot of pain, so she received an injection. The doctor mentioned she might get a fever and told us to return on Friday for a flu test if a fever develops despite taking her medication.
Her basic medication includes acetaminophen (Tylenol), and we were additionally prescribed ibuprofen (Maxibuprofen). Because of her throat and ear pain, I've been alternating the two medications even though she only has a low-grade fever. As a result, her temperature hasn't reached 38°C (100.4°F) and is consistently staying in the high 37°C range.
Should we still go in for a flu test right now? She is not lethargic, and she really hates the nasal swab. I'm not sure if the standard criterion for getting tested is a fever of 38°C or higher despite taking medication. Please advise!
Answer:
Hello. I understand it is difficult to see your daughter suffering from an ear infection and tonsillitis, and it is completely normal to be unsure about the next steps.
To summarize her current situation: she is undergoing treatment, her temperature is staying in the high 37°C range while cross-medicating with acetaminophen and ibuprofen, and her energy levels are still good (she is not lethargic).
Generally, the clinical criteria for recommending a flu test include:
• A fever of 38°C (100.4°F) or higher that persists despite fever-reducing medication
• A fever lasting for 3 days or more
• A sudden worsening of symptoms (such as severe coughing, body aches, or headaches)
• Known close contact with a confirmed flu patient
Based on her current condition, it does not seem necessary to take her in for a flu test today. A temperature in the high 37°C range is fully expected with middle ear and tonsil infections. Her temperature is currently well-controlled by the pain and fever medications you are administering, and most importantly, she is not lethargic.
However, you should seek immediate medical evaluation from her pediatrician if you observe any of the following warning signs:
⚠️ Her temperature spikes to 38.5°C (101.3°F) or higher
⚠️ She suddenly develops a severe cough
⚠️ She becomes unusually lethargic, unresponsive, or shows any signs of difficulty breathing
⚠️ Her fever continues into Monday
Over the weekend, encourage her to get plenty of rest and ensure she stays well-hydrated. Keeping a brief log of her temperatures, symptoms, and medication times will be very helpful for her doctor during your next follow-up visit. I hope your daughter feels better soon!
For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.
