Conversation: The conversation between human and AI assistant.
[|Human|] My daughter was at the doc today and suspected sinus infection.  102 fevers, vomiting, nausea when fever is up.  Feels well while fever is below 100.  I am having trouble keeping her fever below 101 even with Ibuprofen.  She also has had recent pyelonephritis in June.  neg. UA today but she acts just like when she had that in June.  She is 6 yrs old weighs about 45lbs.  They started her on Amox. today 800mg BID.  She took Omnicef for the pyelo in June.  She just presents so much like she did with the pyelo.  I can keep her drinking if her temp stays 100 or below but right now with Ibuprofen 2 hrs ago, it is still 101.  What else can I do?  Should she have vomiting when her temp rises with a sinus infection?
[|AI|]  Very high fever and vomiting is more in favor of pyelonephritis than a sinus infection. If the fever and vomiting continues or gets worse, please get her admitted to a hospital. Oral antibiotics will not be enough. She will most probably need IV Antibiotics and hospital care for the high fever. Very high fevers can be damaging to the body. Since she is only 6 years old, pyelonephritis can progress very fast and damage her kidneys too. Not saying this to alarm you, but I really think your daughter needs to be taken to a hospital and treated as an inpatient until her fever breaks. She will need additional blood and urine tests. Fevers, vomiting and headaches is also a presentation of meningitis, and you can never be too careful. Please take care. Good day to you.