Our 11 year old daughter has had a loud, 'croupy' cough for the past two weeks. This is the second time in 6 months. Our pediatrican first tried prednisone (it appeared to work the first time) and then Xyrtec (thinking it may be allergies) to no avail. She also was given, without success, cough medicine with codeine to calm the cough and help her sleep.
Four days ago, an Ear, Nose and Throat Doctor prescribed a stronger course of prednisone, azithromycin (Zithromax), Albuterol, and Advair. In addition, she advised staying on the Xyrtec. She also takes 10mg of Prozac every morning for anxiety-related issues. A chest and upper airway x-ray was done and it was clear.
Four hours after taking the ENT-prescribed medicines listed above, our daughter complained of feeling a little off. Two hours later she was in the emergency room diaphoretic, elevated heart rate of 160 bpm, and substantial full-body tremors. Over the course of the next eight hours she was given several drugs (Benadryl, Atavan and others) to help control the tremors. They did a CT scan and another round of x-rays and turned up nothing.
She was admitted to the hospital and, early the next morning, she was able to sleep during which time the tremors subsided. When she awoke they returned but in a more 'jerky' and sporadic form. At this point she cannot stand up or walk which I though was just pure exhaustion from the tremors. She was now taking only Tenex, prescribed by the pediatric neurologist, to see if it would control the tremors. It didn't seem to change the frequency or amplitude of the tremors. In fact, placing a hand on top of her head you can feel a continuous 'vibration'.
We are home now as the doctors at the hospital didn't know what to do. She is continuing to have jerky, spasmodic tremors and cannot walk. She passes a strength and resistance test but collapses when trying to stand. The cough has greatly subsided but is still somewhat evident.
Note that, from the time the cough first appeared almost two weeks ago, her temperature has been normal and there has been no congestion in her lungs or sinuses.
We are seeking an appointment with a world-class pediatric neurologist that specializes in seizures and tremors but the waiting list is months long. We are at a loss.
Some of the ideas that have been discussed:
drug interaction - seems unlikely given the drugs involved and the timing of ingestion
virus that caused cough moved to central nervous system
unknown Infectious Disease
late symptoms of secondary Lyme's disease - she spent the summer in the Poconos
Serotonin syndrome - Prozac and Codeine combined
Any thoughts would be GREATLY appreciated!:confused: