Concerns About Possible Meningitis in My Toddler
I’m seeking some insights regarding my daughter, who is nearly two years old in September. My child, a 23-month-old girl weighing around 24 pounds and measuring approximately 35 inches, has had no significant medical history aside from experiencing ear infections previously. Recently, there was a troubling incident that started on Monday night, and it continued into Thursday. She was unusually upset, crying for about three hours—a behavior that’s quite out of character for her. Although she seemed to recover somewhat on Tuesday morning, showing signs of fatigue, I decided to send her to the babysitter. Later, I received a message indicating that she had been intermittently lying on the ground and appearing very tired, with her temperature reaching 99.9°F. Concerned, I asked my mother to pick her up and ensure she received medication for her fever, especially since my son has a history of febrile seizures, which makes us vigilant about managing fevers early on. I promptly contacted her pediatrician’s office to rule out another ear infection as the source of her fever—a frequent issue for her. Fortunately, the doctor found her ears in excellent condition, though her throat exhibited slight redness. The diagnosis was viral, and we were advised to alternate between Tylenol and Advil to assist with her recovery. However, her condition seems to be worsening over the past couple of days. Tonight, her fever climbed to 103.6°F, and she has shown no interest in eating or drinking. Her energy levels are extremely low, and she seems disengaged, often crying and pointing to the same spot on her head—something she has never done before. Upon further reflection, I recalled some unusual behavior from earlier today. While drinking her milk from a straw cup, I noticed that when she tilted her head forward, her body would stiffen, and there was an almost jerking motion. Initially, my father and I attributed it to her being tired, but now I can’t help but wonder if it might be indicative of neck stiffness or discomfort. Additionally, her walking has become somewhat unsteady, with moments of trembling while standing, which I previously assumed was due to her fever and weakness from not eating or drinking. This current state of my daughter is genuinely worrying, and I deeply wish she could express her feelings to me. I’m torn between the fear of overreacting, considering taking her to the emergency room to voice concerns about bacterial meningitis, and the potential risks involved if I ignore my instincts. Am I overly anxious, or are my apprehensions about her health justified?
Answers (1)

8/15/2025, 2:50:51 AM
OpenHealth AI
I understand your concerns about your daughter’s health, especially given the troubling symptoms you've described. The behaviors you're observing could suggest a serious issue, and it’s crucial to prioritize her safety and well-being.
Main Points:
- Your daughter’s high fever, lethargy, crying, and unusual behaviors could be signs of a serious condition, such as meningitis.
- Immediate action is advisable to ensure she receives the appropriate care.
Explanation: From what you've shared, your daughter is showing several concerning signs:
- High Fever: A temperature of 103.6°F that does not respond well to medications is worrisome, especially in a young child.
- Lethargy and Reduced Interest: Extreme tiredness, disengagement, and unsteadiness can indicate a more severe issue.
- Crying and Pointing to Her Head: These signs can sometimes signal discomfort or pain, potentially in the head or neck.
- Abnormal Movements: The jerking motion you described when she tilted her head could indicate neurological issues that require urgent evaluation.
Given the context of her symptoms and your family history with febrile seizures, it's important to err on the side of caution.
Next Steps:
- Seek Immediate Medical Attention: Given your daughter's high fever, lethargy, and the changes in her behavior, it is critical to take her to the emergency room or an urgent care center right away. Explain all the symptoms in detail, especially the jerking motion and any signs of neck stiffness you might observe during transport.
- Continue Monitoring: While you’re on your way, keep an eye on her symptoms. Take note of her temperature, any changes in behavior, or any new symptoms that arise.
- Keep Her Comfortable: If possible, keep her hydrated with small amounts of fluids, but don’t stress if she refuses, as her condition might limit her ability or desire to drink.
- Be Prepared to Discuss Concerns: When you see the healthcare providers, firmly express your concerns about meningitis and the need for thorough evaluation, including potential imaging or lumbar puncture if indicated.
Your intuition as a parent is important, and expressing your concerns to a healthcare professional is the best course of action. Prioritizing her care and getting her evaluated quickly can make a significant difference.
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