Expert: David Olson, MD - 11/8/2009

Question
Hello Doctor,

I have 4 and half year old who developed a puffy all around eyes like red circles. The inside of the eyes are fine. He also has a high fever of 38.6. Often he clears his throat.
Any suggestions are greatly appreciated.

Thank you

Answer
Hi, Mark,

this is probably a viral process, with the fever and the eye findings.  I am always concerned about puffy eyes with fever.  There certainly are some disease processes, that for example, can involve the kidneys that can present like this.  Mononucleosis, admittedly unusual in this age, can also rarely present like this.  I would suggest if things are no better by tomorrow, see your doctor.

Good luck, Dr. Olson