### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
15 month old. 4 day low grade fever. Spiked to 104.4 tonight. Tylenol 15 mg/kg Motrin 10 mg/ kg. Fever down to 101.7. General malaise and fatigue. Sleeping 16 hours a day. Loss of appetite. Still drinking water. No cough, no sinus drainage, not pulling at her ears, urine does not smell. Perfect purple circle on her chest 4 cm in diameter. Showed up when the fever started. Live in a rural community, lots of ticks and mosquitos.

### output:

Hi...by what you say it could be a simple viral illness. But as you say you are in a rural area with a lot of mosquitos and ticks, I suggest you get in touch with a pediatrician or an at least a general physician to assess your kid. Meanwhile I will explain to you how a viral illness behaves - Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - 