<human>: My daughter is 7 months old. She has had a fever of 102-104.1(kept down with motrin and ibu) for the last 3 days with a wet cough. When breather she has a rattle in her chest and back, almost like gravel rubbing together.No significant nasal discharge. She has been very lethargic and barely nursing (but enough to stay hydrated). Could it be a respitory infection that will require antibiotics?
<bot>: Hi, You give a good description of an infant with a respiratory infection.  Most likely she has pneumonia or bronchiolitis. Pneumonia is caused by either bacteria (treated with an antibiotic) or viruses; bronchiolitis is caused by viruses. Signs of respiratory distress include:-rapid breathing-pulling with neck muscles to expand chest and allow more air to enter lungs-blue coloration around lips, fingers, toes Because of her young age, fever, lethargy, and poor feeding with danger of deny Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. 