Call Your Doctor Now (night or day) If

• Your child looks or acts very sick
• Difficulty breathing, but not severe
• Great difficulty swallowing fluids or saliva
• Stiff neck
• Fever above 105° F (40.6° C)
• Signs of dehydration (very dry mouth, no tears with crying and no urine for more than 8 hours)
• Purple or blood-colored spots or dots on skin