Hi Michelle,
I tend to lean toward pred. and FOI as her best
chance, but I have no experience with Dex., so
I really don't know.  Is the Dex a daily shot?  Can
you try it one or two more times and see if she
continues to get that burst of energy from it, and 
if the fevers/congestion get worse stop it and switch
to pred?  

Hugs,
Beth 

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