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Newborn baby having Jaundice - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
Doctor :   Hi
User :   Hi
User :   I have some queries regarding my new born nephew
Doctor :   Please proceed
User :   My nephew had a boil on his head 4-5 days ago
Doctor :   How old is he?
User :   19 days
Doctor :   When was he born?
Doctor :   Ok
User :   on the 18th of July
Doctor :   Since how long is he having boil?
User :   he had the boil 4-5 days ago
Doctor :   Does he have any other symptom?
User :   and we took him to the child doctor
Doctor :   Ok
User :   he was having fever as well .. the doctor broke that boil and prescribed crocin and an antibiotic
User :   oral one
Doctor :   Fever may be because of the boil only.
Doctor :   Since it my be causing infection.
User :   yes... the fever subsided after 2-3 doses of the anti-biotic
Doctor :   Ok
User :   but day before yesterday.. he started getting fever again
User :   and the temeperature started wavering between 102- 103
Doctor :   Ok
User :   we took him to the hospital ad he is currently admitted in the NICU
User :   his reactive protien is 4.5
Doctor :   Were any other blood tests done?
User :   whereas the normal range is supposed to be
Doctor :   Yes
User :   yes... CBC, Reactive protien test
User :   and Bilirubbin as he was having slight jaundice at birth
User :   the billirubin is at 11
Doctor :   It may be neonatal jaundice
Doctor :   And keeping in NICY would be beneficial
User :   the WBC coun was high
Doctor :   It also denotes infection
User :   the doctor that we spoke to said it is general Sepsis.. and not local one
Doctor :   CRP is usually raised in Jaundice
User :   ok
Doctor :   Generalised infection has spread
Doctor :   It will take a week to 10 days to get cured
Doctor :   When the Bilirubin is under control CRP and WBC will lower down
User :   but is the infaction due to the boil only?
Doctor :   It could be that he was having jaundice at birth and boil has aggravated the infection
User :   ok... any care that we need to ensure when he is being treated in the NICU?
Doctor :   Just ensure that antibiotics are prescribed on time, no need to panic at all
Doctor :   Continue breast feeding.
Doctor :   Ensure the cleanliness
User :   ok... but hope the condition is not serious?
Doctor :   No need to worry, it will be controlled.
Doctor :   Is he on phototherapy?
User :   no...
Doctor :   Ok probably when infection is controlled that will be started.
User :   ok..
User :   blood sample has been sent for Blood Culture test
User :   and the report is expected by tomorrow
Doctor :   That will help to know the bacteria present and accordingly antibiotic would be started
User :   ok
User :   what may have been the probable cause for the boil?
User :   so that we can take necessary precaution going ahead
Doctor :   Any hospital acquired infection or any trauma during birth
Doctor :   Yes you can
User :   what are the precautions that we should take?
Doctor :   Just ensure cleanliness and continue breast feeding
User :   ok... any specific instructions during bathing the baby?
Doctor :   They can go for normal sponging
User :   ok
User :   how many days do we expect the baby to be kept in the NICU?
Doctor :   Till the bilirubin comes down
Doctor :   Will take 7 to 10 days
User :   ok
Doctor :   Thanks for consulting me, bye for now
User :   bye
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