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My Kid Is Suffering From Fever Last 5 Days. My

Posted on Thu, 16 Jan 2020

Question: My kid is suffering from fever last 5 days. My boy crp is too high 68.5 remaining all reports are normals. Nuetrophils are at 69

Answered by Dr. Dr. Pradeep Kumar Jain (2 minutes later)

Brief Answer:
Please provide the details

Detailed Answer:
Hi

Thanks for asking on this platform

I have gone through the query and do understand your concern.
Fever of 5 days with such high CRP indicates some bacterial infection or underlying inflammation.
I would like to know the details of investigations and also the symptoms(like cough, loose motion, rashes etc). Please let me know about the trend of fever whether it is improving, getting worsened or same as before.
Thorough investigations should be done like ESR, procalcitonin, blood culture, typhoid test, urine test).
Antibiotics may need to be upgraded or may be injectable antibiotics may be needed based on investigation, repeat CRP and general condition of the child.

Waiting for your response.
Please let me know if you have any more doubts.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Dr. Pradeep Kumar Jain (37 minutes later)

Brief Answer:
Wait for culture report, continue same antibiotic

Detailed Answer:
Hi

Thanks for follow up

I have seen the reports and apart from CRP all are normal. ESR is also not very high.
As symptoms are not very significant and child is otherwise active, I would like to wait for the culture report. Based on culture report we can decide the further treatment like if any change in antibiotic is needed or not.
If culture report comes inconclusive (quite common due to prior use of antibiotic, sampling error or other technical issues) ; its better to monitor for the symptoms and to repeat the CRP after 72 hours. If condition gets worsened or CRP increases rapidly antibiotic would need to be upgraded,otherwise the sane treatment will suffice.

I hope this helps.
Wishing for good health of your child
Thanks and Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Pradeep Kumar Jain (12 minutes later)

Fever is same as before. Typhoid negative. Urine negative. Blood culture given still report not came sir. General condition of child is good he is very active. Sir after blood culture report we will give iv antibiotics. Esr is 20 sir. Little bit cough is there not heavy. He is suffering from cough regularly.

Follow up: Dr. Dr. Pradeep Kumar Jain (1 hour later)

Hi, I have provided some attachments. Please review them.

Follow up: Dr. Dr. Pradeep Kumar Jain (0 minute later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Dr. Pradeep Kumar Jain (12 hours later)

Brief Answer:
Please review the reply

Detailed Answer:
Hi

Please review the previous reply. I have seen all the reports and replied accordingly.

I shall be glad to help further if you need any.
Regards

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Above answer was peer-reviewed by : Dr. Nagamani Ng