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What Causes Recurrent Fever In Child?
Question: my child 3.3 y 13 kg. last six month he is suffering from fever once in month. his blood test total count is 17000 & CRP 80. doc prescribe Macpod CV 100,for 5 days.
In this case what should we do.
In this case what should we do.
Brief Answer:
The blood report is suggestive of bacterial infection
Detailed Answer:
Hello
Thanks for the query
The current blood report with counts 17000 and CRP of 80 is suggestive of bacterial infection.
You have mentioned that for past 6 months he has been suffering from fever once in a month.
I request you to provide details like
How long this fever lasts each time?
What were the associated symptoms like cough/cold,loose stool,burning micturition ?
What was the diagnosis you were told about?
If there is any report done earlier please attach those.
What are the symptoms apart from fever he has this time?
If there is any weight loss in last 6 months?
Recurrent fever with cough and cold is common in this age.Most of the time it is viral in nature.
But leucocytosis (particularly neutrophilic) with raised CRP is more in favour of bacterial infection.
Macpod CV contains cephalosporin group with clavulinic acid and it has a very good coverage for organism causing respiratory,intestinal or urinary infection.So I would like to continue the same.
Please provide me detail so that I better able to help you out.
Regards
The blood report is suggestive of bacterial infection
Detailed Answer:
Hello
Thanks for the query
The current blood report with counts 17000 and CRP of 80 is suggestive of bacterial infection.
You have mentioned that for past 6 months he has been suffering from fever once in a month.
I request you to provide details like
How long this fever lasts each time?
What were the associated symptoms like cough/cold,loose stool,burning micturition ?
What was the diagnosis you were told about?
If there is any report done earlier please attach those.
What are the symptoms apart from fever he has this time?
If there is any weight loss in last 6 months?
Recurrent fever with cough and cold is common in this age.Most of the time it is viral in nature.
But leucocytosis (particularly neutrophilic) with raised CRP is more in favour of bacterial infection.
Macpod CV contains cephalosporin group with clavulinic acid and it has a very good coverage for organism causing respiratory,intestinal or urinary infection.So I would like to continue the same.
Please provide me detail so that I better able to help you out.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir fever last in two days, temprature raise 101-102, start from cough and cold no loose stool , there is no weight lose but no gain stay on 13 to 14 kg,doctor said there is sligtly congestion in his chest,there is blood report
hb - 11.5
Tlc - 17000/cumm
Dlc -
neutrophills - 55
lymphocyte - 36
eosinophils - 05
monocyte - 04
basophils - 00
platelate count - 4.04
immunology& serology
crp -IS AG 80
after test report we have given antibiotic macpod 100 for five days but doc said treatement should be given for 14 days so u have to continue and again will test,there is throat infection also at the time of fever,he drank milk by bottle but now leave last month ,
hb - 11.5
Tlc - 17000/cumm
Dlc -
neutrophills - 55
lymphocyte - 36
eosinophils - 05
monocyte - 04
basophils - 00
platelate count - 4.04
immunology& serology
crp -IS AG 80
after test report we have given antibiotic macpod 100 for five days but doc said treatement should be given for 14 days so u have to continue and again will test,there is throat infection also at the time of fever,he drank milk by bottle but now leave last month ,
Brief Answer:
I agree with your doctor
Detailed Answer:
Thanks for the follow up
As the report is suggestive of bacterial infection.I agree with your doctor and would like to give the antibiotic at least for 10 days and better for 14 days.A repeat test should be done at the completion of treatment to check whether the CRP has fallen to its normal range or not.
As there is similar history in the past I would like to get him evaluated for any enlarged tonsil causing recurrent tonsillitis.
If you have any further query I shall be glad to answer.
Regards
I agree with your doctor
Detailed Answer:
Thanks for the follow up
As the report is suggestive of bacterial infection.I agree with your doctor and would like to give the antibiotic at least for 10 days and better for 14 days.A repeat test should be done at the completion of treatment to check whether the CRP has fallen to its normal range or not.
As there is similar history in the past I would like to get him evaluated for any enlarged tonsil causing recurrent tonsillitis.
If you have any further query I shall be glad to answer.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear sir,
I m 31y/68 kg. about last 10 year Im suffering sneezing,running nose. after two or three days. (it happen sometime once in month some time after 2or 3 month)
this is convert in to fever and cough. on taking antibio like cipra it gets cure but running nose now convert in to stiffy and light yelwish mucous. doc says it is allergic asthma or bronchitis. it can not be cured but can be control. doc prescribed me a some of antibio. and montelukast and levocitra. what should I do.
My son is also suffering same problem, as I mention ealier .this is coincident or he is infected due to me.
I m 31y/68 kg. about last 10 year Im suffering sneezing,running nose. after two or three days. (it happen sometime once in month some time after 2or 3 month)
this is convert in to fever and cough. on taking antibio like cipra it gets cure but running nose now convert in to stiffy and light yelwish mucous. doc says it is allergic asthma or bronchitis. it can not be cured but can be control. doc prescribed me a some of antibio. and montelukast and levocitra. what should I do.
My son is also suffering same problem, as I mention ealier .this is coincident or he is infected due to me.
Brief Answer:
Children of parents suffering from asthma are at risk for developing asthma
Detailed Answer:
Welcome again
Genetic predisposition in asthma/allergic disorder is well known.The symptoms you have mentioned are suggestive of asthma/allergic disorder.Your doctor is right asthma is a disease which can be controlled with avoidance of allergens/precipitating factors and with titration of dosage.
The allergic symptoms when associated with breathing difficulty or chest tightness is asthma.Sometimes there can be running nose/sneezing only and that is allergic rhinitis not asthma.
With regular medication the symptoms can be controlled to a level at which you can say it is cured.Then the down stepping of dosage and medication is done and you may not need any medication at all.Although it is difficult but not impossible.
It is not an infection but genetic predisposition.
Regards
Children of parents suffering from asthma are at risk for developing asthma
Detailed Answer:
Welcome again
Genetic predisposition in asthma/allergic disorder is well known.The symptoms you have mentioned are suggestive of asthma/allergic disorder.Your doctor is right asthma is a disease which can be controlled with avoidance of allergens/precipitating factors and with titration of dosage.
The allergic symptoms when associated with breathing difficulty or chest tightness is asthma.Sometimes there can be running nose/sneezing only and that is allergic rhinitis not asthma.
With regular medication the symptoms can be controlled to a level at which you can say it is cured.Then the down stepping of dosage and medication is done and you may not need any medication at all.Although it is difficult but not impossible.
It is not an infection but genetic predisposition.
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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