Brief Answer:
Immunologist to decide for
gamma globulin.
Detailed Answer:
Hi
I can feel your concern and please be patient. Immune development is a gradual process. Every infection he gets is a process to strengthen his immune functions. I was expecting detailed report of investigation in the previous query to exactly get the level of
neutropenia. If you have reports with you, please share them with me. I can be able to provide you with helpful information tailored as per Warren's needs.
Detailed investigation report is required to know the exact problem with the child.
I investigate thoroughly all my patients with
recurrent fever to arrive at a final conclusion. I order for
complete blood count, ESR, CRP,Typhi dot test., Malaria Antigen, Mx Test,
BLOOD CULTURE, PEREPHFERAL SMEAR FOR GENERAL BLOOD PICTURE, CXRAY, Xray Water's view to rule out subtle sinusitis, CD4 Counts and CD4/CD8 ratio, URINE ROUTINE EXAMINATION, LIVER FUNCTION TEST,
ULTRA SOUND WHOLE ABDOMEN TO RULE OUT ANY MICROABSCESS OR PUS etc. If neutropenia is quite severe then one should think of
Bone Marrow Examination also.
If XXXXXXX has undergone some of the above test, please share the reports with me.
If every thing is ok regarding investigations then please let the child grow, more he is exposed to the antigens more antibodies will form in his body to fight the infections.
For some thing extra apart from the pediatricians view, it will be better for your expectations to discuss with immunologist along with detailed workup.
Hope you are guided satisfactorily.
Thanks