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Child has viral fever, haemogram shows ESR, urine test shows pus cells, protein trace, epithelial cells. Diagnosis?

Hello Doctor, My baby girl is turning 2 years on Dec 14. She had fever since last 8 days, 102 deg for first 5 days. We have been to our Pediatrician , as per him she had Viral fever. But now she did not have temp but her body remain warm. We have done her Hemogram and urine check up, here are the result: Hemoglobin - 10.6 ESR - 45 Urine Test Protein - Present Trace PUS Cells - 7-8 Epithlial Cells - 5-6 Please suggest what should be the case? We have shown this report to our doc, but as per him she is alright.
Asked On : Thu, 25 Oct 2012
Answers:  1 Views:  187
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Pediatrician 's  Response

Did she have other symptoms than fever like cold, cough, skin rash, loose stools, pain while passing urine, increased frequency of urination etc?

When body feels warm and thermometer shows normal temperature, you need not worry. Check if your hands are cold when you feel her warm, also if you over dress her she might be warm for some time. So dress her as per her comfort and weather.

Also if her activity and food intake are okay, you need not worry.

Regarding her investigations, Her hemoglobin is slightly on the lower side. Other indices like MCV, RDW etc can tell us the cause. Usually in kids its nutritional. Give her lots of green leafy vegetables, dates, jaggery and non veg (if you wish) to improve iron content in her diet.

ESR is high. It can be due to anemia (low Hb) or any infection.

Urine - pus cells of 7 to 8 and trace protein raises a doubt of urinary infection. Along with fever if she has had burning micturition, increased frequency of urination, Urine culture would have helped to rule that out. Female kids are more prone to get urinary infections.

But don`t go by reports. If your child is active, playful as usual and feeding well with no fever, you can be relaxed.
Doctors do not treat reports. We always correlate reports with clinical status of the child and then only treat.
Hope you find my answer useful.
Answered: Thu, 25 Oct 2012
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