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Suggest Treatment For High Fever In A Child
A 2 year old child ( baby girl) having HX of high grade fever ( 102 - 103 F )last 2 weeks , no hx of any GI , urinary illness , , denies any shivering,blood work result ;unremarkable , except ESR 62 initially , and after a week ESR rises 129 ,lab results excludes typhoid , malaria , TB , meningitis, , abcess , pneumonia UTI , inflammatory bowel disease, . only on Echocardiography , mild changes abnormalities identified and , it was diagnosed that the child is having Kawasaki disease , even after given iimmunoglobulin twice fever has not settled ,and ESR is further in rising state, , .what would be themanagement and might be actual diagnosis is missing or not like tuberculosis . plz suggest your expert openion
Thu, 16 Jul 2015
Hi, I have gone through your question and understand your concern. Kawasaki disease is of unknown cause. The initial treatment consist of aspirin, IVIG, steroids, and pentoxifylline. If not releived plasma exchange, abciximab or monoclonal antibody treatment can be tried. Sometimes it needs surgical treatment.
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