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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Blood Test Regarding Fever Indicate?

my son (1.11 Years)is suffering from fever since 5 days , doctor said it is due to infection and had given dosage of Monocef 500mg Injection for 3 days but not cured. and latter given another syrup but not cured so far and we had blood report which shows following notifications.

1.Haemoglobin 10.5 g%

2.RBC 5.2 Mill/Cumm

WBC 3,500/Cumm

Differential Count

1. PCV 36vol%

mcv 69fl

MCH 20 pg

MCHC 29%

SEROLOGY Report

Salmonella typhi 'o'

salmonella typhi H

salmonella paratyphi AH less than 1 in 20 dilution

salmonella para typhi BH less than 1 in 20 dilution



Can any body suggest what it means and why it isnot come down.
Mon, 27 Oct 2014
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Pathologist and Microbiologist 's  Response
Hi, I M Dr.Kumarbhargav
Consultant Pathologist
I understood your health concern
Looking to your son's profile, he has fever since 5 days.
Now wanted to know about complaints, does he has cough, sore throat, burning urination, diarrhea or any significant complaints associated with fever.
He has little low WBC count and low hemoglobin.
Now what are the peripheral smear findings, does it give any clue like activated lymphocytes suggesting viral infection, platelet count whether low or not.
If i would be your treating clinician i would have done peripheral blood smear examination, urine routine microscopy, stool examination depending on associated complaints with fever.
If you suspect salmonella infection, wanted to tel you that, tests to diagnose salmonella may be negative in first week of infection. And salmonella infection will give you step-ladder pyrexia means fever constantly rising and raised without medication.
Blood culture is of utmost value in selecting particular antibiotics if you suspect bacterial infection, but it should be taken before taking any antibiotics.
So provide further details for further guidance.
Feel free to ask anything you want.
Take care of your son.
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What Does The Blood Test Regarding Fever Indicate?

Hi, I M Dr.Kumarbhargav Consultant Pathologist I understood your health concern Looking to your son s profile, he has fever since 5 days. Now wanted to know about complaints, does he has cough, sore throat, burning urination, diarrhea or any significant complaints associated with fever. He has little low WBC count and low hemoglobin. Now what are the peripheral smear findings, does it give any clue like activated lymphocytes suggesting viral infection, platelet count whether low or not. If i would be your treating clinician i would have done peripheral blood smear examination, urine routine microscopy, stool examination depending on associated complaints with fever. If you suspect salmonella infection, wanted to tel you that, tests to diagnose salmonella may be negative in first week of infection. And salmonella infection will give you step-ladder pyrexia means fever constantly rising and raised without medication. Blood culture is of utmost value in selecting particular antibiotics if you suspect bacterial infection, but it should be taken before taking any antibiotics. So provide further details for further guidance. Feel free to ask anything you want. Take care of your son.