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Cure for mild fever in child after a cat bite - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   my daughter has got mild fever from last 40 days...
Doctor :   Hi dr hxxxx
User :   hello Dr
Doctor :   Is she on any medications
Doctor :   Is she having fever right now
User :   yes she is
User :   mild fever
Doctor :   'Or is it interemittent
Doctor :   Was her blood work up done
User :   98.4 morning
Doctor :   Is it sure since 40 days
User :   99.2 afternoon
User :   99.6 evening
User :   97.4-6 night
Doctor :   Was she given Calpol
User :   no
Doctor :   Her age?
User :   all blood tests ok
User :   tested for.....
User :   her age is 10 yrs
Doctor :   Was platelet count checked?
Doctor :   Ok
User :   My daughter was bit by a stray cat on 13th Aug 2010 for which she was given anti rabies vaccine on 16th 19th 23rd 30th Aug 2010 & 13th Sep 2010. The cat is still alive, my daughter was detected with P vivax on 27th Aug 2010 for which she was put no Artesunate & Clindamycin for 18 days followed by primaquine which is still being taken by her, she was given MMR dose on 13th Aug 2010, as the pediatrician did not suspect rabies & MMR dose was due for the 10 year Girl. The mild fever which is below 100f started from 15th Aug 2010 but still not subsided, there is no weight loss or any major weakness. Kindly advise.
Doctor :   Ok
User :   it was 3.87lakhs
User :   esr-04
Doctor :   Does your doaughter complain of any kind of weakness/ dificulty breathing
User :   vrey rearly
User :   very rarey
Doctor :   Ok
Doctor :   I find fever for such long time wierd
User :   there is no weight loss
Doctor :   And the normal range bein 98.6
User :   bartonella henslae test for cat scratch fever also normal
Doctor :   Dont frequently measure temp unless she complains of discomfort
User :   sgpt & sgot little higher
User :   no other complaints from her side
Doctor :   Thats following prolonged drug usage liver values tend to rise
Doctor :   Was she examined by a peaditraician recently
User :   crp, lft, esr all normal
User :   yes she was
User :   he told fever below 100 is no cause of worry
Doctor :   Ok
User :   but other dr saying
Doctor :   Thats what frequent measurement will make youanxious
User :   it could be Tuberculin or some ressistant malaria or probabal malingancy
Doctor :   That can be ruled out follwoing an MRI
Doctor :   Probably Not Malignant cause
User :   the dr also adviced to start chloroquine
Doctor :   Ok
Doctor :   Chloroquine at starting days will cause slight rise in body temp
User :   but pediatiacian saying not necessary now
User :   can i get to know the cause of the rise in the temp?
User :   is maligancy rulled out?
Doctor :   There might some kind of inflamtory reactions goin on
Doctor :   Or the drug interactions will cause
Doctor :   Was the temp checked at home'
User :   yes
User :   1st with a mercury then with a digital thermometer
Doctor :   Ok
Doctor :   My advise is to take a second opnion from a senior peaditrician
Doctor :   As the symptoms are weird and considering her age will not come to conclusions either
User :   my peaditrician is quite sr with 25 yrs of exp.
Doctor :   Ok
Doctor :   second opnions willalways give way to better workups and diagnosis
User :   should v start chloquine?
User :   or should v jst wait or a ct scan or mri can help?
Doctor :   Mri willhelp
Doctor :   Starting chloroquine after second opnion will be wise
User :   MRI of full body or some part of the body?
Doctor :   No only Abdomen will do
User :   18 days of artisunate & clinda followed by 6 days of prima to be continued for 14 days
User :   so many medicines wont it harm her?
Doctor :   Thats the right regime for malarial prophylaxis
Doctor :   These drugs are the cause for rise in sgot and sgpt
User :   but should chloroquine be given?
Doctor :   Can be given But already a regime is done
User :   or should v jst ignore the temp
Doctor :   So better withold for while#
Doctor :   Yes you can ignore if less than 100
Doctor :   If increases more than 100 and remains persistant will require medical attention'
User :   Dr with ur exp ... wat r the chances of she being normal or she may be having some infection inside her?
Doctor :   The chances are 60/40
User :   any other adv...?
Doctor :   Get an second opnion
User :   Any Dr u can suggest in mumbai?
Doctor :   Just a momnet
Doctor :   WWW.WWWW.WW
User :   thnx
Doctor :   Sorry our data base is slow
Doctor :   could refer you
Doctor :   Thanks for consulting me'
User :   thnx
Doctor :   Is there anything else ican help you wioth?
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