Brief Answer:
Don't worry, Most likely viral infection

Detailed Answer:
Hi

Thanks for asking on this platform

I have gone through the query, have seen the reports and do understand your concern.
Viral infection is the most common cause of fever in this age. In viral infection fever is usually of high grade for initial 3-4 days but in between child remains well. Fever may be the only manifestation during initial days and child may develop cough or cold thereafter.
I have gone through all the reports. Except for C reactive protein and total leucocyte count all findings are normal.
Low total leucocyte counts (3200) is commonly seen in viral infection. Less commonly it can be seen in bacterial infection but in bacterial infection neutrophil counts increases remarkedly; which is normal here.
The only thing is borderline high C reactive protein. High C reactive protein suggests bacterial infection.
In summary, after going through the clinical picture and reports to me it appears to be viral infection. Raised CRP(which is not very specific for bacterial infection) is dubious. I would like to get serum procalcitonin level done which is more specific for bacterial infection.
Monitor temperature and continuing giving paracetamol for fever.
Observe for clinical symptoms and if fever persists even after giving paracetamol or if condition worsened please consult your pediatrician.
Please let me know the report of procalcitonin.
I hope this helps.
Please feel free to ask if you have any more questions.
Wishing for good health of your baby.
Regards

---

Brief Answer:
Don't worry, Most likely viral infection

Detailed Answer:
Hi

Thanks for asking on this platform

I have gone through the query, have seen the reports and do understand your concern.
Viral infection is the most common cause of fever in this age. In viral infection fever is usually of high grade for initial 3-4 days but in between child remains well. Fever may be the only manifestation during initial days and child may develop cough or cold thereafter.
I have gone through all the reports. Except for C reactive protein and total leucocyte count all findings are normal.
Low total leucocyte counts (3200) is commonly seen in viral infection. Less commonly it can be seen in bacterial infection but in bacterial infection neutrophil counts increases remarkedly; which is normal here.
The only thing is borderline high C reactive protein. High C reactive protein suggests bacterial infection.
In summary, after going through the clinical picture and reports to me it appears to be viral infection. Raised CRP(which is not very specific for bacterial infection) is dubious. I would like to get serum procalcitonin level done which is more specific for bacterial infection.
Monitor temperature and continuing giving paracetamol for fever.
Observe for clinical symptoms and if fever persists even after giving paracetamol or if condition worsened please consult your pediatrician.
Please let me know the report of procalcitonin.
I hope this helps.
Please feel free to ask if you have any more questions.
Wishing for good health of your baby.
Regards

---

Brief Answer:
Reports need to be reviewed

Detailed Answer:
Hi

Thanks for follow up

I have seen the reports. One report shows that dengue antigen, IgG and IgM all are negative, while other one is positive for dengue antigen with raised titre.
I have checked the sample ID and that is same for both the reports. Even date and time of collection, reporting all are same.
Its really confusing and need to be reviewed.
Right now as there is no fever and child is otherwise active, feeding well; there is no need to worry.
Here before explaining anything about symptoms of dengue or management I would like to know about the revised report.

Please get back with the revised report.
Thanks and regards

---

Brief Answer:
Reports need to be reviewed

Detailed Answer:
Hi

Thanks for follow up

I have seen the reports. One report shows that dengue antigen, IgG and IgM all are negative, while other one is positive for dengue antigen with raised titre.
I have checked the sample ID and that is same for both the reports. Even date and time of collection, reporting all are same.
Its really confusing and need to be reviewed.
Right now as there is no fever and child is otherwise active, feeding well; there is no need to worry.
Here before explaining anything about symptoms of dengue or management I would like to know about the revised report.

Please get back with the revised report.
Thanks and regards

---

Brief Answer:
Fever usually persists for 7-10 days in dengue

Detailed Answer:
Hi

Sorry for delayed reply.
I have read the query and have seen the reports.
Dengue NS 1 antigen test is not specific. It means if antigen test is positive then it suggests dengue infection but a negative test does not rule out the same.
High IgM level with normal IgG suggests recent dengue infection.
In dengue fever is usually of high grade for initial 3-4 days then patient gets afebrile for one or two days then again reappear and low grade fever persists for next 5-7 days.
There is nothing to worry about the low leucocyte counts as the platelet counts are normal. Leucocyte counts usually gets normal in 2 weeks.
I hope this helps.
Please feel free to ask if you have any more doubts.
Regards

---

Brief Answer:
Fever usually persists for 7-10 days in dengue

Detailed Answer:
Hi

Sorry for delayed reply.
I have read the query and have seen the reports.
Dengue NS 1 antigen test is not specific. It means if antigen test is positive then it suggests dengue infection but a negative test does not rule out the same.
High IgM level with normal IgG suggests recent dengue infection.
In dengue fever is usually of high grade for initial 3-4 days then patient gets afebrile for one or two days then again reappear and low grade fever persists for next 5-7 days.
There is nothing to worry about the low leucocyte counts as the platelet counts are normal. Leucocyte counts usually gets normal in 2 weeks.
I hope this helps.
Please feel free to ask if you have any more doubts.
Regards

---