Hi,

Thanks for your query.

Fever with wet productive cough lasting eight days strongly favors lower chest x-ray, complete blood count, and sputum culture and sensitivity done.

Since she has history of febrile seizures, Keeping away with fever spikes with antipyretics should be done and you are right here. But treating the cause of the fever ( as lower respiratory tract infection here) is more important.

Definitive antibiotic therapy should follow the culture report but empirical antibiotics need to be started at this juncture like amoxycillin and gentamicin. She may be needing hospitalization, Kindly consult your doctor.

Best wishes.

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Thanks for follow up.

Usually to start with, respiratory tract infection in children are viral. But there are chances of super-added bacterial infection once it is prolonged.

If she has not fever since yesterday, you may wait before starting antibiotics.
Both amox and gentamicin are safe and can be given simultaneously to increase the coverage.
Supportive treatments like plenty of fluids, regular feeding etc are of utmost importance.

Best wishes

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Thanks for follow up.

As I have said earlier, gentamicin is relatively a safer drug. If you have any concerns, can try plain amoxycillin also. But you said she is not having fever since 48 hrs. So if it is the case you can wait.

Thanks

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