Brief Answer:
Investigation is needed if fever persists for more than 72 hours

Detailed Answer:
Hi
Thanks for asking on this platform...

I have gone through the query and do understand your concern.

Most common cause of fever in this age is some viral infection and it improves with conservative treatment like paracetamol. Most of the time it is associated with a cough, cold or some stomach infection. Sometimes fever may be the only symptom for initial few days.

If fever persists longer I would like to get some investigations done like complete blood count, C-reactive protein(for bacterial infection), urine test and test for Malaria.

You can give mefenamic acid (Meftal) for fever. The dose is 6-8 mg per kg per dose and it can be given at an interval of 8 hours. Monitor the temperature and if it is persisting even after giving Meftal or it reappears before the next dose, you can give Ibugesic plus.

I would request you to consult a pediatrician for the need of investigations and prescription of above-mentioned medications.

Try to give fluid frequently to avoid dehydration. Do tepid sponging of the whole body as this works well in bringing down the temperature.

I hope this helps.
Please let me know if you have any more questions.
Regards

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Brief Answer:
Report is normal

Detailed Answer:
Hi
Thanks for follow up

I have seen the report and it is normal for this age.
I did not find the C reactive protein (CRP) report. I usually get it done as it helps in early recognition of bacterial infection.
Even if CRP report is not there I won't get overly worried if baby is otherwise active, playful as fever is showing decreasing trend both in terms of frequency and severity and the CBC report is normal.
I hope the fever will further decrease within two to three days. I don't think meftal is needed as it is usually given in case of high grade fever (more than 100.5 Fahrenheit). You can give ibugesic plus for fever. If fever is very frequent, of high grade and not responding to ibugesic, consult your pediatrician for evaluation of cause of fever.

Regards

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Brief Answer:
Continue antibiotic, please get CRP and procalcitonin level done

Detailed Answer:
Hi

Thanks for follow up

I have gone through the details. The report is not very much suggestive of typhoid as the titre is 1/80 only. Still I would like to continue the cefixime as fever is still there. The urine report is within normal limit.
I would suggest you to get the blood CRP and procalcitonin level done after discussion with your pediatrician to assess the severity of bacterial infection.
The injectable antibiotic, change of antibiotic or additional antibiotic may also be needed based on the report and temperature pattern.
As I have not examined the child personally, decision about the line of management would be difficult. Sometimes it may take longer for the fever to subside and we can wait also if otherwise child is doing well.
You can take a second opinion from other pediatrician if fever is persisting.

Wishing for your child's good health.
Regards

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