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Suggest remedy for sore ankle after suffering from fever?

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Pediatrician, Neonatology
Practicing since : 1970
Answered : 891 Questions
My daughter ASO TITRE , GEL SERUM result is 229 IU / ml under IMMUNOTURBIDIMETRY method , She recently suffered from fever ( range 100 - 102 F ) for last 5 six days , usually in the evening. No major swe lling in throat. Around 15 days back her left ankle was sore , she was having her sports drill activities in school.Please suggest.
Posted Mon, 23 Dec 2013 in General Health
Answered by Dr. Uma Rajah Ananth 1 hour later
Brief Answer: treat with penicillin for benefit of doubt Detailed Answer: Hi, The also titre shows evidence of previous strepto coccal infection. A strep infection should be treated with penicillin for at least 10 days in view of the fear of rheumatic fever. The also title normal varies from lab to lab . You did not mention the normal in your lab Normally in children less than 333 iu is normal. What you describe as pain in the ankle but no swelling,arthritis probably also rules out rheumatic event. Esr should be done also. It can be strep pharyngitis also and always need not present with throat swelling( tonsillitis) (If your lab normal is known) ,you can give benefit of doubt and treat wih penicillin or ampicillin for 10 days. Good luck
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