Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
141 Doctors are Online

Child has knee joint pain. Taken Ceporex and Ospen. Long-term prevention needed?

My son is 9 years. He plays gymnastics, got a pair of flat feet . He also has  bad tonsils (ping pong size) . He complained of right knee joint pain then few days later his left knee appeared more swollen and was painful simultaneously with the left knee but only on standing from sitting position. At no point were his knees red, hot nor tender. His ASoT was 800 , throat swab was positive for strept beta hemolytic group A( pyogen), ESR first hour 6 , Hb 14, no leucocytosis, no prolonged PR, normal echo and at no point was he feverish .  Currently he still arthralgia but it doesn t appear to respond well to burfen. He received ceporex for 6 days then switched to ospen 500 twice daily (wt 33). Please advise as regards diagnosis ( do u think this is post streptococcal arthritis) and if he is at risk of carditis and if he needs long term prevention and if Ospen is as good as LAP and what are the commonest side effects to expect. Thank you
Asked On : Thu, 27 Dec 2012
Answers:  1 Views:  53
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics
Pediatrician 's  Response

Thank you for your query.

From the details provided by you it appears that your son is having post-streptococcal arthritis. You can continue giving him brufen for pain relief.

A normal echo and PR interval on electrocardiogram suggests that there is no element of carditis. However, he will require long term preventive medicine for streptococcal infection. Long acting penicillin given every 3-4 weeks is the treatment of choice. However in compliant patients 250 mg. of oral penicilin twice daily can be given.

I hope I have answered your query to your satisfaction.

Wishing your son all the best.


Answered: Fri, 28 Dec 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor