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Child on and off antibiotics for throat infection. Sneezing and having thick mucous Did HB test - immunity low, on extrammune medicine. Which medicine should be given and why infection not completely clearing?

Hello, my daughter is 15months and for the last 7 months she s been on and off antibiotics and her throat infection has not cleared completely. After seeing an ENT doctor who did a full HB test it was discovered her immunity is a little low and was put on Extrammune medicine for 2 weeks and is supposed to go for review in a month s time. Please advise what could be the course of her infection not clearing. She is currently sneezing alot and remove some thick mucous. What medicine can i give her? Is Rhizin or Azithral liquid-200 ok for treating her sneezing and running nose?
Mon, 25 Jun 2012
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Allergist and Immunologist 's  Response
no need of antibiotics get blood test for milk specific antibodies
these are symptoms of milk allergy
stop all milk products diary
change soap,creans
nikko soap is withot milk
ketaconazole shampoo is without milk
petroleum jelly is without milk if feeding mother has also to stop all
give montelucast 4 mgm twice a day
syp allegra 30 mgm twice a day give for 4 weeks
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Allergist and Immunologist Dr. Sujoy Khan's  Response
Dear Lucy,
Sory to hear your child is not well. It is not uncommon for children to develop these infections when they are little as their immune systems are still immature and slowly developing.
Full blood count done at the time of active infections will show abnormal immunity ('low') as cells are used up to fight the infection. I am not sure what exact test was done but am guessing a lymphocyte count as part of a full blood count.
If the child attends play school it is even more common to have 'constant' infections.

The important thing to see is the response to antibiotics. If children require intravenous antibiotics, or hospitalisations for pneumonias, or have recurrent ear infections (sinuses are absent until 2years of age, so no sinusitis!) then the absolute lymphocyte count test should be >2. If not, an immune deficiency should be excluded. Polyps in children are almost synonymous with cystic fibrosis (proven on sweat tests and confirmed on genetic testing). Azithral should be fine as long as she responds.

I hope that was useful.
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