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Infant, has periodic fever, normal urine test, blood test showed low lymphocytes, diagnosed as stomach infection. Prescribed walamycin. Suggestion?

hello , i have a daugther whose 6months n 2 weeks old for the past one month she is having fever regularly off n on i did the urine test its clear ,her blood test says her hg is 9 n lympycotes are 77 . have to yet do a stool test . the doc has advised walamycin suspension assusing it shd be stomach infection kindly advise on this pls .thanks
Asked On : Fri, 13 Jul 2012
Answers:  2 Views:  141
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Pediatrician 's  Response
Hello sir/madam,
I am highly concern regarding the health of your daughter having recurrent fever. This fever has to be diagnosed first with elaborated pathological and radiological work up in form of Total WBC count, platelet counts, peripheral smear, blood culture, chest xray etc. Walamycin suspension is not a recommended drug in such undiagnosed fever of 1 month duration, even if it is stomach infection. So kindly consult your pediatrician again and go for further work up as early as possible. Dont worry, you child be well soon. Thank you
Answered: Fri, 13 Jul 2012
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Critical Care Specialist Dr. Sadiq Mughal's  Response
Hi Dear ,your baby of 6 months age having fever for past one month with Hb, of 9 gm/dl and lymphocytes 77,diagnosed as stomach infection.stomach is an organ which is usually not get infected by bacteria or viruses,due to its Ph,only one bacteria infects the stomach that is H,pylori,which doesn't causes fever ,but gastritis.since you have not mentioned any other symptoms,fever along with lymphocytosis,suggest possibility of a chronic infection,like tuberculosis,however acute infections like typhoid and viral infections also raises lymphocytes counts,she should be thoroughly investigated for No 1; typhoid fever,which includes her widal,tes (since one month has passed),blood culture,and urine culture)No 2 tuberculosis,which include,an ESR,sputum examination,and chest x ray. then accordingly the appropriate antibiotic should be given
Answered: Fri, 13 Jul 2012
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