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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Cough, Fever And Running Nose

Hello Sir, My child is having cough running nose and fever from last four days.. He seems to be okay from yesterday but still docter have done a malaria test.. It was negative but he advised chloroquine 50mg and ofloxacin 50 mg with calpol.. I m concerned about CQ should I give it to child or not.. Thanks
Tue, 22 Nov 2016
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General & Family Physician,  's  Response
Hi. Sorry to hear about the illness of the kid.
So far as per your description the source of fever may be a viral infection of nose producing symptoms of running nose, fever and possibly cough if posterior nasal drop occurs. Additionally cough may also be due to bacterial superinfection of the respiratory passages. In case of viral infection fever should be low grade. Incase of malaria/bacterial infection fever is usually high grade . Malarial antigen tests are not usually sensitive enough to exclude the disease altogather if tested negative. My personal opinion is if there is strong clinical suspician (high grade fever with rigor and chills along with no other obvious focus of such high grade fever), one should also give antimalarials. So my opinion is stick to the treatment advised. A 2-3 day regimn of antimalarial is not going to harm the child. Its better to treat rather than missing it because in many situations there may be co-infection (bacterial and malarial) as well.
Wishing you kid the best of health.
Regards.
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Suggest Treatment For Cough, Fever And Running Nose

Hi. Sorry to hear about the illness of the kid. So far as per your description the source of fever may be a viral infection of nose producing symptoms of running nose, fever and possibly cough if posterior nasal drop occurs. Additionally cough may also be due to bacterial superinfection of the respiratory passages. In case of viral infection fever should be low grade. Incase of malaria/bacterial infection fever is usually high grade . Malarial antigen tests are not usually sensitive enough to exclude the disease altogather if tested negative. My personal opinion is if there is strong clinical suspician (high grade fever with rigor and chills along with no other obvious focus of such high grade fever), one should also give antimalarials. So my opinion is stick to the treatment advised. A 2-3 day regimn of antimalarial is not going to harm the child. Its better to treat rather than missing it because in many situations there may be co-infection (bacterial and malarial) as well. Wishing you kid the best of health. Regards.