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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For High Fever , Cough And Calf Pain?

hi dr,i have a 4 yr old son who is suffering from 3days moderate-high grade fever(38.5-39.5) relieved temporarily by ibuprofen given q8,2nd day day of fever now associated with calf pain and inability to stand,cough and colds this is his 3rd day of illness, requested for cbc,blood c/s,urinalysis,cpk-mb,chest xray,still waiting for the results.no loss of muscle strengt and reflexes.i need some advice..tn
Mon, 1 Sep 2014
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Pediatrician, Pulmonology ,  's  Response
Hi...please do not worry. Whatever your are quoting is fitting in classically to text book description of viral illness with possible myositis (muscle inflammation). I strongly feel that in CBC there are going to be more lymphocytes, cpk will be elevated & CXR will be normal & blood culture will not grow anything. Please continue only Paracetamol at 15mg/kg/dose every 4-6th hourly, that too only if temperature is more than 100F. In viral illness its the activity of the kid which is more important than height or duration of fever. If the kid is active when fever is slightly down, dont worry. Please get back to me on this website if you have further queries.
Regards - Dr. Sumanth Amperayani
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What Is The Treatment For High Fever , Cough And Calf Pain?

Hi...please do not worry. Whatever your are quoting is fitting in classically to text book description of viral illness with possible myositis (muscle inflammation). I strongly feel that in CBC there are going to be more lymphocytes, cpk will be elevated & CXR will be normal & blood culture will not grow anything. Please continue only Paracetamol at 15mg/kg/dose every 4-6th hourly, that too only if temperature is more than 100F. In viral illness its the activity of the kid which is more important than height or duration of fever. If the kid is active when fever is slightly down, dont worry. Please get back to me on this website if you have further queries. Regards - Dr. Sumanth Amperayani