Fever in pediatric oncall

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Gurmeet Singh, Reena Sood Department of Pediatrics and Department of Obstetrics and Gynaecology, Sh...

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	Specialist Answers
Question Category : Fever
4 days young normally delivered-cryed immediately after 2nd in birth order neonate to ANC Reg. mother having persistent 102 degree Celsius fever since day 2 of life. Maternal history of intermediate white per vaginal discharge during ANC for which due treatment taken & no other problems where faced.on phsical finding= no refusal of feeed-taking adequate frequent breast feeds,normal voidings,no convulsion, no any abnormal features or rash. on investigations Hb-17.9,total leuko-10800,poly-67,lymp-30,eo-7,mono-2,Platelet-210000,CRP 2.6,sgpt-17.8,CREAT-1.6. on treatment with-chloroquine,taxim-sulbactum,paracetamole. instead of which fever not coming down. kindly suggest your valuable guidance for further needful diagnostic & management purpose as soon as possible Check Out the Answer
Question Category : Fever
4.5yrs young girl of 16 kgs came from school & develop 103 Temp with chills & typical febrile convulsion. no any abnormal physical analysis.all blood investigation suggest tc 9500;p73;l23;e 01;m 01;plat 210000 crp 6.2; MP-neg. CXR-prominent broncho-vasculor markings,widal-normal. pt. hospitalized & emperically started with ceftriaxone & artemether! & fever came down to 100 with in 2 days but again on day 4 she got 103 tem. the repeat investigations were done for MP was normal with Hb 12.1,TC 4700;P42 L 56 E 01 M 01,ESR 15, CRP 9.9, & Urine- Normal.clinically pt occasionaly complians of pain in abdomen orelse inbetween fever pt is plyful but has loss of appetite & diet;does not appear very sick. kindly suggest possible diagnosis & management/investigation (can it be Leptospira?) ? Check Out the Answer
Question Category : Fever
These days we are seeing many patients having fever without focus continuing for more than seven days in children from 5 months to 4 years. can viruses give rise to fever without focus of more than one week's duration? Check Out the Answer
Question Category : Fever
Have anyone tried Paracetamol (Anamol) suppositories launched by Elder Pharmaceuticals on their pediatric patients. I have tried it on 3 patients and it gave an excellent results in Fever associated with teething and immunization. I want to know whether this Anamol suppositories can be used for other indications. Check Out the Answer
Question Category : Fever
Female of 1 year with fever of 10 days continuous high grade. No other complaints. No cough/vomiting/diarrhoea temp 101 to 104 deg f g/e and s/e and inv 1st day tc 25000/dc:p80l20 mp neg/crp 38.5 10th day tc 32000/dc p90l10 mp neg crp 39.5 in between cbc/mp/crp repeated twice was almost same patient on ceftrioxone + amikacin for initial 3d now on megapime + gatiflox 7d fever still present no other complaints in between fever pt is fine /normal activity/ playful/ eats well. Usg abd normal cxr ?mild haziness on lt side Check Out the Answer
Question Category : Fever
Can fear/terror by a school teacher in a child of 8 years of age result in fever to the extent of 102F? Check Out the Answer
Question Category : Fever
Dear sir I want to ask you few questions in the field of pediatric. We were isolated from world for 15 y due to previous embargo and now by U.S occupation. I have lost2 of my patients 2months ago with 1 month apart between them.Both patients are below 6 month presented suddenly by high fever ,grunting apathy,poor apetite. On exam. nothing apart from Fever 39.5c Tachycardia Drowsy Hepatomegaly 2f below costal margine. Over few hours sudden deterioration ,convulsion then passed. Investigation; normoglycemic .and due to our miserable condition nothing is available . Treatment; i.v fluid ,antibiotic oxygen What are the most likely diagnosis? Dr.Naji A.Ahmed Pediatrician Iraq anbar heet Check Out the Answer
Question Category : Fever
Dear Colleague, I have a 4 yo female patient with cyclical low grade fevers (every 4 days). CBC is normal and ANA is negative. She does however show an ESR of 52. Infectious causes have been ruled out. Malignancies such as neuroblastoma have also been ruled out. Can make any suggestions? Check Out the Answer
Question Category : Fever
IN case of high fever,other than paracetamol and teppid sponging can injection paracetamol be given? if so what is the dose of Injection paracetamol,route interval etc.? Check Out the Answer
Question Category : Fever
Child 4years old with fever spiking on off for more than one month septic work up negative ana -ve ant dna ab -ve no thing on echo bone marrow aspiration done but wait for result what more differential diagnosis and investigation can we do???? Check Out the Answer
Question Category : Fever
5 months old boy had high fever for one month Check Out the Answer
Question Category : Fever
A 14 yrs old young female presented to us with high grade fever since last 20 days. She had calf pain for 3-4 days during illness. On 4th day of admission she developed generalized erythematous maculopapular rash with itching. No other positive history. No H/O bone pain, any tenderness, altered sensorium. No LNpathy systemic exam- Normal. Her CBC showing polymorphonuclear leucocytosis with total counts upto 22000/mm3. CRP 42. LFT, KFT, Na/K, HIV/HbsAg, RBS- normal Sr uric acid, CPK- Normal Montoux Widal : Negative ANA RA factor Urine R- Normal Bone marrow aspiration - Normal CxR & USG abdomen- Normal Despite giving cefuroxime & amikacin & paracetamol, she is getting continuous high grade fever. In view of drug fever we stopped all drugs for 72 hrs but fever has not come down. What might be the possibility, next investigation? Check Out the Answer

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