Suggest Treatment For High Fever In A Child
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Detailed Answer:
Hello,
I can understand your being worried with your daughter being sick.
The C-Reactive Protein (PCR) can become elevated anytime there is infection or inflammation going on in the body, but it does not specify what the cause is.
Her complete blood count is indicative of an acute infection (high neutrophils, low lymphocytes), but again, does not indicate what the cause is.
Here is what I recommend:
A throat swab for 2 reasons:
Check a Rapid Strep Test to check for Strep
Check a Rapid flu to check for influenza
In addition, the swab (a separate one) should be sent for a culture and sensitivity test. The culture shows if a bacteria is causing the infection, and will identify which type of bacteria it is. The sensitivity test will show which antibiotics the bacteria is sensitive to and which antibiotics will not be as effective. The throat culture and sensitivity will help if the infection is located in the throat, but may not help if it is mostly located elsewhere.
Also, if she has a cough, a chest X-ray should be done.
And I think it would be reasonable to draw blood cultures also, if she is acting quite ill.
Is she continuing to be alert and normal behavior?
What other symptoms is she having? Painful urination? Stomach pain?
How long has she been on the antibiotic, and what is the name of it?
Is she able to continue to drink lots of fluids? Because if not, she can get dehydrated quickly with continued fever.
So I have not to be worried, this PCR test is quite normal knowing that she has an acute infection?
Meanwhile I have made X ray and everything was clear.
Thank you very muc
Thank you againh
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Detailed Answer:
Ceftriazone is a reasonable antibiotic if they do not yet know what the source of the infection is.
They should also make sure to check her urine for infection and look for any other source for infection, if the strep test was negative.
The PCR is very high, but other than telling us that there is an infection or inflammation, it doesn't tell us anything specific. Yes, given how high her fever has been, for several days, it is not unexpected that her PCR would be very high.
I am glad that she is now on an intravenous line, as this will help with possible dehydration. A young child with a fever can become dehydrated quickly.
That she has normal behavior is a good sign.
As a mom, I can very much understand how stressful this is to have happening. I hope her fever and infection will resolve quickly now and she will soon be better.
Thoughts on this
Detailed Answer:
That is a better temperature, but is still a fever.
Given how long this has been going on, I am wondering if an infectious disease specialist has been consulted by the medical team?
Do you think that this is normal?
I dont understand why the doctors dont give me a specific answer, seems like they dont know where all this infection cames from.
Please tell me if I should be worried, I have reas that PCR is so high when is something serios.
I am so scared, she is only 3 years old.
Please help
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Detailed Answer:
Hello -
If she has been on the antibiotic for 24 hours, and if it is helping (in other words, if it is effective for this infection), you should start to see some regular improvement. Not that the fever will necessarily be all gone now, but it should not be rising as high as it was before. She should overall be gradually improving now.
I am a family practice doctor (general practice), and I think it might be a good idea to repost your question and write in the first line of your question "FOR INFECTIOUS DISEASE/PEDIATRIC SPECIALIST ONLY". Then ask them to refer to your previous question (in other words this one with me) for them to see all of the history you provided so far. You can continue to communicate with me on this question but I would feel more comfortable if you also repost and ask for an infectious disease pediatrician for their opinion too.
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Detailed Answer:
Hi xxxxxx - I just see part of a question above. Do you want to write the rest of it, please?
Of were you trying to repost to ask an infectious disease/pediatrician? To do that, repost a brand new question but write that it is for "pediatric infectious disease only".