Suggest Treatment For High Fever With Body Pain In A Child

Posted on Thu, 2 Jun 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 2 Jun 2016 Answered on

Mon, 4 Jul 2016 Last reviewed on

Question : Hello Doctor,
My family kid is suffering from high fever along with body pain for the last 10 days. He vomited also 2 ~3 times for the last 1 week.
we consulted with a doctor and he suggested some tests, which we got done(Prescription and report attached)
After taking medicine, he seems to be OK but still during morning and evening time he gets high fever to 102/103 D F.
Regards
XXXX
0000

reports attached

Answered by Dr. Sumanth Amperayani (40 minutes later)

Brief Answer:
Looks like prolonged viral illness or typhoid fever

Detailed Answer:
Hi... Thank you for consulting on health care magic.

I have just gone through the history you have provided and also the reports and prescriptions.

I have few questions for you - please get back to me with answers -

1. How is the activity of the kid when the fever touches normal?

2. How is the kid's appetite?

3. Is there any loose motions?

4. Is there any cough or cold or respiratory distress?

5. Has any blood culture been done?

6. In the second prescription where lab tests have been asked - the medicines are not visible. Has the child been prescribed any antibiotics?

7. Is anybody else in the family suffering from fever?

By the images you have uploaded - My opinion is -

1. It is not urinary tract infection.
2. This doesn't look like typhoid - but the problem is that Widal test is done in slide method which is inferior and no blood culture has been done.
3. The basic blood test is suggestive of either a prolonged viral illness or a typhoid fever, but this is not conclusive.
4. Better do a blood culture before starting antibiotics and also a Widal test in tube method.

Please get back to me with answers so that I can guide you better.

Regards - Dr. Sumanth

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Prasad