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Question

Female of 1 year with fever of 10 days continous high grade. No other complaints. No cough/vomiting/diarrhoea temp 101 to 104 deg f g/e nad s/e nad 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 betweeen fever pt is fine /normal activity/ playful/ eats well. Usg abd normal cxr ?mild haziness on lt side

Answer

Rule out enteric fever. What si ESR and platelet count? Rule out also brucellosis and systemic onset JIA.
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