Child With Initial Stages of Pneumonia

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Question
Sir/Madam, My child was suffering from initial stages of pneumonia and also stools after every feed. He was medicated for 2 weeks. Altacef, nutrolin-B, Cheston, Levolin were the medicines given to him for 10 days. Along with this he was taken for nebulizer. Fever was on and off, so blood test was done. The results are given below. Now the problem is that his appetite is very low. His weight is only 6 kg at his 8th month. He seems to be very lean and small but is very much active. He again got a mild cough and cold. Please suggest me a way to prevent and protect him from cough and cold. How can he get rid of it. How can I increase his appetite. (During medications he ate for every 4 hours). Child's Name : Gokul Age : 8 months. Birth weight : 2.52 kg. Now he weighs : 6 kgs. Child is active. Stools passed twice a day. Sits by himself. Tries to stand. Food given: rice, nestum, geeth powder, mother's milk, smashed apple. Blood test report : Total WBC Count : 7,700 Cells/cu mm, Differential Count Neutrophils : 50% Lymphocytes : 43% Eosinophils : 07% Monocytes : 00% Basophils : 00% Erythrocyte sedimentation rate At 30 mts : 25 mm At 60 mts : 60 mm Grouping : 'B' RH : Positive Hemoglobin : 10.1 G/dl P.C.V : 33% R.B.C Count : 3.36 millions/cu mm M.P & M.F[Q.B.C Method] : Negative. S.G.P.T : 14 IU/ml ------------------------------------------ Blood Smear Study: Hypochormic : normocytic erythrocytes normal leukocytes with lymphocytosis and eosinophilic. thrombocytes : adequate in number. blood parasites : nil abnormal cells : nil immature cells : nil ----------------------- Stools test: Nature of specimen : FAECES Macroscopic Color : Brownish yellow consistency : semi solid mucus : nil frand blood : nil parasites : nil MICROSCOPIC Protozoa : nil cysts : nil Ova : nil RBC : nil Pus Cells : nil Vegetable cells : + Crystals : nil Chemical Reaction : -- Reducing substance : +++ Occult blood : -- Urine Culture : No growth. These above test were taken on 17-11-2006.
Answer
He has a low hemoglobin and high eosinophil count. Does he eat mud? You need to give him an iron tonic to build his hemoglobin and also give him deworming medicine. Back to All Questions

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