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| SPECIALIST ANSWERS
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Question |
An eight years old girl with moderate grade of fever for 2weeks was treated by a local practioner,As widal titers of the child was O;320 H 120 so he gave the child three days course of I/M antibiotics but still the child was running fever so was brought to me. I repeated her blood investigations.Hb:10.5gm/,Tlc 5400,N65,lym 25.plat:adeqt,Film:n/n anaemia no haemoparasite seen. URINE Rutine examination :Normal.Blood culture:No growth. As the widal was positive I gave seven days course of Oral Cefpodoxime following which child became allright, remained afebrile for a week,now again she has started running fever low to moderate grade on and off . I'm confused Please guide.
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Answer |
Rule out other problems such as UTI, penumonia, brucellosis, malaria, TB. A comptele checkup would be advisable. A repeat blood culture (bactec resin) may be needed as a single bllod culture may not give any results. Also abdominal abscess should be ruled out.
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