4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
An eight years old girl with moderate grade of fever for 2 weeks was treated by a local practioner. As Widal titers of the child was O = 320, H = 120. he gave the child three days course of I/M antibiotics, but still the child had fever so was brought to me. I repeated her blood investigations. Hb = 10.5gm/, TLC 5400, N 65, Lym 25. Platelets adequate, Film: n/n, anaemia no haemoparasite seen. URINE Routine examination: Normal. Blood culture: No growth. As Widal was positive, I gave seven days course of Oral Cefpodoxime following which child became alright, remained afebrile for a Week, now again she has fever low to moderate grade on and off. I'm confused. Please guide.
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 blood culture may not give any results. Also abdominal abscess should be ruled out.
 
 
 
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