4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
A 5 five years old boy, for the last 8 months has been having sterotyped symptoms of feeling unwell, headache, hallucinations and vomiting. He has documented history of fever of upto 104F. Giving calpol relieves the fever and after fever is relieved ,he is normal in his routine work. He has 10-12 episodes in a day and it used to occur every 3 days, and then every 3 weeks. It was such that he has now 10-15 episodes since January. There is no constitutional symptoms. No tummy pain, no joint pains. On examination now he has a temp of 104F. Apart from temperature ,his examination is absolutely normal. His full blood count, LFT, Immunoglobulins are normal. Only what wories is the raised CRP of 42. Please help me to arrive at the diagnosis and help this little kid. Waiting anxiously for the reply soon
Answer
Rule out a CNS tumor since he has hallucinations, headache along with fever and vomiting. An LP would also be recommended to rule out chronic infections. Do a CST cryptococcal test also.
 
 
 
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