HIV In Children
 
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Question
4 days young normally delivered-cryed immediately after 2nd in birth order neonate to ANC Reg. mother having persistent 102 degree Celsius fever since day 2 of life. Maternal history of intermediate white per vaginal discharge during ANC for which due treatment taken & no other problems where faced.on phsical finding= no refusal of feeed-taking adequate frequent breast feeds,normal voidings,no convulsion, no any abnormal features or rash. on investigations Hb-17.9,total leuko-10800,poly-67,lymp-30,eo-7,mono-2,Platelet-210000,CRP 2.6,sgpt-17.8,CREAT-1.6. on treatment with-chloroquine,taxim-sulbactum,paracetamole. instead of which fever not coming down. kindly suggest your valuable guidance for further needful diagnostic & management purpose as soon as possible
Answer
Rule out dehydration fever especially since creat is on the higher side and CRP and WBC are normal. Give plenty of fluids
 
 
 
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