4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
User name :
Password :
Specialist Answers
Question
A 14 yrs old young female presented to us with high grade fever since last 20 days. She had calf pain for 3-4 days during illness. On 4th day of admission she developed generalized erythematous maculopapular rash with itching. No other positive history. No H/O bone pain, any tenderness, altered sensorium. No LNpathy systemic exam- Normal. Her CBC showing polymorphonuclear leucocytosis with total counts upto 22000/mm3. CRP 42. LFT, KFT, Na/K, HIV/HbsAg, RBS- normal Sr uric acid, CPK- Normal Montoux Widal : Negative ANA RA factor Urine R- Normal Bone marrow aspiration - Normal CxR & USG abdomen- Normal Despite giving cefuroxime & amikacin & paracetamol, she is getting continuous high grade fever. In view of drug fever we stopped all drugs for 72 hrs but fever has not come down. What might be the possibility, next investigation?
Answer
What is the platelet count and ESR? Rule out autoimmune disorder and do a blood culture. Also brucella test may be required.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
 
copyright ©2011 website design & development by Levioza
Follow Us
Follow us on :
Folllow Us