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my daughter with age of 10 months having fever from last five days ,i consultated many doctors and they told me go for following tests urine xamnations which reported heavy traces of albumin andleucocuytes 0-1 and amorphours phosphates (+) and some blood tests like tlc =15500 and neutrphilli= 75 mcv=79.8 and mch= 24 which are marked yellow and pbf comments was=RBCS ARE MICROCYCTIC HYPOCHROMIC.AND WBCS SERIES SHOW NEUTROPHILIC LEUOCYTOSIS AND ALSO WIDAL TEST SHOWS YELLOW MARKED REPORT LIKE A TITAND RISE IS TITER AFTERER OF 1;80 OR MORE IS CONSIDERDERD SIGNIFICANT AND RISE IN TITER AFTER FEW DAYS WILL CONFIRM THE DIAGONASIS. KINDLY TELL ME ABOUT THE DIEASES OF DAUGHTER AND PROPER DIAGONASIS .OR WHAT WILL I DO NOW .. RIGHT NOW DOCTOR HAS PRESCRIBED MONCEF 200MG INJECTION TWICE A DAY AND CALPOL SUSPENSION . BUT FEVER DIDNT GOES OUT .. IF SOMETIMES IT LOWERS BUT AFTER SOMETIME IT WAS 103 DEGREES

PAST HISTORY : nothing

1 Answers

Dr. Puneet Madan answered : 12 years ago

Hi,

The history you have given to me suggests that she got fever and infection since 5 days or may be a little more which has also affected her kidneys as that shows albumin in urine.
Tlc is not significant in kids, and exactly it can be told only by blood culture,but we can wait and see is she responding to drugs or not and if she does not respond then we can get a culture done.
The blood indices should be done in more details so as to know the cause why rbc's are microcytic and hypochromic.
Albumin in urine in kids can come very fast and goes of at the same rate so not to worry about that.
If she does not respond to syrup calpol then intravenous drugs will be given and she will respond to that,however it may take the kid a day or two to respond to drugs.
There is no confirm diagnosis by above report it suggests infection and for which antibiotic is been given to her which seems to be satisfactory.
One thing i would like to know is about her haemoglobin level and advice you to get her haemoglobin electrophoresis done,if not done and if done kindly tell me about the values.

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