You are here:

Pediatrics/Fever in child

Advertisement


Question
Respected Sir,

My 16 years old son got fever on 23 October 2012. He had cough and running nose and fever at that time and was prescribed antibiotic Gramocef and nucocia-P for 3 days. The fever did not recede after 3 days and blood tests were got done for malaria, dengue, typhoid (Widal test) and LFT. The other tests were negative and Widal test was positive i.e. Salmonella Typhi O antigen 1:80, Salmonella Typhi H Antigen 1:320,Salmonella Paratyphi A, H and B, H antigen 1:20.
On the basis of this test saying that it was mildly positive, the doctor prescribed medicines like Pulmocef 500, Azi 500. The child then started taking these medicines but could not do so as he started having vomiting and loose motions.
Since medicines could not be taken by the child and he still had fever upto 103 F, The child was admitted to a hospital for intravenous injections of levoflox and Kericef. Dolo 650 was also being given 3 times a day to reduce fever.
The child was released on 3 November and came home. Today is 5 November the intravenous injection will continue up to today. But the fever still continues around 99 - 100 F.
How many days will the fever last? Is the diagnosis correct? When will the fever of my child reduce? What should i do?

Answer
Hi Sangeeta,

If the basis of diagnosis was just Widal test, I have strong reservations here. Widal has NO VALUE before 7 days of fever. I never order this test before 7 days of fever. If is often falsely positive even in fevers other than typhoid in this setting.

However, I must tell you that doctors usually do not base their diagnosis just on tests, but on clinical assessment also. Since the child is improving, I would tend to continue the same treatment. Please follow up with your doctor for further advice.

Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India,

www.KumarChildClinic.com

+91-9818356846

Pediatrics

All Answers


Answers by Expert:


Ask Experts

Volunteer


Dr. Puneet Kumar

Expertise

I would be happy to answer general queries on prevention and treatment of ailments in newborn, infant, toddler, child or an adolescent. Needless to say, it will not be possible to answer any query requiring specific diagnosis of a particular subject.

Experience

I have worked in various capacities (medical officer, resident, senior resident, consultant) in public as well as private sector in Pediatrics and Neonatology. Today, I have over 15 years of experience in the field.

Organizations
Currently, I am running my own clinic (Kumar Child Clinic) in Dwarka, New Delhi and am attached to Lifeline Hospital, Dwarka as consultant pediatrics and neonatology. I am also developing my clinic website into a comprehensive child health/ parenting website (http://www.kumarchildclinic.com)

Publications
(a) Chapter "National Immunization Schedule" in Frontiers of Social Pediatrics, Jaypee Publishers: 2nd edition, 2016. (b) Article, "All about Pertussis vaccines" in special issue of Indian Journal of Practical Pediatrics, July-Sept 2015 (c) Three chapters (DTP vaccines, Pneumococcal vaccines and Poliovirus vaccines) in "Textbook of Pediatrics for Post-graduates" First edition: 2015. (c) Chapter: "Alternative delivery methods of vaccines" in IAP textbook of Vaccines, First edition, 2014 (published by IAP/ Jaypee Brothers) (d) Special Article: "50 years of Immunization in India: Progress and Future" in January 2013 issue of Indian Pediatrics (e) Four chapters in "FAQ: Book on Vaccines and Immunization Practices" First edition, 2011 AND 2nd edition, 2015 published by Jaypee Brothers. (f) Three articles in special issue of Journal of Pediatric Sciences on “Controversies and Challenges in Pediatric Vaccination Today" in Sept, 2010. Co-edited the series also. http://www.pediatricsciences.com/issue/view/1050000010 (f) Regular column, “How do I treat” in Pediascene (www.pediascene.com) (g) Review article, “Role of Anti-Poliovirus Agents in Polio eradication and beyond” in Polio Pulse, April, 2008. (h) Chapter on “Acute Infectious Diarrhea” in Textbook of Infectious Diseases in Children. (An IAP Publication), 2007. 2nd edition in 2011. (i) Book-Review (IAP Pediatric Drug Formulary, 2004) in Pediascene, March 2005 (http://www.pediascene.com/page.php?cid=6&catid=9&id=132 ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

Education/Credentials
After MBBS, I have done DNB residency in Pediatrics.

Awards and Honors
Winner of IAP practising pediatrician's quiz in 2001.

©2016 About.com. All rights reserved.