Chest X-ray

A 3 year old male child have fever and cough ,runny nose, no sore throat, no chills ,no vomiting ,chest clear on auscultation. After 2 days of fever have taken medication cefpodoxime 50 mg bd for 5 days initially ,later after some days still persisting fever done investigations for- malaria by card negative, dengue negetive, CBC normal limits, urine complete normal limits, sgpt normal range , scrub typhus negative , Typhidot IGM positive, given cefixime 50 mg BD for 7 days , treatment stopped again on the next day fever appeared ...total duration of illness is around 25 days,still have fever and cough when medicine not given, fever subside on medication ....taking syp flexon plus and ascoril d syp since illness what should be the further management ??

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POSSIBLY... PRIMARY COMPLEX ADVISABLE.... X. RAY......CHEST USG. .. CHEST. AND. ABDOMEN

Viral Fever

DD./PUO Resistant Typhoid. Bronchopneumonia Drug induced fever Malaria

Investigate for primary complex. Rule out enteric fever, UTI.

acute bronchitis pct cpm

Repeat CBC,Widal Urine complete, culture for pyogenic and enteric infection. Treat accordingly. Keep in mind about antibiotics fever.

Repeat CBC Repeat Widal. If Widal titres are raising, then confirmed case of Enteric fever. Treat with CEFTRIAXONE 100mg/kg/Day And AZITHROMYCIN 20mg/kg/ day

Entric fever Inj Ceftrioxone i v or Cefexime + Oflox combinnation

Enteric fever Either treat with iv Ceftriaxozone or Add ofloxacin and cefixime In doses of 50mg bd

Thanx dr Dinesh Gupta
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Could be viral fever. Do Paul Bunnell, Weill felix. Empirically treat for mdr enteric fever with ceftazidime inj.

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