High grade fever

Female child patient age 12, Chief Complaints Fever Body pain History Fever since 4 days Vitals Tem:101.8 Physical Examination Pallor Weight 39 kg Investigations TLC:2.8 Leukocytopenia Esr:20 Platelets:110(Thrombocytopenia) Widal: Negetive Urine:NAD MP: Negetive Diagnosis Dengue?? Acute viral fever?? Management Current medication Tab:Zifi 200 one bd Tab:Dolo 500 mg tds Syrup AToz। All above medicine since two days but fever persist Need further opinion

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* PYREXIA .. WITH .. BODYACHE .. * LEUKOPENIA .. * THROMBOCYTOPENIA .. SUGGESTIVE OF .. ? VIRAL FEVER .. ? DENGUE FEVER .. ? PRE ENTERIC FEVER .. NEED'S .. CLINICOPATHOLOGICAL EVALUATION WITH .. HEMOGRAM.. URINE ROUTINE.. MP..WIDAL .. DENGUE TEST .. CXR..STUDY.. RT..PCR..COVID-19 .. MEANWHILE CONTINUE WITH THE SAME LINE OF T/T ..

When u thinking of viral fever . Why people are so adamant in prescribing all type of antibiotics . There leucopenia and thrombocytopenia rule out both dengue and enteric fever

SURELY A CASE OF FEBRILE PYREXIA WITH LEUKOCYTOPENIA WITH THROMBOCYTOPENIA . DO,,, DENGUE SEROLOGY FIRST TO RULE IT OUT. ALSO DO,, TYPHOID,, CHICKENGUNYA IgG ,,LFT,,,KFT,,ESR & CRP & CXR. COVID-19 RT-PCR. TREAT IT AS VIRAL FEVER. SYMPTOMATIC TREATMENT WITH CLINICAL CORRELATION.

Since the fever is present since 4 days, NS1 Antigen won't be fruitful.... Dengue serology can be done Also do malarial smear and try to avoid antibiotics

Dengue vital fever ceftam 250mg tablet daily two 5days pyrin 325 MG tablet daily three clevera syrup iv RL give continue 3days ORS L rehadrate juice stivsas plus syrup

Viral fever Yes first get dengue profile Simultaneously go for RT PCR Rx continue

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Widai will be positive after 7 days. For early diagnosis of Typhoid you can do Typhidot test or Enterochek test for Typhoid. Continue medicines which you have prescribed for 5-7 days.

It may be viral fever,no role of antibiotics, continue Dolo and adv plenty of fluid

Pilocarpine Q and Carica papya Q and Baptitia Q and Chininum-Ars can cure it

Do dengue test n repeat cbc Watch parameters If patient is active continue same rx

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