High grade fever since three days

Female child patient of age 12 years And male child (Her brother)of age 10years weight 20kg Chief Complaints Fever high grade fever since three days Mild abdominal pain epigastric Sometimes vomit History History of taking medication Syrup Gudcef 100 mg 6 ml bd Syrup flagyl 200 mg 6 ml bd Tab:Dolo 500mg bd Ors redimix thrice a day since two days but not relief fever still high grde Note :Her 10 years brother of weight 20 kg also suffer from same sign and symptoms with high grade fever 102.8 since today (Is it hint for viral etiology??)) Vitals Temp:103.2 weight:25kg Physical Examination Weak Pallor+ Anemic+ PA mild tendernsss Investigations What should be done??? Is normal fever profile routine is enough or some more investigation needed?? Diagnosis Enteric fever?? Viral etiology?? Acute GE?? Management Need opinion

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? VIRAL FEVER .. ? SAR COV2 INFECTION.. ? ENTERIC FEVER .. NEED'S .. CLINICOPATHOLOGICAL EVALUATION WITH .. HEMOGRAM .. URINE ROUTINE.. MP..WIDAL .. DENGUE .. RT..PCR..COVID-19 .. MEANWHILE SYMPTOMATIC T/T WITH CLINICAL CORRELATION ..

Hb:10.2 Esr:18 Tlc:3800 Platelet:1.2 Widal:1:160 ++ MP negetive
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Rule out covid 1st by RT-PCR test of both brother & sister, Seems viral infection? or may be food poisoning?? Maintain hydration with OŔS drink in plenty, Paracetamol or Dolo sos if temp above 100F, Cold sponging sos, Widal test & Malarial test CBC,CRP

ENTERIC FEVER,AGI,TAB CROCIN 500MG TDS,TAB CEFTUM 250 BD,TAB METROGYL 400MG TDS,TAB PAN 40MG BD SYP PAN MPS,SYP AMLYCURE DS BD,SYP ARISTOZYME BD 12DAYS

gastritis with ?enteritis start cefixime 8 to 10mg /kg/day ondencetron antipyretis ors boiled and cooled water to drink

Routine blood test advice Cbc. Widal. S.g.pt. billurubain

Do cbc crp Add syp oflomac

Routine blood test CRP SGPT and SGOT WIDAL TEST MP TEST

Rule out covid 1st...nd then proceed..

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