Q. What should be done when a 5-year-old has a fever of 102° with TLC 16700?

Answered by
Dr. Amit Modi
and medically reviewed by Dr.Nithila A
This is a premium question & answer published on Jun 23, 2019

Hello doctor,

My son is having a fever of 102°. He is 5 years and 4 months old. Since last two days, his temperature is not reducing. We have given Ibuprofen plus paracetamol syrup. Tablet Zedocef (100) DT 1 tablet twice a daily for five days after food. Syprup Ondem 5 ml thrice daily 1/2 hour before food, syrup Ibuprofen, paracetamol 7.5 ml 6 hours once after food. We tested his blood, but there was no malaria or typhoid. But his TLC is 16700. He is not taking any food, but sometimes he drinks ORS. So suggest us what to do?

Dr. Amit Modi

Child Health Paediatrics
#

Hello,

Welcome to icliniq.com.

You are already giving multiple antibiotics and antipyretics. The TLC (total leucocyte count) count in the report is on the higher side, which suggests some bacterial infection. Continue with the advised treatment. Some times fever may take three to four days to respond. Continue to give Ibugesic plus for each episode of fever for now. Cold sponging also helps to bring down the temperature.


Investigations to be done:

Get a repeat CBC (complete blood count) and Urine microscopy done.

Treatment plan:

If fever is persisting and not responding to oral medication. The child may require admission for starting IV antibiotics. A complete clinical examination by the pediatrician to find out foci of infection is recommended.


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