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What could be causing intermittent fevers?

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Patient's Query

Hi doctor,

For three months, my daughter experienced intermittent fevers. She became very ill and exhibited various symptoms, including lethargy, skin rashes, a runny nose, nausea, and a dry cough. I suspected low immune function, especially since she had a fever for 24 consecutive days. However, she has now been fever-free for a week. Could you please interpret my daughter's blood report, which shows low levels of CD3, CD4, CD16 + CD56, and CD19? We are planning to have her retested in a month.

Please advise.

Answered by Dr. Mubashir Razzaq Khan

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

I have reviewed the reports (attachments removed to protect the patient's identity). The flow cytometric subsets of lymphocytes are low. CD (cluster of differentiation) 3 and 4 are markers for T (thymus) lymphocytes, CD16 and CD56 are markers for NK (natural killer) cells, and CD19 is a marker for B lymphocytes—all of which are low. This indicates immunodeficiency, which could be due to an infection (particularly viral), nutritional deficiency, or stress.

Typically, this condition recovers on its own or after addressing the underlying cause. Your daughter's signs and symptoms—such as fever, flu-like symptoms, rash, nausea, cough, and lethargy—are consistent with viral or bacterial infections. Tablet Erythromycin has already been administered. If there are no further signs or symptoms, particularly fever, I believe no additional medication is necessary. Blood counts should return to normal within a few days to weeks.

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At August 27, 2022
Reviewed At September 6, 2024

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr.Mubashir Razzaq Khan is working as a clinical Hematologist for the past 19 years. After completing his MBBS at Punjab Medical College Faisalabad, he did MPhil, Ph.D., and MCPS at Postgraduate Medical Institute Lahore. He treated thousands of patients with Anemia, Thrombocytopenia, Leukemias, Thalassemia, Hemophilia, Thrombosis, Aplastic anemia, Fanconi anemia, and Hereditary disorders. Currently, he is working at Chughtai Medical Center, Faisalabad, Punjab, Pakistan.

This doctor is not available for online consultations on the platform anymore.

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