Suggest treatment for sinus infection in a child
Patient: My 2 year old had a sinus infection that didn't respond to courses of Augmentin, after completing the second course his symptoms worsened as well as getting high fevers, and stomach aches, we took him to the ER and he was admitted for pneumonia. During his hospital stay he was on IV Rocephin and Clyndamyacin, his CRP and WBC continued to elevate despite being on the antibiotics, 2 days before discharge they put him on Zithromax and the levels came down some but were still high, he was discharged but was sent for follow up blood work the other day and his values on both of these tests still came back high. His pediatrician wants to wait an additional 2 weeks and have the labs repeated. He is doing somewhat better, he continues to have a runny nose, sneezing and the occasional complaint of  a stomach ache. We are concerned that his labs have yet to improve. He was given the remainder of the Zithromax to come home on but has since completed it and is currently not on any anitibiotics. Doctor: Hi dear,I had gone through your question and understand your concern. You should perform nose and throat culture and sensitivity to antibiotics. I advice: - Wash nose with Nasoclear 4 times.-Drop nose with Cyprofloxacin drops 3 drops 3 times.- Take antihistamines: Cetrizine.-Soda gurgling.-Soda steam inhalation (1 teaspoon for 2 glasses of boiled water) during 5 min.- Multivitamins-Zincovit 5 ml for 1 monthHope it helps