What causes intermittent fever and cough in child?
Patient: Hi, My daughter is 6 years old and has been suffering from intermittent fever up to 103 and chronic cough for the past 15 days.  She is on Augmintin DDS 5 ml b.i.d. and ibuprofen syrup t.i.d. for the past 7 days.  Her urinalysis and platelet count are normal, but in CBC the result shows microcytic anemia and she has a low SGPT value of 15 and her SGOT is slightly high at 39.  Kindly suggest what would be the reason for her intermittent fever and cough. Doctor: Hi,Welcome to Hcm,The fact that child's fever is still not subsiding inspite of augmentin for so long means that the infection is not responding to this medicine. Good thing is that the urine examination and basic blood tests are normal. Such prolonged fever is seen in typhoid , malaria etc. So I would suggest you get evaluation done to rule out typhoid and malaria and if any positive specific treatment for the same would control all problems. However , It would be better you get your child admitted in the hospital for iv antibiotics after sending blood for investigations including blood culture. Hope your child gets well soon. Happy to clear further doubts.