Suggest treatment for mild fever and vomiting
Patient: My 5 year old son has mild fever for the past 3 days and is continously vomiting also - almost twice a day for the last three days. His esr is 36 and crp is 24.Neutrophils is 84 , lymphocytes is 12 and SGOT/AST is 84 IU/L. Rest of the tests are okay.We are worried , kindly suggest. Doctor: Hi, the report suggests, raised ESR and CRP which points towards infection. Neutrophilia suggest acute infection( possibly bacterial). AST is deranged which suggest an acute infection causing derangement of liver function. The child might be suffering from Enteric fever(Typhoid) or Acute viral hepatitis. Get a serum Widal done(although not very sensitive in first week) and viral markers like Anti-HAV, HBsAG, Anti-HCV,Anti-HEV. Consult a physician as the child might require antibiotic course in form of third generation cephalosporins.