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Suggest Treatment For Fever And WBC Count Of 3200 In A Child

Posted on Tue, 27 Sep 2016

Question: The blood report of my son ( 9yrs old) shows wbc total as 3200. He has running fever. What is the significance and how can it b increased.

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
I need more information - please answer my questions

Detailed Answer:
Hi.... I understand your concern. But before answering your query I need some more information. Please answer my questions and I will be glad to guide you further.

Questions -

1. How many days of fever is this, I mean, today is which day of fever?

2. What is the maximum recorded temperature?

3. How is the activity of the kid when the temperature returns to normal after giving Paracetamol or fever medicine?

4. What are the other symptoms which your son is having apart from fever like - cough, cold, loose motion, vomiting, burning sensation while urination, rash over the body, body pain, joint pains etc.?

5. Please write or upload the image of the blood test reports which you have done so far?

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (36 minutes later)

He has fever since last tuesday eve 6th feb. Given him paracetamol everytime it touched 100 deg F as adviced by doc. Once it could reach 101degF durung night. He is active once the fever subsides. Btw this s the 3rd consecutive month that he s having fever. Both times doc has prescribed azithral 500 amtibiotic five days course he became normal. Last time i cudnt finish the course as he was having loise motions nd rash due to it. Undergone deugue and CBC TEST. Dengue s negetive both times. But this time wbc has gone down though last time CBC was not done at all. All other things are within range

Answered by Dr. Sumanth Amperayani (1 hour later)

Brief Answer:
Looks like recurrent viral illness - don't worry

Detailed Answer:
Hi.... by what you say I feel that it could be only a recurrent viral illness. In this season it is very common for kids to get viral fever even 2 or 3 times in a month. I will explain you how a viral illness behaves, so that you will be more confident.

Please do not use antibiotics like this - the bugs may develop antibiotic resistance.

Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.

Hope this was helpful. If your kid's symptoms are concurring with the way I describe about viral illness, please be patient. The fever will subside in 1 or 2 days.

Regards - Dr. Sumanth

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar