
Suggest Treatment For Vomiting And Fever In A Teenager

Probable diagnosis of chronic cough
Detailed Answer:
Hi XXXX, thanks for asking from HCM.
I can understand your concern. The chronic cough, fever, high white blood cell count, weakness can be due to chronic illness. The possible differential diagnosis can be
- Autoimmune disorder like Wegner Granulomatosis, Sarcoidosis, lupus.
- Chronic viral infection like EB virus, HIV infection
- Chronic bacterial infection like Mycobacterium tuberculosis
- Chronic fungal infection like Histoplasmosis
To rule out these, he needs few specific investigations like
- ESR and CRP level
- Blood culture
- Sputum culture
- If all negative, bronchoscopy and aspiration of mucus for culture
- Peripheral smear
- HRCT of lung to detect missed lesions on X ray chest
Hope it will help. You can message me the reports of his investigations. I can help you in reaching some conclusion.
Thanks. Take care. Any doubt, do let me know.

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