Brief Answer:
Please Clarify the following....

Detailed Answer:
Hello XXXXXXX Welcome to HCM,

I've gone through your query and understand your concern for your daughter..

I'd like to appreciate your reading, as it's quite true, after this type of poison(insect repellent) ingestion, due to their volatile nature, there's pneumonitis but that's mostly chemical pneumonitis dear, so ideally antibiotic therapy is not required in this scenario..

The hospital authority was apparently right in their approach as in initial stage only supportive treatment is required in such insecticide poisoning cases, until any of the investigation shows any thing significant or there's any significant symptom exhibited by the patient..

Can you please clarify the following so that I can guide you more specifically :

Your daughter's age and approx. body weight ?

Was there any vomiting after the good knight ingestion ?

Please specify which antibiotic therapy was given along with dosage ?

Have you recorded the fever, if yes can you please let me know the exact temp. ? how is the trend of the fever ? is it continuous/ on-off ?

Is she coughing ? any mucus/phlegma with cough ? if yes what is the color ?

Any other problems along with ? is there any breathing difficulty also ?

It can be viral fever later on, but after an exposure of insecticide ingestion like this, chances of chemical pneumonitis is always more.. Chest X-ray(repeat) PA view is required and if in doubt, HRCT chest may need to be done for further evaluation..

Fever is mostly seen due to the inflammation in the respiratory tract, it needs to be controlled, so please give her Syp Paracetamol as per her body weight three times a day(10 mg/kg/per dose) after food for next 3-4 days..

However, please don't panic, it mostly gets resolved within 2-3 weeks along with other supportive measures (keeping her away from cold air, giving steam inhalation three to four times daily, maintaining good hydration, let her have plenty of warm liquids like soups, porridge, broth, bournvita etc.).. however if there's a lot of secretions during cough then she'll be needing saline nebulization along with decongestant therapy and/ bronchodilator/steroids after the imaging examination..

I'd suggest you to get her checked by a Pulmonologist (preferably pediatrics but if unavailable then adult only), for a complete respiratory system check-up and analysis..

I'll be glad to clarify further, let me know all those answers which i've asked too.. also please let me know if any further investigations after the hospital one (eg. any repeat Chest X-ray) is done already, if yes then how long back..

Awaiting your response..

Kind Regards

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Brief Answer:
follow-up consultation..

Detailed Answer:
Hello XXXXXXX Welcome back,

Thanks for following up with the details,

The breathing issue mostly is a combination of inflammation of the respiratory tract due to the toxins along with probable secondary viral infection..

Please have faith in your treating doctor, but if there's doubt then you can always opt for a second opinion(which I've already mentioned)..

Yes, you can give her steam inhalation which will relief some of the symptoms..

You can observe the symptoms and if you feel that they're increasing then you can discuss with the doctor regarding further increment in the line of management (see my previous reply where it's mentioned regarding nebulizations and other measures).. Co-Amoxyclav(MoxClav) is one of the best antibiotics given to those situations, so don't worry..

A follow-up X-ray will be very useful as it'll give further picture of the lungs and disease progression.. and the mouth breathing may or may not be related to mosquito repellent(in fact it can be a combination of both the toxin's effect as well as secondary infection),please check for any nasal blockage also.. confirm opinion is possible on that only after examining her clinically along with investigations..

Don't be scared dear, believe in your treating doctor, and like I've already mentioned , if still in doubt, just go ahead and have the second opinion, as it'll give you further clarity of the situation..

Let me know if there's any further queries, I'll be glad to clarify further..

Take Care
Kind Regards

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Brief Answer:
don't worry, it's just a phase, it'll pass soon..

Detailed Answer:
Hello XXXXXXX Welcome back,

Yes, I can understand what your going through, but have faith as she seems to be in good hand only..

The disease is just a phase, it'll be pass soon..

Take Care of yourself and your daughter..

My Best Wishes

Kind Regards

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