What Does Increased CRP And Fever Indicate?

Posted on Wed, 7 May 2014

Question: My son is running fever which is fluctuating got the tests done CRP shows as positive

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer: You can give tablet cefixime 100 mg twice daily. Detailed Answer: Hello XXXXX Thanks for writing to HCM I have gone through reports and history in detail. Increased CRP and ESR indicates infection. He is also suffering from anemia. Fever may be due to many reasons. Widal test is negative.It is generally positive in 2nd week if patient is having typhoid fever. Your son need proper clinical examination and few more investigations. It is important to rule out urinary tract infection,malaria also. MP test,Blood culture and Urine RE/ME can be done. Empirically you can give tablet cefixime(dispersible) 100 mg twice daily for five days.You should also give lactobacillus and vitamin B supplementation. For fever,you can sponge whole body of baby with normal tap water.You can also give combination syrup of paracetamol(162.5 mg) and ibuprofen(100 mg) 7.5 ml thrice daily (if temperature is > 100 degree Fahrenheit). He also need iron syrup for anemia. Peripheral smear of blood should also be examined. Further treatment depend upon investigation and clinical findings. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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

Follow up: Dr. Indu Kumar (14 hours later)

Hi we did get Malaria and CUE done for him . Please find below the results for the same PARASITE F & V Spot NEGATIVE Immunochromatographic Specimen : WHOLE BLOOD COMPLETE URINE EXAMINATION Colour PALE YELLOW PALE YELLOW Appearance CLEAR CLEAR Sediments ABSENT ABSENT Specific Gravity 1.030 1.005-1.030 PH 6.5 5.0-8.0 Albumin NIL NIL sugar NIL NILL Bile Salts & Pigments NEGATIVE NEGATIVE Ketone Bodies NEGATIVE NEGATIVE Urobilinogen NEGATIVE <1 Eu/DL Nitrate NEGATIVE NEGATIVE Microscopic Examination Pus cells 2-3/HPF /hpf RBC NIL /hpf Epithelial cells NIL /hpf casts NIL Crystals NIL Amorphous Material NIL Others NIL Specimen: URINE

Answered by Dr. Indu Kumar (9 hours later)

Brief Answer: Please find detail answer below. Detailed Answer: Hello XXXXX Thanks for writing back Mentioned results for malaria and urine examination are normal. Urine contain pus cells (2-3/HPF) but it can be normal finding. Urine test results for pus cells should always be interpreted using the reference range provided by the laboratory. If fever is less than 7 days duration then blood culture can be done after clinical examination. You can also try medicines already discussed. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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