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What Does The Following Blood Test Report Indicate?
Question: Hi,
my 2 years old son (12kg) has high fever since last Saturday (3 days already), we have started Taximo forte just yesterday (3 doses given 3.5ml till now), but the fever is coming down. We are giving 4ml of p-250 syrup 4-5 times daily to lower the fever. Urine culture report is awaited to come day after tomorrow. And the below are the blood & urine routine report. Quite worried: please advise what to do?
========================= BLOOD REPORT ===========================
Test Name -- Result Reference -- Range Method
HAEMOGLOBIN, BLOOD: 12.3 gm/ dl -- 11.0-14.0 gm/ dl -- Cell counter
WBC: 18.7 *10^3/ μL -- 5-15 *10^3/ μL -- Cell Counter
RBC: 4.87 *10^6/ μL -- 4.0-5.2 *10^6/ μL -- Cell counter
PLATELET (THROMBOCYTE) COUNT, BLOOD: 300 *10^3/ μL -- 200-490 *10^3/ μL -- Cell Counter/Microscopy
NEUTROPHILS:72 % -- 30-53 % -- Microscopy
LYMPHOCYTES: 25 % -- 40-60 % -- Microscopy
MONOCYTES: 03 -- % 2-5 % -- Microscopy
EOSINOPHILS: 00 % -- 1-4 % -- Microscopy
BASOPHILS: 00 % -- 0-1 % -- Microscopy
HAEMATOCRIT / PCV: 37.3 % -- 34-40 % -- Cell counter
MCV: 76.6 fl 75-87 fl Cell counter
MCH: 25.3 pg -- 24-30 pg -- Cell counter
MCHC: 33.0 gm/ dl -- 31-37 gm/ dl -- Cell Counter
RDW - RED CELL DISTRIBUTION
WIDTH, BLOOD: 13.8 % -- 11.6-14 % -- Cell Counter
>> RBC MILD MICROCYTIC HYPOCHROMIC ANEMIA NOTED.
>>WBC. NEUTROPHILIC LEUCOCYTOSIS FOR AGE PRESENT.
>> PLATELET ADEQUATE ON SMEAR. Manual
>> HAEMOPARASITE NO HAEMOPARASITE SEEN IN PRESENT SMEAR Manual
ESR (ERYTHROCYTE SEDIMENTATION RATE) ,EDTA WHOLE BLOOD : 1stHour 72 mm/ hr -- 0.00-20.00 mm/ hr -- Westergren
============================= URINE ROUTINE ===================================
COLOUR PALE STRAW
APPEARANCE SLIGHTLY HAZY
PH. 6.0 4.7-6.5
SPECIFIC GRAVITY 1.025 1.003-1.035
REACTION ACIDIC
PROTEIN TRACE
PHOSPHATE NOT DETECTED
GLUCOSE. NOT DETECTED
ACETONE/KETONE NOT DETECTED
OCCULT BLOOD NOT DETECTED
BILE SALT ABSENT
BILE PIGMENT NEGATIVE
UROBILINOGEN NORMAL
PUS CELLS 3-5 / hpf -- MICROCOPY
EPITHELIAL CELLS 1-2 / hpf -- MICROCOPY
RED BLOOD CELLS NOT DETECTED -- MICROCOPY
CAST NOT DETECTED
CRYSTALS NOT DETECTED
MICRO ORGANISM PRESENT(+)
OTHERS NOT DETECTED
Hi Doctor,
There was little typo in my explanation:
"my 2 years old son (12kg) has high fever since last Saturday (3 days already), we have started Taximo forte just yesterday (3 doses given 3.5ml till now), but the fever still NOT is coming down
------------------------------------------------
my 2 years old son (12kg) has high fever since last Saturday (3 days already), we have started Taximo forte just yesterday (3 doses given 3.5ml till now), but the fever is coming down. We are giving 4ml of p-250 syrup 4-5 times daily to lower the fever. Urine culture report is awaited to come day after tomorrow. And the below are the blood & urine routine report. Quite worried: please advise what to do?
========================= BLOOD REPORT ===========================
Test Name -- Result Reference -- Range Method
HAEMOGLOBIN, BLOOD: 12.3 gm/ dl -- 11.0-14.0 gm/ dl -- Cell counter
WBC: 18.7 *10^3/ μL -- 5-15 *10^3/ μL -- Cell Counter
RBC: 4.87 *10^6/ μL -- 4.0-5.2 *10^6/ μL -- Cell counter
PLATELET (THROMBOCYTE) COUNT, BLOOD: 300 *10^3/ μL -- 200-490 *10^3/ μL -- Cell Counter/Microscopy
NEUTROPHILS:72 % -- 30-53 % -- Microscopy
LYMPHOCYTES: 25 % -- 40-60 % -- Microscopy
MONOCYTES: 03 -- % 2-5 % -- Microscopy
EOSINOPHILS: 00 % -- 1-4 % -- Microscopy
BASOPHILS: 00 % -- 0-1 % -- Microscopy
HAEMATOCRIT / PCV: 37.3 % -- 34-40 % -- Cell counter
MCV: 76.6 fl 75-87 fl Cell counter
MCH: 25.3 pg -- 24-30 pg -- Cell counter
MCHC: 33.0 gm/ dl -- 31-37 gm/ dl -- Cell Counter
RDW - RED CELL DISTRIBUTION
WIDTH, BLOOD: 13.8 % -- 11.6-14 % -- Cell Counter
>> RBC MILD MICROCYTIC HYPOCHROMIC ANEMIA NOTED.
>>WBC. NEUTROPHILIC LEUCOCYTOSIS FOR AGE PRESENT.
>> PLATELET ADEQUATE ON SMEAR. Manual
>> HAEMOPARASITE NO HAEMOPARASITE SEEN IN PRESENT SMEAR Manual
ESR (ERYTHROCYTE SEDIMENTATION RATE) ,EDTA WHOLE BLOOD : 1stHour 72 mm/ hr -- 0.00-20.00 mm/ hr -- Westergren
============================= URINE ROUTINE ===================================
COLOUR PALE STRAW
APPEARANCE SLIGHTLY HAZY
PH. 6.0 4.7-6.5
SPECIFIC GRAVITY 1.025 1.003-1.035
REACTION ACIDIC
PROTEIN TRACE
PHOSPHATE NOT DETECTED
GLUCOSE. NOT DETECTED
ACETONE/KETONE NOT DETECTED
OCCULT BLOOD NOT DETECTED
BILE SALT ABSENT
BILE PIGMENT NEGATIVE
UROBILINOGEN NORMAL
PUS CELLS 3-5 / hpf -- MICROCOPY
EPITHELIAL CELLS 1-2 / hpf -- MICROCOPY
RED BLOOD CELLS NOT DETECTED -- MICROCOPY
CAST NOT DETECTED
CRYSTALS NOT DETECTED
MICRO ORGANISM PRESENT(+)
OTHERS NOT DETECTED
Hi Doctor,
There was little typo in my explanation:
"my 2 years old son (12kg) has high fever since last Saturday (3 days already), we have started Taximo forte just yesterday (3 doses given 3.5ml till now), but the fever still NOT is coming down
------------------------------------------------
Brief Answer:
Try meftal-P, test for typhoid, continue antibiotic
Detailed Answer:
Thanks for asking on HealthCareMagic.
I have gone through the details and the reports.
For a child of 2 years of age, a WBC count of 18,700/cumm indicates a bacterial infection rather than a viral infection. The presence of 72% neutrophils confirms the same. Your doctor is prescribing the antibiotic Taxim O forte with the presumption of a bacterial and not a viral infection.
With pus cell count of 3-5/hpf in urine, the possibility of urinary tract infection is less likely. But let the culture and sensitivity reports come before a definite comment can be made on that.
The focus of the infection needs to be identified if possible. It may be indicated by associated symptoms like abdominal pain/diarrhea or cough/respiratory distress. Since the fever is lasting for some time, I would also suggest you to talk to your doctor about getting a blood test done to rule out typhoid.
Please continue giving paracetamol (P-250) to bring down the temperature. If it is not effective and fever is not coming down, you may use Syrup Meftal P 3 ml as per requirement at a minimum interval of 3-4 hours.
You may use tepid sponging with lukewarm water and let the water dry from the skin. Be patient and continue the antibiotic.
Try meftal-P, test for typhoid, continue antibiotic
Detailed Answer:
Thanks for asking on HealthCareMagic.
I have gone through the details and the reports.
For a child of 2 years of age, a WBC count of 18,700/cumm indicates a bacterial infection rather than a viral infection. The presence of 72% neutrophils confirms the same. Your doctor is prescribing the antibiotic Taxim O forte with the presumption of a bacterial and not a viral infection.
With pus cell count of 3-5/hpf in urine, the possibility of urinary tract infection is less likely. But let the culture and sensitivity reports come before a definite comment can be made on that.
The focus of the infection needs to be identified if possible. It may be indicated by associated symptoms like abdominal pain/diarrhea or cough/respiratory distress. Since the fever is lasting for some time, I would also suggest you to talk to your doctor about getting a blood test done to rule out typhoid.
Please continue giving paracetamol (P-250) to bring down the temperature. If it is not effective and fever is not coming down, you may use Syrup Meftal P 3 ml as per requirement at a minimum interval of 3-4 hours.
You may use tepid sponging with lukewarm water and let the water dry from the skin. Be patient and continue the antibiotic.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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