Persistent high fever at night

2025-11-04 15:12:59
Persistent high fever at night for over 6 days in a 10 year old kid. Reaches 104-105°F, admitted to hospital and given IV drip. Dengue negative, typhidot negative, malaria negative. SGPT, SGOT and CRP slightly elevated. CBC report is completely normal. No other symptoms except for general tiredness from fever. Is this typhoid? We have seen no improvement at all despite giving antibiotics for 5 days. Before that we were just giving paracetamol. The fever is almost cyclical, comes at 8PM and subsides only by sponging. Then early morning again. It is never below 103°F when it flares.
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Answered2025-11-16 13:44:18

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I need to ask few more questions before answering your query. Early consultations can prevent complications. Kindly contact me on whatsapp chat (84960595sixfive) Dr Faisal Zoheb MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn specialist )

Answered2025-11-13 15:34:43

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Hello, For consultation 1. Pay ( ₹ 500 only, 50 % off ) and consult by practo. 2. Or pay ( ₹ 500 only, 50 % off ) and send message by GPay. My mobile number is +91959508739nine. 3. If required call to +91959508739nine. Take a glass of milk daily. Thanks.

Answered2025-11-11 07:19:04

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It must be viral fever Request you to undergo Dengue serology once (NS1 Antigen) Review with reports Till then continue prescribed Antibiotic and Tab. Dolo 650 mg (1/2-0-1/2) half bd after food Tepid sponging 3 times a day is required

Answered2025-11-11 03:57:05

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Send all your reports and the general examination done at the hospital. Also get an X-ray chest done PA view and USG abdomen Consult with all reports

Answered2025-11-10 08:40:32

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He is in safe hands. Nothing can be done in hospitalized patient. Need lot of patience. They probably  start some  empirical  treatment.

Answered2025-11-10 08:38:44

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Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Answered2025-11-10 08:36:20

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Persistent high-grade fever for over 6 days despite antibiotics needs a detailed clinical review. Since dengue, typhoid, and malaria are ruled out, other possibilities such as viral fever (EBV, CMV), occult bacterial infection, or early inflammatory conditions (like Kawasaki disease or autoimmune fever syndromes) must be considered. Slightly elevated SGOT/SGPT and CRP indicate ongoing inflammation but don’t confirm typhoid alone. You should get re-evaluated urgently by a pediatrician or infectious disease specialist for repeat investigations — including blood culture, chest X-ray, urine culture, ferritin, ESR, LDH, and possibly ultrasound abdomen to rule out hidden infections or inflammatory causes. Fever of this pattern should not be managed at home, especially if it is touching 104–105°F. Continue sponging for comfort, maintain hydration, and follow the treating doctor’s instructions strictly.
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Please consult your pediatrician again for detailed evaluation and monitoring — persistent fever of this kind always warrants specialist review rather than home treatment.

Answered2025-11-10 08:03:09

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Hello, I understand your concern. In children, the temperature can easily shoot up high. This sounds mostly like a viral infection. But to get to correct diagnosis more detailed history and tests are needed. Please contact.

Answered2025-11-10 08:01:25

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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion

Answered2025-11-10 07:56:58

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Need few more details Kindly consult

Answered2025-11-11 05:10:58

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Could be typhoid or viral fever. Get typhoid antigen test and blood widal done. If viral fever, it should subside now. Please share what medicines he has been given? Then I can suggest treatment and help him to heal.

Answered2025-11-10 13:12:55

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2025-11-10 12:34:51

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