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Persistent high fever at night
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.
Answers (13)
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I need to ask few more questions before answering your query.
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn specialist )
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Take a glass of milk daily.
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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
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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.
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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
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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.
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Need few more details for proper understanding of your issue.
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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.
Next Steps
Please consult your pediatrician again for detailed evaluation and monitoring — persistent fever of this kind always warrants specialist review rather than home treatment.
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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.
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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
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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