4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Can cefepime be used in enteric fever? A 5 yr female child is having high fever(106f)since 7 days.crp --24units(normal-6 units) twbc--6100, esr-10, urine --pus cells: av.5-6/hpf. widal --1 :120 1:240(h). cxr--nad.soft splenomegaly, no hepatomegaly.pt. non -toxic. What is the probable diagnosis and management?
Answer
Since Widal is borderline and patient is non-toxic, one needs to be sure about the diagnosis of enteric fever. A clot culture would be useful. Also rule out malaria.

For enteric fever, third generation cephalosporins such as ceftriaxone would be a better choice of drug.
 
 
 
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