Q. A 5-year-old girl was admitted with high-grade fever for 3-4 days. fever was not responding to antipyretics. there were no clinically significant signs and symptoms. diagnosis of enteric fever and malaria was made and she was placed on IV
Ceftriaxone oflox
Azithromycin inj.
Artesunate CBC revealed TLC 9300 N 60 L30 PLATELETS 1.9LACS MP negative malaria antigen negative WIDAL negative Urine routine normal culture negative blood culture sent. The fever did not respond and antibiotics were upgraded to vancomycin. Repeat CBC TLC 4200 N 60 L 34 Platelets 1.5 Lacs ESR 16 RF negative CRP 12.2 (POSITIVE) - the possibility of Kawasaki disease. Was considered but there were no other clinical signs except for fever.
Lumbar puncture was also done and the cells were 2 all lymphocytes protein 12 culture sent.