Q. I need a second opinion regarding my daughter's fever treatment. Please guide me.
Hello doctor, My one year old daughter had a fever for four days, with one episode of seizure on the fourth day which lasted less than a minute. There was no post ictal confusion or drowsiness. At first, the doctors started with Ceftriaxone and Amikacin for four days, then a lumbar puncture was done showing leucocytes. The report said 135 with 80 % lymphocytes and 20 % monocytes. The day before lumbar puncture, she was started on Vancomycin. The blood culture done before starting Ceftriaxone showed Staphylococcus growth with 50 thousand colonies. They said it may be contaminated. Urine culture showed enterococcus faecium, but repeat test came negative. All subsequent tests came negative. Now the child is doing well, without fever for four days. They stopped both Vancomycin and Amikacin and told to continue Ceftriaxone for two weeks. I am awaiting the CSF culture reports. My concern is whether it is alright not to give Vancomycin.
Hello. I can understand your concerns. I hope this helps. Take care. For more information consult a child health specialist online -->