Sir, my son 2 years old is suffering with heavy fever from 22 feb 2017, after treatment of oral based on our doctor's advise on 26 feb 2017 we admitted my son in children hospital. CRP level is 64. After two days of treatment the CRP level is decreased to 16. The fever also comes down from 104 F to 97 F. After one day of discharging from hospital my son again suffering with fever with 100 F temperature. In case sheet LRTI WITH SEPSIS. Now medicines are cefbact 750 mg through IV, linezolid, crocin DS, ascoril, maxtra and also nebulization. I search on the internet for this problem, there are many articles on this problem, I am fearing about my son future after the reading those articles. Please advice me the exact details and remedies.

Rise in CRP alone can not diagnose a patient having sepsis. CRP can be rised in simple cold with high grade fever also and once the fever resolved and decreases CRP came down as you have mentioned. LRTI can be diagnosed by examining patients chest. It can be viral or bacterial and CRP can be rised in any of them. This much antibiotics or medication is not required in LRTI and none in viral. Sepsis is related to complications if it is in real present. Blood culture and patients symptoms both if looked in a 2 year child can confirm sepsis. Chest X-ray with examination of patient will confirm LRTI. In any case though if such big injections are started they have to be given for atleast 5 days if really needed. But problem what happened here is that antibiotics has been already started so blood culture if done at this stage may grow no organism. In this case patient can be looked symptomatically and has to be examined, get a blood culture if not done, Chest x ray is a must if some one said LRTI. All things need to be evaluated.  

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