Conversation: The conversation between human and AI assistant.
[|Human|] my daughter is 13 years , she had abdominal pain around the umbilicus for 15 days now , she has low grade fever 37.4-37.6 , since about 10 days she started to complain back pain that extend from thoracic to lumbar region , she has hihg WBC count with neutrophilia , but normal other CBC parameters , urine & stool are free , abdominal ultrasound shows nothing , since about a week she started to complain also ankle pain but no signs of inflamations , she already receaved ceftriaxone 1gm injection for 5 days & paractamol 500 mg twice daily , but she improve temporarly then complain again , now i am confiused , what is the cause & why she is not improving ?
[|AI|]  Hi. Thanks for your query. Read and understood the problems you 13-year-old daughter is having. It is good that the Ceftriaxone course if already given. High WBC indicate that she may have hidden abscess somewhere, and since she has pain in the spinal region I would advise the following:-Repeat CBC-MRI of the spine to see for an abscess or so.-CT scan for the abdomen to see any inflammatory process going on like inflamed lymph nodes or so.-Clinical evaluation and physical examination by a Surgeon can clinch the diagnosis and give a better plan for further treatment.