Conversation: The conversation between human and AI assistant.
[|Human|] my son is now 6 year... he had fever on 15th jan 2014 with losts of pain in legs specially in mucles, left thigh. then doctor asked to give combiflame for 2 days. We gave the same. but again on on 17th he hd fever. His CBC count on 17th was 22000. (noraml 5000 to 11000). CRP 57. Doctor said little sweeling on tonsils and gave antibiotic. But again on 20th Jan there is no change in symptms and fever (Fever up to 102F). little coughing also there. Then on 20th again CBC count was 25000 and CRP 57.. Then he was hospitalized for 8days. By chest X ray he was diagnost with pnemonia as patch was seen in left lower lobe. he was treated with Xonceff 1 gm twice. day IV. Still low grade fever was there (100F). On 24th X ray repeated. Lungs were almost clear than previous. thn on 25th Antibody for pnemnia tested. It was positive for Mycoplasam pneumonia and Inf. B. So from 25th Doctor started claribid twice for 14 days. On 23rd ESR was 142, CRP was 34 nad CBC was 20000. On 25th ESR was 93, CRP was 22 and CBC was 20000. He was disherged from hospital on 27th and doctor asked to continue clarithromycin orally at home till 7th Feb. from 4th feb his had fever once in evening (99.2F). On 30th again checked his CBC whcih was 20000, CRP 16 and ESR 88. Now he play eat. Paltelets were 580000 on 30th Jan. Need advice. can ESR go high in thsi situation? i am worried.How long it will take to fever completely go. Also when I check fever with digital and mnaual (mercuray thermometer ) it is different. When digital show 99 F the mercury show 98.5. Plz advice
[|AI|]  Your child had been suffering from pneumonia which probably had a bacterial origin. CRP is an indicator of infection or inflammation and its steady downtrend indicates that the infection is gradually coming in control. The fever may come for another week till the CRP returns within normal limits. ESR is a more generalized indicator that something is not right within the body. It, too, has been on steady downtrend. In such a situation, ESR can remain high. Such minor differences in the readings would always be there irrespective of the type of thermometer you use. Such a difference can be there even if you use the same thermometer and measure at the interval of a few minutes. It is not a cause of concern.