Conversation: The conversation between human and AI assistant.
[|Human|] Respected Dr Sahib, My 9 year old son is undergoing treatment for viral ( antibiotic - Oflomoc Forte administered for 5 days). The fever is continuing on the sixth day with lesser interval . Local Pediatrician has after six days asked for the following tests: CBC+ESR+ SGOT SGPT+ Widal+ MP+ Urine Routine. The Widal test report will be received tomorrow. Presently SGOT SGPT repot is at hand (SGOT 180 U/L) (SGPT 110 U/L). Is It suggestive of Liver problem or has the level increased due to antibiotic admistered for 6 days. Kindly reply please Kindest Regards Sandeep R Karwa
[|AI|]  Welcome to the ChatDoctorMany diseases and conditions can contribute to elevated liver enzymes. Your doctor determines the specific cause of your elevated liver enzymes by reviewing your medications, your signs and symptoms and, in some cases, other tests and procedures. In my opinion it can occur due to Hepatitis, Long term paracetamol use, typhoid fever, pancreatitis, polymyositis, mononucleosis, Cytomegalovirus or Epstein-Barr virus infection in your child. As the levels are moderately raised and no other symptom apart from fever, typhoid is a more likely cause. I would suggest to look at Tidal test report and also go for a blood culture and sensitivity test. Changing antibiotic to Definite and Azithromycin will help in typhoid. For further questions, do contact us.