Conversation: The conversation between human and AI assistant.
[|Human|] I have a typical problem for my child - for almost 3 years she is getting +++ blood with all other parameters in range. She is treated with amicasin and monocyte for 5 days and she then becomes alright. However, it reoccurs once every month with high fever in range of 104 to 103? any observations. she had liver absus about 4 months back and a UTI infection 6 months back. the size of absus is reduced and SGOT (AST) value is 37.0. However, an area of ocncern is high CRP -59.10, Leucocyte count 15,100 and neutrophils 79%
[|AI|]  Hi, Welcome to Chat Doctor, I understand your concern and poor child is suffering a lot. She has gone through so much already, but good thing is she seems to have recovered well from most of it. CRP being high with many neutrophils suggests some infection still going on in your child or may be recovering. If I were your pediatrician, I would get blood cultures done in your child, at least 3 cultures half hour apart from different sites, firstly to look for any infection within the blood that can be cultured and also see if any possibility of infective endocarditis. For a completion of workup, better to consult a cardiologist and get a heart evaluation done as well. Hope that answers your query. Take care.