i wanted to tell you one interesting story ..it was 10;00 pm when we got a
feverish 39 C child of 4 years in our ER , the pediatrician called and
attended him she ordered for WBC which was 5.5 , she gave him naalgsics and
augmentine and discharged after fever came down....
By 4;00 AM the child had been brought dead to ER with full marks of
petechial hemmorahge which pathognomonic of Meningococcemia...
It was a big issua that how could a doctor expecting meningococemia in a
child with fever !!!
In fact till now i couldnt find an answer inspite that our hospital did CME
regarding that case and said that onlt around 5% of febrile children will go
into Meningococemia, and this is very rarely to be expcted to appear!
Nowadays, i used to either admit or do at least CBC for any febrile child
even without any bad signs...i still feel hezitated to discharge him ,
scared will get him back as DEAD .
Any one can help me by one guidline or rules for that thing?
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