My 34 month old daughter has bad cough and fever only at nights and the temperature raises to 102 and loss of appetite from the past 4 weeks and then I have consulted a doc immediately and got the Urine and ESR report done, Urine report says there is uric acid in crystals and HEMOGRAM report says RDW is 16.40 (on the higher side), Lymphocyte is 3.59 (lower side) and ESR is 39 (higher side). Mantoux test is also done and result will come after next 24hrs. Please advice us if this can be TB or something else?? Or do we have to go for other tests???
Hello there, Based on your reports it is more likely that your daughter has some form of urinary obstruction. It Could be an anatomical anomaly as they are common in child Chat Doctor.  Some stagnation in the urine in turn leads to formation of crystals and maybe stones. The appetite loss could be secondary to the fever caused due to some obstruction leading to a urinary tract infection. Let the Manitou come, and an ultrasound abdomen would also be advisable. Do not worry, It is more likely that it is not TB. But as a doctor I can only say something for sure once I have the manitou and USG report. Hope this helps, Please feel free to ask any further questions, I will be happy to answer them,