<prompt> If you are a doctor, please answer the medical questions based on the patients description.My daughter aged 5.6 yrs has got fever from last sunday16-sept had high temperature till Tuesday 18-Sept. She was fine active on Wednesday19-sept. On 20th morning, she had sever pain on leg muscles. We consulted a doctor as he advised, we took Blood Urine test. Report on 20-Sept-2012 ALKALINE PHOSPHATASE. 147 UL; SGPT 12 UL; UREA, SERUM 23.5 mgdL; CALCIUM 9.5 mgdl; CPK,SERUM 353 UL; BLOOD ROUTINE EXAMINATION: HB 14 gm ; TC 2,800 Cellscumm , DC P-44-58, L-37-47, M-3-7, E-1-5; Neutrophils 50; Lymphocytes 44; Eosinophils 2 ; Monocytes 4 . ESR 3 mmhr; PCV 41.8 ; PLATELET COUNT 1.5 LakhsCumm URINE ROUTINE EXAMINATION PROTEIN NIL;SUGAR NIL;BILE SALT NEGATIVE;BILE PIGMENT NEGATIVE;BLOOD NEGATIVE;KETONE NEGATIVE;UROBILINOGEN NORMAL;PH 5.5;SPECIFIC GRAVITY 1.030; DEPOSIT ... PUS CELLS OCCASIONAL; ... RBCS NIL; ... EPITHELIAL CELLS OCCASIONAL; ... CRYSTALS NIL; ... CASTS NIL; BACTERIA NIL; Report on 22-Sept-2012 CPK,SERUM 1412 UL ; SGOT 87 UL; SGPT 29 UL HB, TC, DC HB 13.9 gm ;TC 2,300 cells cumm ; DC P44-58,L-37-47, M-3-7,E-1-5; Neutrophils 30; Lymphocytes 66; Eosinophils 2; Monocytes 2; PCV 41.4 ;PLATELET COUNT 1.3 LakhsCumm Will you please guide us on wat to do next? Note- We live in India  <response>: Hello dear, it seems she has streptococcal infection. For differentiation, you should also give antistreptolisin -O, IGM, G to Chlamydia trachomas, uric acid, reumatoid factor, throat culture and sensitivity to antibiotics. Amoksiclav, ibuprofen should be given for 10 days. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your baby good health. 