<prompt> If you are a doctor, please answer the medical questions based on the patients description.My daughter is 6.5 years old. Suffering from high fever 103 f from past 4 days. Doctor treated with ibugesic assuming viral infection. But she complained of pain will passing urine and in left side below ribs. Urine routine shows presence of ketones and proteins and pus cells more than 250. What can be the reason.  <response>: Your daughter has Pyelonephritis, thats why she definitely needs in hospitalization and intramuscular antibiotic therapy: Ceftriaxone should be given 100 mgkg, divided for 2 times, Vinyl 1 capsule daily for 7 days. Keep her HY Chat Doctor. 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 daughter good health and speed recovery. 