Hello doctor, My 4-year-old daughter who weighs 13.5 kg is having fever ranging from 100 to 102 degrees Fahrenheit since three to four days. Syrup Calpol 250 works only for one to two hours max, after which fever spikes. We gave Meftal syrup too, which works maximum for three hrs. We did a CCB and urine test. WBC count is 22,000 and she has 80% neutrophils. Platelets are normal. Urine is clear. There are no other symptoms other than the fever. Now, she has developed severe nausea and intermittent vomiting. We started Cefixime 100 mg BD, but nothing changed after four doses. In fact, it got worse. So we admitted to a pediatric hospital. They started IV Ceftriaxone and Febrinil. After the first dose, the fever partially subsided but recurred in only one and a half hours. She also has a papular rash which is very indistinct and pale red (not erythematous) over the trunk. I am worried as the food intake is very low and she has begun to appear toxic. The pediatrician has said that she is having occult sepsis. I am worried about the prognosis and considering her to shift to the ICU. What should I expect from the current line of treatment?
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