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Increased leucocyte level usually indicates bacterial infection but can be due to other causes also. Sterile culture does not entirely rule out bacterial infection. Diagnosis can only be made by taking history, clinical examination and investigations into consideration. It cannot depend only on lab reports.

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Q: What is the diagnosis of a child of 1 year presenting with fever and investigations show the blood and urine cultures to be sterile and total leucocyte count is high?
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