###Human: My 1 year kid has continuous fever and abscess in neck. Kindly guide. ###Assistant: Hello, Welcome back to icliniq.com. I have gone through reports and history (attachment removed to protect patient identity). From the picture, it appears to be abscess only. Also, the doctor confirms it on examination.  The next line of action should be an ultrasound of the abscess to look for extent. Also, drainage of abscess is necessary. She has enough antibiotics and, fever, TLC (total leucocyte count) not responding as antibiotics must not be reaching there adequately due to pus collection. So the abscess should be drained in my opinion while antibiotics should be continued.  After draining, the pus should be sent for investigations, which includes gram staining, AFB (acid-fast bacilli) staining, GenXpert of the pus, bacterial culture and sensitivity. So if the facility is available there then you may keep or else should be shifted to higher center.  For more information consult a paediatrician online -->