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• W2895544560 abstract "1. Jeanna Auriemma, MD*2. Cara Haberman, MD* 1. *Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NCA 5-month-old previously healthy African American boy presents to the emergency department (ED) with an 8-day history of high-spiking daily fevers between 102°F and 104°F (38.9°C–40.0°C). On his second day of fever, he was diagnosed as having an acute suppurative otitis media by his primary care physician and was started on amoxicillin. Daily fevers continued despite adequate antibiotic compliance. Other than fever his only reported symptom is fussiness. Specifically, he has no cough, congestion, rash, vomiting, diarrhea, or change in appetite. In the ED his temperature is 103.1°F (39.5°C); heart rate, 175 beats/min; respiratory rate, 26 breaths/min; blood pressure, 98/64 mm Hg; and oxygen saturation, 98% on room air. He is ill-appearing and fussy but consolable. Subtle injection of the bulbar conjunctiva is present bilaterally without exudate. His heart rate is tachycardic, with regular rhythm and no murmur. His abdomen is soft and without organomegaly. His extremities are warm, well-perfused, and without edema. His lungs are clear to auscultation with normal respiratory effort. He has no rash or lymphadenopathy. The remainder of his examination findings are normal.Laboratory values obtained in the ED reveal anemia with a hemoglobin level of 7.6 g/dL (76 g/L) and thrombocytosis with a platelet count of 486×103/μL (486×109/L). His white blood cell (WBC) count is normal, C-reactive protein level is elevated at 102 mg/L (971 nmol/L), and erythrocyte sedimentation rate (ESR) is elevated at 61 mm/h. Results …" @default.
• W2895544560 created "2018-10-12" @default.
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• W2895544560 date "2018-10-01" @default.
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• W2895544560 title "Case 4: Unexplained Fever in a 5-month-old Boy" @default.
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• W2895544560 doi "https://doi.org/10.1542/pir.2018-0049" @default.
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