Fever and Petechiae in an Infant
James Harper, MD
Department of Pediatrics, University of Nebraska Medical Center, Omaha, NE
This case was reviewed and updated in May 2011 by members of the Teaching Cases Subcommittee
Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.
A 17-month-old male is admitted to the hospital with a two-week history of fever (T max 104º F) and a two-day history of rash on his legs. Ten days ago, his primary care physician treated him with a 7 day course of Ceftin for a presumptive diagnosis of otitis media. Upon follow-up visit, it was found that he was still febrile and required ibuprofen nearly daily to control fevers. It was also found that he had lost weight, presumed to be due to decreased appetite.
What questions pertaining to the present illness are most relevant at this point?
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