A well-appearing 35-day-old term infant has fever 100.8°F (38.2°C). UA is negative; ANC 2,800/µL; procalcitonin 0.2 ng/mL. All else normal and reliabl...

Question

A well-appearing 35-day-old term infant has fever 100.8°F (38.2°C). UA is negative; ANC 2,800/µL; procalcitonin 0.2 ng/mL. All else normal and reliable follow-up is available. Best management?

Accepted Answer

No LP or empiric antibiotics; manage as outpatient with close follow-up and return precautions

Answer

Full sepsis workup with lumbar puncture and IV antibiotics

Answer

Outpatient oral antibiotics and no labs

Answer

Admit without antibiotics for observation only

Answer

Routine chest radiograph and blood cultures

us-usmle-step-2 MCQ (SBA): Febrile Infant (29-60 days)

A well-appearing 35-day-old term infant has fever 100.8°F (38.2°C). UA is negative; ANC 2,800/µL; procalcitonin 0.2 ng/mL. All else normal and reliable follow-up is available. Best management?