A well-appearing 45-day-old infant (29-60 days group) presents with fever 38.6°C (101.5°F). UA negative; ANC, CRP, and procalcitonin are normal. Blood...

Question

A well-appearing 45-day-old infant (29-60 days group) presents with fever 38.6°C (101.5°F). UA negative; ANC, CRP, and procalcitonin are normal. Blood and urine cultures obtained. What is the recommended approach?

Accepted Answer

No lumbar puncture; may manage as outpatient with close follow-up if all labs are low-risk

Answer

Perform routine lumbar puncture and admit for IV antibiotics

Answer

Discharge without any testing or follow-up

Answer

Give empiric ampicillin and gentamicin and discharge

Answer

Admit for 48-hour observation without cultures

us-abem MCQ (SBA): Fever in Young Infant

A well-appearing 45-day-old infant (29-60 days group) presents with fever 38.6°C (101.5°F). UA negative; ANC, CRP, and procalcitonin are normal. Blood and urine cultures obtained. What is the recommended approach?