A well-appearing 35-day-old infant with fever (101.8 F) has a negative UA, ANC 3,000/µL, CRP 0.5 mg/dL, procalcitonin 0.1 ng/mL. What evaluation is re...

Question

A well-appearing 35-day-old infant with fever (101.8 F) has a negative UA, ANC 3,000/µL, CRP 0.5 mg/dL, procalcitonin 0.1 ng/mL. What evaluation is recommended?

Accepted Answer

No labs; observe at home

Answer

Full sepsis workup including LP and admission for IV antibiotics

Answer

UA only; if negative, discharge

Answer

Blood culture, inflammatory markers, UA; no routine LP if low-risk; close follow-up

Answer

Immediate ceftriaxone without labs

us-abem MCQ (SBA): Fever in Infant (29-60 days)

A well-appearing 35-day-old infant with fever (101.8 F) has a negative UA, ANC 3,000/µL, CRP 0.5 mg/dL, procalcitonin 0.1 ng/mL. What evaluation is recommended?