A 7-month-old well-appearing infant presents with a rectal temperature of 38.4 °C for 8 hours and mild nasal congestion. There is no focal source on e...

Question

A 7-month-old well-appearing infant presents with a rectal temperature of 38.4 °C for 8 hours and mild nasal congestion. There is no focal source on examination and feeding is adequate. According to the CPS statement on febrile infants ≤90 days, how should this child be managed?

Accepted Answer

Risk-stratified evaluation with at least urine testing and consideration of limited blood work, with follow-up arranged

Answer

Full septic work-up including lumbar puncture and mandatory admission

Answer

Discharge home without investigations or follow-up

Answer

Empiric intravenous broad-spectrum antibiotics for 48 hours

Answer

Chest radiograph and viral panel as routine

ca-mccqe1 MCQ (SBA): Fever in young infant

A 7-month-old well-appearing infant presents with a rectal temperature of 38.4 °C for 8 hours and mild nasal congestion. There is no focal source on examination and feeding is adequate. According to the CPS statement on febrile infants ≤90 days, how should this child be managed?