Question

A 3-year-old boy presents with a 24-hour history of fever to 39.5 °C and irritability. He is fully immunised, including conjugate pneumococcal and Hib vaccines. Examination is unremarkable, he appears well, and vital signs are stable. According to Canadian paediatric fever guidelines, what is the most appropriate management?

Accepted Answer

Observation with antipyretics and safety-netting advice without routine investigations

Answer

Full septic workup including lumbar puncture and admission for intravenous antibiotics

Answer

Empiric oral antibiotics and routine blood cultures

Answer

Chest radiograph and urine culture in all such children

Answer

Home management without any explanation to parents

Practice question