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ModeratePaediatricsFever in under‑5s – risk stratificationuk-plab-1

A 3-year-old boy is brought to A&E with a 1-day history of fever and lethargy. He is irritable, tachycardic and tachypnoeic. His capillary refill time is 4 seconds. According to NICE fever guideline traffic light system, which of the following features is a 'red' (high-risk) feature requiring urgent assessment and possible admission?

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