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ModeratePaediatricsFever in under 5suk-plab-1

A 2-year-old boy is brought with a temperature of 39.5°C and no clear focus of infection. He is alert but tachycardic and has mild tachypnoea. Using the NICE fever in under 5s traffic light system, which of the following features would classify a child as high risk (red) for serious illness?

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