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Febrile young infant — ABEM Board MCQ

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HardPediatric emergenciesFebrile young infantABEM Board

A 2-month-old boy arrives as ESI 2 with fever of 38.6 C and decreased feeding. HR 178, RR 42, BP 82/44. He appears ill and has mottled skin; no source is found. Which of the following is the most appropriate disposition?

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Correct answer: AHospital admission for sepsis evaluation and empiric IV antibiotics

An ill-appearing febrile young infant needs hospital-based sepsis evaluation and empiric IV antibiotics.

Reference: AAP Clinical Practice Guideline: Febrile Infants; Pediatric emergency medicine guidance