A 22-day-old boy born at term is brought to a rural emergency department because he felt hot. His rectal tempe…

Question

A 22-day-old boy born at term is brought to a rural emergency department because he felt hot. His rectal temperature is 38.4 degrees Celsius. He has fed normally today, has had his usual number of wet nappies, and is alert and settles readily in his mother's arms. Examination of the fontanelle, chest, abdomen, hips, umbilicus and skin is entirely normal and no source of fever is found. His mother had no risk factors in labour and he went home on day two. Which one of the following is the most ap…

Accepted Answer

Septic screen and intravenous antibiotics

Answer

Catheter urine culture and oral antibiotics

Answer

Discharge with written advice to return

Answer

Full blood count, C-reactive protein and review

Answer

Observe for four hours, then reassess

More from Paediatrics