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Re: febrile infant

"Shaji O. Mathew" wrote:

> 4 week old with fever (102.1 Rectal), slight cough and some runny nose as per
> history. Physical exam unremarkable (negative for meningeal signs). nasal wash
> for RSV is sent, CBC and UA sent.
> Questions:
>   a.. Should one spinal tap this otherwise well looking infant?

We would routinely tap a febrile 1 m.o. unless the RSV comes back (+).

>   b.. Should one wait for CBC and/or UA to come back before considering
> empirical Abx?

Assuming the RSV is negative (we get results in less than one hr. at our
hospital), we routinely begin antibiotics pending a negative sepsis workup.


--
Gary M. on LI

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