----- Original Message ----- From: "Kevin M. Windisch MD, FAAP" <> To: "Peds List" <> Sent: Thursday, February 28, 2002 6:32 PM Subject: 1 month old with fever > I just discharged a 22 day old female similar to what you described. Chest > film was normal but RSV was +. Fortunately the admitting MD had the sense > to get blood, urine and CSF and empirically start on abx.. > > The urine was positive for 25,000 Klebs Pneumo and the renal ultrasound > showed some parencymal thickening "Consistent with pyelonephritis > bilaterally (per radiology). > > I'm glad we didn't just treat the RSV (BTW the child only 3days later > started with scant rhinorrhea and mild cough so I don't think the RSV is > going to cause much trouble for her). > > kmw > Kevin M. Windisch MD FAAP