A 21-day-old well-appearing febrile infant (rectal temperature 101.7°F/38.7°C) presents without focal signs. What is the recommended management?...

Question

A 21-day-old well-appearing febrile infant (rectal temperature 101.7°F/38.7°C) presents without focal signs. What is the recommended management?

Accepted Answer

Full sepsis evaluation including blood, urine, and CSF with parenteral antibiotics and admission

Answer

Urinalysis only and observe at home

Answer

Outpatient oral antibiotics after blood culture

Answer

Full sepsis evaluation without CSF, discharge if low risk

Answer

Reassure; no testing is needed if infant feeds well

us-usmle-step-2 MCQ (SBA): Fever in Young Infant