Question

A 5-week-old well-appearing febrile infant (rectal temp 101.8°F/38.8°C) has positive UA, ANC 5,000, procalcitonin low, and CSF not obtained. What is appropriate management?

Accepted Answer

Outpatient oral antibiotics with close follow-up after urine culture obtained

Answer

Discharge without antibiotics

Answer

Admit for IV ceftriaxone and full sepsis workup

Answer

Lumbar puncture mandatory for all

Answer

No testing needed

Practice question

A 5-week-old well-appearing febrile infant (rectal temp 101.8°F/38.8°C) has positive UA, ANC 5,000, procalcitonin low, and CSF not obtained. What is appropriate management?