A 6-week-old well-appearing boy is brought to the emergency department with a rectal temperature of 38.3°C measured at home. He is feeding slightly le...

Question

A 6-week-old well-appearing boy is brought to the emergency department with a rectal temperature of 38.3°C measured at home. He is feeding slightly less but has normal vital signs and examination. According to the CPS position statement on febrile infants ≤90 days, what is the most appropriate management?

Accepted Answer

Perform a full septic workup including blood, urine and cerebrospinal fluid cultures and start intravenous antibiotics.

Answer

Discharge home with antipyretics and no investigations because he appears well.

Answer

Obtain urine by bag collection only and treat empirically if positive.

Answer

Order only a chest radiograph and viral swab because bacterial infection is unlikely.

Answer

Observe in the emergency department for 6 hours without investigations and discharge if afebrile.

ca-mccqe1 MCQ (SBA): Fever in young infant