A 5-week-old infant presents with fever 38.5°C, poor feeding, and lethargy. Examination shows no focal source. According to Canadian approaches to the...

Question

A 5-week-old infant presents with fever 38.5°C, poor feeding, and lethargy. Examination shows no focal source. According to Canadian approaches to the febrile infant ≤60 days, what is the most appropriate management?

Accepted Answer

Full sepsis work-up with blood, urine, CSF cultures and empiric IV antibiotics

Answer

Reassure and discharge with antipyretics

Answer

Urinalysis only and follow-up in 48 hours

Answer

Chest x-ray only and no antibiotics

Answer

Outpatient oral antibiotics without investigations

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

A 5-week-old infant presents with fever 38.5°C, poor feeding, and lethargy. Examination shows no focal source. According to Canadian approaches to the febrile infant ≤60 days, what is the most appropriate management?