A 4-year-old child presents with fever (38.9 °C) but is otherwise alert, interactive and well perfused, with no focal signs on examination. According ...

Question

A 4-year-old child presents with fever (38.9 °C) but is otherwise alert, interactive and well perfused, with no focal signs on examination. According to RCH guidance, which feature would be most concerning for serious bacterial infection requiring urgent investigation?

Accepted Answer

Non-blanching petechial rash

Answer

Temperature of 38.9 °C alone

Answer

Capillary refill of 2 seconds

Answer

Normal mental state

Answer

Mild tachycardia with crying

au-acem MCQ (SBA): Febrile child - red flags

A 4-year-old child presents with fever (38.9 °C) but is otherwise alert, interactive and well perfused, with no focal signs on examination. According to RCH guidance, which feature would be most concerning for serious bacterial infection requiring urgent investigation?