A 7-month-old infant presents with irritability and a fever of 38.9 °C. She has received her routine immunisations and looks well. There is no focal s...

Question

A 7-month-old infant presents with irritability and a fever of 38.9 °C. She has received her routine immunisations and looks well. There is no focal source on examination. According to CPS guidance, what is the most appropriate management?

Accepted Answer

Clinical assessment with urinalysis and culture, and close follow-up

Answer

Automatic full septic workup and lumbar puncture

Answer

Empiric intravenous antibiotics and admission for all febrile infants under 12 months

Answer

No investigations and no follow-up needed

Answer

Immediate CT scan of the head

ca-mccqe1 MCQ (SBA): Fever without source in infants

A 7-month-old infant presents with irritability and a fever of 38.9 °C. She has received her routine immunisations and looks well. There is no focal source on examination. According to CPS guidance, what is the most appropriate management?